Sjoerd H W van Bree, Sjoerd van Bree, Malaika S Vlug, Malaika Vlug, Willem A Bemelman, Willem Bemelman, Markus W Hollmann, Markus Hollmann, Dirk T Ubbink, Dirk Ubbink, Aeilko H Zwinderman, Koos Zwinderman, Wouter J de Jonge, Wouter de Jonge, Susanne A Snoek, Susanne Snoek, Karen Bolhuis, Esmerij P M van der Zanden, Esmerij van der Zanden, Frans O The, Frans The, Roel J Bennink, Roel Bennink, Guy E E Boeckxstaens, Guy Boeckxstaens
BACKGROUND & AIMS: Postoperative ileus is characterized by delayed gastrointestinal (GI) transit and is a major determinant of recovery after colorectal surgery. Both laparoscopic surgery and fast-track multimodal perioperative care have been reported to improve clinical recovery. However, objective measures supporting faster GI recovery are lacking. Therefore, GI transit was measured following open and laparoscopic colorectal surgery with or without fast-track care. METHODS: Patients (n = 93) requiring elective colonic surgery were randomized to laparoscopic or conventional surgery with fast-track multimodal management or standard care, resulting in 4 treatment arms...
September 2011: Gastroenterology