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Enhanced recovery after surgery in congenital duodenal obstruction

Li-Bo Zhu1, Yang-Fang Li1, Jun-Tao Shu1

  • 1Department of Neonatal, Kunming Children's Hospital, No288.Qian Xing Road, Kunming, Yunnan, 650228, China.

BMC Gastroenterology
|December 1, 2023
PubMed

Insights

Enhanced recovery after surgery (ERAS) significantly improved early postoperative recovery in pediatric patients with congenital upper gastrointestinal obstruction (CUGIO). This approach reduced recovery times and hospital stays for improved patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Enhanced Recovery Protocols

Background:

  • Congenital upper gastrointestinal obstruction (CUGIO) presents significant challenges in pediatric surgical care.
  • Optimizing postoperative recovery is crucial for improving outcomes in affected infants and children.

Purpose of the Study:

  • To evaluate the clinical efficacy of the enhanced recovery after surgery (ERAS) management model.
  • To assess the impact of ERAS on early postoperative recovery in pediatric patients diagnosed with CUGIO.

Main Methods:

  • A cohort of 82 pediatric patients with CUGIO were divided into an ERAS group (n=46) and a control group (n=36).
  • The ERAS group received standardized ERAS perioperative management, while the control group received conventional care.
  • Key recovery parameters including time to first bowel movement, feeding, parenteral nutrition duration, and length of hospital stay were compared.

Main Results:

  • The ERAS group demonstrated a statistically significant reduction in the time to first postoperative bowel movement (49.2 ± 16.6 h vs. 58.4 ± 18.8 h) and first postoperative feeding (79 ± 7.1 h vs. 125.2 ± 8.3 h) compared to the control group.
  • Patients in the ERAS group also experienced shorter durations of parenteral nutrition (14.5 ± 2.3 d vs. 17.6 ± 2.2 d) and a reduced length of hospital stay (18.8 ± 6.4 d vs. 23.1 ± 8.1 d).
  • All observed differences between the groups were statistically significant (P < 0.05).

Conclusions:

  • The ERAS management model positively influences early postoperative recovery in pediatric patients with CUGIO.
  • Implementing ERAS protocols can lead to faster return of bowel function, earlier feeding, and shorter hospitalizations.
  • ERAS offers a beneficial approach for optimizing care pathways in pediatric surgical patients with gastrointestinal obstructions.
Abstract

Keywords:
Enhanced recoveryInfantNeonateSurgeryUpper gastrointestinal obstruction

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