Early closure of the protective ileostomy after rectal resection should become part of the Enhanced Recovery After Surgery (ERAS) protocol: a randomized, prospective, two-center clinical trial.

ABSTRACT:

Introduction

Protective loop ileostomy (PLI) is used to reduce the anastomotic leak rate after resection of the rectum. It is an effective, yet burdensome procedure contradicting the aims of enhanced recovery after surgery (ERAS) by slowing down recovery. Early closure (EC) of the PLI has the potential to change the situation, and it should become part of ERAS.

Aim

To analyze the effectiveness of EC in ERAS patients.

Material and methods

A randomized clinical trial was performed between October the 1^st, 2016 and December the 31^st, 2017. Fifty-eight adult patients (24 females, 34 males, mean age: 55.7 and 56.2) operated on for rectal carcinoma according to the ERAS protocol with PLI were randomly assigned to the late (L) or early (E) closure group

SUBMITTER: Klek S 

PROVIDER: S-EPMC6280077 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature