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Related Experiment Video

Updated: Aug 4, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
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A standardized postoperative bowel regimen protocol after spine surgery.

John K Yue1,2, Nishanth Krishnan1,2, Albert S Wang1,2

  • 1Department of Neurosurgery, University of California San Francisco, San Francisco, CA, United States.

Frontiers in Surgery
|April 3, 2023
PubMed
Summary

A standardized bowel medication protocol after spine surgery helps restore bowel function within 3 days. This approach reduces costs and complications, improving patient care quality.

Keywords:
clinical protocolcost effectivenessgastrointestinal motilityileuspostoperative carequality of carespinestandard of care

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Area of Science:

  • Neurosurgery
  • Gastroenterology
  • Health Services Research

Background:

  • Spine surgery frequently leads to gastrointestinal motility impairment, with postoperative ileus occurring in 5-12% of cases.
  • Early restoration of bowel function is crucial for reducing patient morbidity and healthcare costs.

Purpose of the Study:

  • To evaluate the effectiveness of a standardized postoperative bowel medication protocol in elective spine surgery.
  • To assess the impact of the protocol on the return of bowel function, complications, and costs.

Main Methods:

  • Implementation of a standardized postoperative bowel medication protocol for elective spine surgeries.
  • Daily tracking of bowel function and medication advancement according to the protocol.
  • Collection of clinical, surgical, and length of stay data for analysis.

Main Results:

  • In 20 surgeries, 18 patients experienced return of bowel function by postoperative day 3 (mean 1.8 days).
  • No inpatient or 30-day complications were reported.
  • The mean length of stay was 3.3 days, with an estimated cumulative bowel regimen cost of $17 by postoperative day 3.

Conclusions:

  • A standardized postoperative bowel regimen effectively promotes timely return of bowel function (within 3 days) after spine surgery.
  • This protocol is associated with low costs and can be integrated into quality-of-care pathways.
  • Monitoring bowel function is essential for preventing ileus, reducing costs, and ensuring quality care post-spine surgery.