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Prospective, Randomized, Controlled Trial Between a Pathway of Controlled Rehabilitation With Early Ambulation and Diet and Traditional Postoperative Care After Laparotomy and Intestinal Resection

Diseases of the Colon & Rectum · 2003 · Vol. 46(7) · pp. 851–859

Conor P. Delaney✉Massarat Zutshi(Cleveland Clinic)Anthony J. Senagore(Cleveland Clinic)Feza H. Remzi(Cleveland Clinic)Jeffrey Hammel(Cleveland Clinic)Victor W. Fazio(Cleveland Clinic)

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Abstract

Patients scheduled for a laparotomy and major intestinal or rectal resection are suitable for management by a pathway of controlled rehabilitation with early ambulation and diet. Pathway patients have a shorter hospital stay, with no adverse effect on patient satisfaction, pain scores, or complication rates. Patients younger than 70 years of age derive the optimal benefit, and increased surgeon experience improves outcome.

Enhanced Recovery After Surgery Cardiac, Anesthesia and Surgical Outcomes Colorectal Cancer Surgical TreatmentsMedicineLaparotomyColorectal surgeryRandomized controlled trialRehabilitationClinical pathwayPatient satisfactionQuality of life (healthcare)SurgeryComplication

MeSH terms

AdultAgedColectomyEarly AmbulationFeeding MethodsFemaleHumansIleostomyLaparotomyLength of StayMaleMiddle AgedPatient ReadmissionPostoperative CareProspective Studies

Citations

494

FWCI

16.49

field-weighted impact

References

Percentile

99%

vs. same field & year

Citations per year

Cited by

Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons