Tommaso Violante, Davide Ferrari, Ibrahim A Gomaa, Kristen K Rumer, Anne-Lise D D'Angelo, Kevin T Behm, Sherief F Shawki, William R G Perry, Scott R Kelley, Kellie L Mathis, Eric J Dozois, Robert R Cima, David W Larson
BACKGROUND: Although laparoscopic Ileal pouch-anal anastomosis (IPAA) has become the gold standard in restorative proctocolectomy, surgical techniques have experienced minimal changes. In contrast, substantial shifts in perioperative care, marked by the enhanced recovery program (ERP), modifications in steroid use, and a shift to a 3-staged approach, have taken center stage. METHODS: Data extracted from our prospective IPAA database focused on the first 100 laparoscopic IPAA cases (historic group) and the latest 100 cases (modern group), aiming to measure the effect of these evolutions on postoperative outcomes...
April 2024: Journal of Gastrointestinal Surgery