Highlights
- •The CHJ-ERAS program for DLIR has been proved safe and feasible, with over 90% of patients recovering with uncomplicated recovery.
- •This is the first study reporting the application of the DLIR process in developing countries with the largest samples of patients in a single center.
- •The current study provides a new and feasible form of enhanced recovery after surgery (ERAS) in developing countries.
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
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Article info
Publication history
Published online: January 31, 2023
Accepted:
January 24,
2023
Received in revised form:
January 20,
2023
Received:
November 12,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
