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

• DOI: 10.1016/j.amjsurg.2023.01.027
• Publication Date: 2023-02-01T07:10:28Z
• Authors: Yu Shen; Mingtian Wei; Ting-Han Yang; Ye Shu; Lin Xia; Qingbin Wu; Hao Huang; Xiangbing Deng; Wenjian Meng; Zi-Qiang Wang
• Keywords: China; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Ileostomy; Humans; Hospitals, Community; Length of Stay; Enhanced Recovery After Surgery; 3. Good health

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.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.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.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.