ERAS in Gastrointerstinal Fistulas.

Stanley Dudrick's Memorial Hospital

Status: Completed

Conditions: Fistula; Surgery Site Fistula

Treatments: Procedure: ERAS

Study type: Observational

Funder types: Other

Identifiers

NCT04771832

ERASGI

Details and patient eligibility

About

An enterocutaneous fistula (ECF) poses a major surgical problem. The definitive surgical repair of persistent fistulas remains a surgical challenge with a high rate of re-fistulation and mortality, and the reasons for that is not the surgical technique alone. Enhanced Recovery after Surgery (ERAS®) is an evidence-based multimodal perioperative protocol proven to reduce postoperative complications. The aim of the study was to assess the clinical value of ERAS protocol in surgical patients with ECF.

Full description

ERAS protocol was used in all patients scheduled for surgery for ECF at the Stanley Dudrick's Memorial Hospital in Skawina between 2011 and 2020. A multidisciplinary team (MDT) was in charge of the program and performed annual audits. A consecutive series of 100 ECF patients (44 F, 56 M, mean age 54.1) was evaluated. Postoperative complications rate, readmission rate, length of hospital stay, prevalence of postoperative nausea and vomiting were assessed.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• surgery for gastrointestinal fistula

Exclusion criteria

• conservative treatment

Trial design

100 participants in 1 patient group

ERAS

Description:

Perioperative care with Enhanced Recovery After Surgery (ERAS) protocol

Treatment:

Procedure: ERAS