Enhanced recovery after surgery in pediatric gastrointestinal surgery. Issue 10 (October 2019)

• Record Type: Journal Article
• Authors: Gao, Ruyue; Yang, Heying; Li, Yanan; Meng, Lingbing; Li, Yaping; Sun, Beibei; Zhang, Guofeng; Yue, Ming; Guo, Fei
• Is Part Of: Journal of international medical research. Volume 47:Issue 10(2019)
• Page Start: 4815
• Page End: 4826
• Publication Date: 2019-10
• Subjects: Enhanced recovery after surgery (ERAS) -- perioperative period -- gastrointestinal surgery -- children -- surgical outcomes -- safety; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060519865350
• Languages: English
• ISSNs: 0300-0605

Abstract

Objective: Enhanced recovery after surgery (ERAS) protocols help optimize inpatient care and minimize discomfort. This study was performed to explore the safety, feasibility, and clinical and social value of ERAS in pediatric gastrointestinal surgery. Methods: This study included all children (n = 125) who underwent appendectomy, pyloromyotomy, transabdominal Soave's procedure, Meckel's diverticulum resection, or reduction of intussusception in our institution from January to September 2018. We compared surgical outcomes between children who underwent surgery under conventional perioperative regimens (control group, n = 57) and those who were treated with ERAS protocols (ERAS group, n = 68). Results: There were no significant intergroup differences in demographic or surgical data. However, the bowel function recovery time, postoperative intravenous nutrition time, duration of postoperative hospital stay, and hospital costs were significantly lower in the ERAS group than control group. There was no significant intergroup difference in the complication rate. Conclusions: Our results indicate that implementation of ERAS protocols is safe and feasible in pediatric gastrointestinal surgery. They can improve patient comfort, shorten the duration of the postoperative hospital stay, reduce hospital costs, and accelerate postoperative rehabilitation without increasing the risk of postoperative complications. Therefore, ERAS protocols deserve wider implementation and promotion.