Protocol for fast postoperative improvement (FPOI) in gastrointestinal surgery

Peroperative treatment has required multimodal protocols that stimulate patient evolution and shorten hospital stay.

Identify the type of pathology, intervention performed and evaluate the effectiveness of the Rapid Postoperative Improvement Protocol (RAMPO) in patients undergoing elective gastrointestinal surgery.

A total of 122 patients were evaluated, a group of 61 patients received the RAMPO protocol and the other group of equal number of patients were treated with traditional protocols (Controls).

Both groups were admitted for colorectal cancer, colostomy due to benign pathology and gastric cancer. The interventions performed were: colorectal resections (35.25%), intestinal transit restitution (29.51%) and gastrectomy (15.57%). In the RAMPO group, postoperative glycemia values (116.49 vs. 167.08 mg/dl) reflected better metabolic control with shorter hospital stay (5.49 vs. 14.11 days), obtaining a higher degree of satisfaction (91.80 vs. 19.67%) when compared to the control group (p < 0.005).

The RAMPO protocol presented relevant aspects to the traditional management of patients undergoing elective surgeries of the gastrointestinal tract, being safe, acceptable in our environment, with faster hospital discharge, significantly improving the evolution of patients, a lower percentage of complications and a high degree of satisfaction without increasing morbidity and mortality.