Andersen J, Kehlet H
Department of Surgical Gastroenterology, Hvidovre University Hospital, Hvidovre, Denmark.
Colorectal Dis. 2005 Jul;7(4):394-7. doi: 10.1111/j.1463-1318.2005.00788.x.
Introduction of multimodal rehabilitation programmes after open colonic surgery for noninflammatory bowel disease has reduced hospital stay to about 2-3 days, but no data are available from open ileo-colic surgery for Crohn's disease with multimodal rehabilitation regimens. Therefore, the aim of study was to assess outcome after ileo-colic resections for Crohn's disease with multimodal rehabilitation.
Thirty-two consecutive ileo-colic resections for Crohn's disease in 29 patients received epidural analgesia and enforced postoperative oral nutrition and mobilization with a scheduled stay of 2 days.
Median time to defaecation was 2.5 days and postoperative hospital stay was 3 days. During a 30-day postoperative follow-up there was two re-admissions, one for mechanical bowel obstruction (9 days) and one because of fever and vomiting (6 days). Except for one wound abscess, one cystitis and one pneumonia, no other complications occurred.
Fast-track multimodal rehabilitation in open ileo-colic resections for Crohn's disease reduces hospital stay and with low morbidity and readmission rate.
非炎性肠病行结肠开放手术后采用多模式康复方案可使住院时间缩短至约2 - 3天，但尚无关于克罗恩病行回结肠开放手术采用多模式康复方案的数据。因此，本研究的目的是评估克罗恩病行回结肠切除术后采用多模式康复的效果。
29例患者连续32次因克罗恩病行回结肠切除术，采用硬膜外镇痛，并在术后强制口服营养及活动，计划住院2天。
排便中位时间为2.5天，术后住院时间为3天。术后30天随访期间有2例再次入院，1例因机械性肠梗阻（9天），1例因发热和呕吐（6天）。除1例伤口脓肿、1例膀胱炎和1例肺炎外，未发生其他并发症。
克罗恩病行回结肠开放切除术后采用快速多模式康复可缩短住院时间，且发病率和再入院率较低。
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