Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Continuity of Firearm Injury Documentation From Acute Care to Ambulatory Care Among Medicaid Enrollees in Oregon.

American journal of preventive medicine·2025

Same author

Improvement in Functional Outcomes Following Ileal Pouch-Anal Anastomosis: Results from the United States Ileal Pouch-Anal Anastomosis Study.

Diseases of the colon and rectum·2025

Same author

Predictive factors of first-time failure on the American Board of Colorectal Surgery certifying and qualifying examinations.

Proceedings (Baylor University. Medical Center)·2023

Same author

Current patterns of trauma center proliferation have not led to proportionate improvements in access to care or mortality after injury: An ecologic study.

The journal of trauma and acute care surgery·2023

Same author

Low Skeletal Muscle Index Adjusted for Body Mass Index Is an Independent Risk Factor for Inflammatory Bowel Disease Surgical Complications.

Crohn's & colitis 360·2023

Same author

Simple Diverting Colostomy for Sacral Pressure Ulcers: Not So Simple After All.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2022

Search research articles

Related Experiment Video

Updated: May 10, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Implementing a fast-track protocol for patients undergoing bowel resection: not so fast.

Vanessa Hui¹, Neil Hyman, Christopher Viscomi

¹Department of Surgery-Fletcher 465, University of Vermont College of Medicine, Burlington, VT 05401, USA.

American Journal of Surgery

|June 14, 2013

Summary

Fast-track protocols for bowel resection recovery showed poor adherence to key components. Implementation challenges meant no significant patient outcome benefits were observed in this study.

Keywords:

Compliance Ileus Pathway

More Related Videos

A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers

A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers

Published on: August 21, 2021

Related Experiment Videos

Last Updated: May 10, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers

A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers

Published on: August 21, 2021

Area of Science:

Surgical recovery protocols
Enhanced recovery after surgery (ERAS)

Background:

Multimodality fast-track protocols aim to improve recovery after bowel resection.
Uncertainty exists regarding which components are most impactful and if protocols are followed as intended.

Purpose of the Study:

To evaluate the impact of a standardized fast-track recovery protocol on patient outcomes after elective bowel resection.
To assess compliance with the major components of the fast-track protocol.

Main Methods:

A comparative study of consecutive patients undergoing elective bowel resection.
Comparison between patients under a standardized fast-track protocol and those before protocol initiation.
Compliance measured against 7 key protocol elements: nonopioid analgesia, perioperative lidocaine, nasogastric tube removal, early feeding, early ambulation, and fluid restriction.

Main Results:

Only 3 of 7 protocol components were successfully implemented; fluid restriction was achieved in only 2 patients.
Pain scores and ileus-related morbidities were similar between groups.
Nasogastric tube reinsertion was required more often in pathway patients (17 vs 8, P = .02); readmission rates were comparable (13 vs 7, P = .11).

Conclusions:

The delivery of intended care within the fast-track protocol could not be assured.
No discernible benefit in patient outcomes was observed compared to conventional care.