Enhanced recovery after surgery in congenital duodenal obstruction.

BMC Gastroenterol

Department of Neonatal, Kunming Children's Hospital, No288.Qian Xing Road, Kunming, Yunnan, 650228, China.

Published: November 2023

AI Article Synopsis

  • The study investigates the use of enhanced recovery after surgery (ERAS) protocols in children with congenital upper gastrointestinal obstruction (CUGIO) to improve clinical outcomes.
  • A total of 82 pediatric patients were divided into two groups: one receiving ERAS management and the other under traditional care, revealing significant improvements in recovery times for bowel movements and feeding in the ERAS group.
  • Results show that those in the ERAS group had shorter durations of parenteral nutrition and hospital stays, indicating that ERAS protocols can enhance postoperative recovery in these patients.

Article Abstract

Background: The present study aims to explore the clinical application of enhanced recovery after surgery (ERAS) in pediatric patients with congenital upper gastrointestinal obstruction (CUGIO).

Methods: A total of 82 pediatric patients with CUGIO admitted to the neonatal intensive care unit in Kunming Children's Hospital between June 2017 and June 2021 were enrolled in the present study and divided into two groups: the ERAS group (n = 46) and the control group (n = 36). The ERAS management mode was adopted in the ERAS group, and the conventional perioperative management mode was adopted in the control group.

Results: In the ERAS group and the control group, the time to the first postoperative bowel movement was 49.2 ± 16.6 h and 58.4 ± 18.8 h, respectively, and the time to the first postoperative feeding was 79 ± 7.1 h and 125.2 ± 8.3 h, respectively. The differences in the above two indicators between the two groups were statistically significant (P < 0.05). In the ERAS group, the days of parenteral nutrition and the length of hospital stay were 14.5 ± 2.3 d and 18.8 ± 6.4 d, respectively. In the control group, 17.6 ± 2.2 d and 23.1 ± 8.1 d, respectively. The differences in these two indicators between the two groups were statistically significant (P < 0.05).

Conclusion: The ERAS management model had a positive effect on early postoperative recovery in pediatric patients with CUGIO.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691034PMC
http://dx.doi.org/10.1186/s12876-023-03057-yDOI Listing

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