Day-case loop ileostomy reversal based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program in China: Safe and feasible

Yu Shen; Mingtian Wei; Ting-Han Yang; Ye Shu; Lin Xia; Qingbin Wu; Hao Huang; Xiangbing Deng; Wenjian Meng; Zi-Qiang Wang

doi:10.1016/j.amjsurg.2023.01.027

Day-case loop ileostomy reversal based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program in China: Safe and feasible

Am J Surg. 2023 Jul;226(1):70-76. doi: 10.1016/j.amjsurg.2023.01.027. Epub 2023 Feb 1.

Authors

Yu Shen¹, Mingtian Wei¹, Ting-Han Yang¹, Ye Shu¹, Lin Xia¹, Qingbin Wu¹, Hao Huang¹, Xiangbing Deng², Wenjian Meng³, Zi-Qiang Wang⁴

Affiliations

¹ Colorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China.
² Colorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China. Electronic address: 247940362@qq.com.
³ Colorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China. Electronic address: mengwenjian@126.com.
⁴ Colorectal Cancer Center, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China. Electronic address: wangziqiang@scu.edu.cn.

PMID: 36740505
DOI: 10.1016/j.amjsurg.2023.01.027

Abstract

Background: This study was performed to determine the feasibility of Day-case loop ileostomy reversal (DLIR) in China based on the community hospital joined enhanced recovery after surgery (CHJ-ERAS) program.

Method: Patients who underwent loop ileostomy were enrolled in the CHJ-ERAS program for DLIR after rigorous evaluation. The primary outcome was the results of short-term follow-ups.

Results: From August 2017 to April 2022, 216 patients have been enrolled in the CHJ-ERAS program for DLIR. After DLIR, 14 patients (14/216, 6.5%) have recorded 17 episodes of postoperative complications within 1 month after surgery, including 10 readmission and 2 reoperation. Compared with in-patient loop ileostomy reversal, DLIR based on CHJ-ERAS did not increase the postoperative complications and reoperations.

Conclusion: The CMJ-ERAS program for DLIR in our center is a safe and feasible alternative option for inpatient LIR and an acceptable transitional approach for the development of day-case DLIR in developing countries.

Keywords: Day-case surgery; Enhanced recovery after surgery; Loop ileostomy reversal; Postoperative complications.

MeSH terms

China
Enhanced Recovery After Surgery*
Hospitals, Community
Humans
Ileostomy* / adverse effects
Length of Stay
Postoperative Complications / etiology