COMPARISON OF OUTCOMES OF ILEOSTOMY REVERSAL WITH AND WITHOUT ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL
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Keywords
Elective Surgical Procedures, Postoperative ileus, ERAS, Ileostomy closure, enhanced recovery
Abstract
Introduction: Enhanced Recovery After Surgery (ERAS) is a program of perioperative pathways that reduce the post-operative complications and recovery time. Implementation of ERAS protocols in colorectal surgery is practiced worldwide.(1) Many research publications has proved that length of hospital stay and postoperative complications are reduced with application of ERAS in colorectal surgery (1). Limited data is available about use of ERAS protocols in small bowel anastomosis and after ileostomy reversal. This study was conducted to assess the outcomes of ileostomy reversal with or without ERAS protocol.
Objectives: To compare frequency of prolonged ileus in patients undergoing ileostomy reversal with and without ERAS protocol.
Material and methods: This comparative study was conducted in Chaudhry Muhammad Akram research and Teaching Hospital, Azra Naheed Medical College Lahore, Pakistan over a period of 6 months from 1st January 2024 to 30th June 2024. A total of 60 patients planned for elective ileostomy reversal were selected from the OPD of CMARTH Lahore. After relevant workup and random division into two equal groups, A and B, patients underwent surgery. In group A, ERAS while in group B, conventional protocol was followed, and frequency of prolonged ileus was measured.
Results: The mean age was 33.92 ± 9.65 years. The duration of ileus was significantly different among groups as p value was 0.044. The frequency of prolonged ileus was significantly higher in conventional group as compared to ERAS group i.e., 16.7% versus 43.3% (p value 0.024).
Conclusion: The ERAS protocol after ileostomy reversal is associated with less duration of ileus. Further large sample studies would validate the results.
References
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Faryal Ufaq
Senior Registrar surgery, CMA teaching hospital Lahore, Pakistan
Ch Muhammad Aqeel
Assistant Professor of Surgery, Azra Naheed Medical College Lahore, Pakistan.
Pir Muneeb Rehman
Assistant Professor Surgery, Services Institute of Medical Sciences Lahore, Pakistan
Muhammad Ammar Fayyaz
THQ hospital safdarabad district sheikupura, Pakistan.
Hafiz Zia Farooq
Senior Registrar Surgery, CMA Teaching Hospital Lahore, Pakistan.
Humaira Alam
Assocaite professor Surgery, Azra Naheed Medical College, Pakistan.
Mohammed Aslam
Professor of Surgery Azra Naheed Medical college Lahore, Pakistan