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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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.
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Related Experiment Video

Updated: Feb 24, 2026

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An Expanded Preoperative Component within an Enhanced Recovery Protocol Improves Outcomes in Colorectal Surgery.

Nathan M Johnson, Sandy L Fogel

    The American Surgeon
    |August 21, 2017
    PubMed
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    Enhanced Recovery Protocols (ERPs) significantly reduce hospital stays in colorectal surgery. An expanded preoperative component further improves patient recovery, reducing length of stay (LOS) and potentially lowering readmissions.

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    Area of Science:

    • Surgical protocols
    • Patient recovery optimization
    • Colorectal surgery outcomes

    Background:

    • Enhanced Recovery Protocols (ERPs) are established for improving colorectal surgery recovery.
    • ERPs may benefit from an enhanced preoperative phase based on current evidence.

    Purpose of the Study:

    • To evaluate if an ERP with an expanded preoperative component reduces length of stay (LOS) in colorectal surgery.
    • To compare outcomes of this enhanced ERP against traditional ERPs and controls.

    Main Methods:

    • Implementation of an enhanced ERP in colorectal surgeries (elective and emergent) from July 2014 to June 2016.
    • Comparison of LOS, readmissions, and complications between patients in the enhanced ERP group and a contemporaneous control group.

    Main Results:

    • Patients undergoing colorectal procedures with the enhanced ERP had an average LOS of 5.33 days, compared to 7.93 days for controls (P < 0.01).
    • Fewer readmissions and complications were observed in the ERP group, though not statistically significant.

    Conclusions:

    • An enhanced preoperative component in ERPs significantly reduces LOS in colorectal surgery.
    • This protocol shows potential for decreasing readmission rates and overall complications.