Jesse D Vrecenak1, Peter Mattei2. 1. The Children's Hospital of Philadelphia, Philadelphia, PA. 2. The Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address: mattei@email.chop.edu.
Abstract
BACKGROUND: "Fast-track" management (FT) challenges traditional postoperative tenets in order to minimize discomfort and optimize inpatient care. We examined the outcomes of consecutively performed laparoscopic-assisted ileocecectomy for Crohn's disease (CD), with particular focus on FT's effects in patients with underlying bowel inflammation. METHODS: We retrospectively reviewed all patients undergoing isolated laparoscopic-assisted ileocecectomy for CD at our institution between 12/2000 and 12/2010, excluding patients with multiple areas of surgical CD, bladder involvement, or age >18years. RESULTS: Seventy-one patients aged 8-18years underwent isolated laparoscopic-assisted ileocecectomy for CD, of which 45 met FT criteria. Individual practice patterns primarily determined which patients were FT-managed. FT management led to decreased length of stay (LOS), time to first stool, time to full diet, and intravenous narcotic use. No significant difference in complications or disease progression was observed between the two groups during 2-year follow up. CONCLUSIONS: Our results suggest that FT is safe and effective in patients with CD. In a chronically ill population, counseling patients and families to expect early discharge is critical to the success of this strategy. Despite CD-related GI pathology, FT patients realized benefits in terms of LOS, time to bowel function, and narcotic use without any increase in complications.
BACKGROUND: "Fast-track" management (FT) challenges traditional postoperative tenets in order to minimize discomfort and optimize inpatient care. We examined the outcomes of consecutively performed laparoscopic-assisted ileocecectomy for Crohn's disease (CD), with particular focus on FT's effects in patients with underlying bowel inflammation. METHODS: We retrospectively reviewed all patients undergoing isolated laparoscopic-assisted ileocecectomy for CD at our institution between 12/2000 and 12/2010, excluding patients with multiple areas of surgical CD, bladder involvement, or age >18years. RESULTS: Seventy-one patients aged 8-18years underwent isolated laparoscopic-assisted ileocecectomy for CD, of which 45 met FT criteria. Individual practice patterns primarily determined which patients were FT-managed. FT management led to decreased length of stay (LOS), time to first stool, time to full diet, and intravenous narcotic use. No significant difference in complications or disease progression was observed between the two groups during 2-year follow up. CONCLUSIONS: Our results suggest that FT is safe and effective in patients with CD. In a chronically ill population, counseling patients and families to expect early discharge is critical to the success of this strategy. Despite CD-related GI pathology, FTpatients realized benefits in terms of LOS, time to bowel function, and narcotic use without any increase in complications.
Authors: Cristen N Litz; Sandra M Farach; Allison M Fernandez; Richard Elliott; Jenny Dolan; Will Nelson; Nebbie E Walford; Christopher Snyder; Jeffrey P Jacobs; Ernest K Amankwah; Paul D Danielson; Nicole M Chandler Journal: Pediatr Surg Int Date: 2017-08-29 Impact factor: 1.827
Authors: Ira L Leeds; Mitchell R Ladd; Margaret H Sundel; Melissa L Fannon; Jessica A George; Emily F Boss; Eric B Jelin Journal: J Pediatr Surg Date: 2018-05-04 Impact factor: 2.545