• W Raue, C Langelotz, H Neub, J M Müller, and W Schwenk.
• Universitätsklinik für Allgemein-, Viszeral-, Gefäss- und Thoraxchirurgie, Charité - Universitätsmedizin Berlin, Campus Mitte, Berlin. wieland.raue@charite.de
• Zentralbl Chir. 2008 Sep 1;133(5):486-90.

Background And AimsAfter colorectal resections, concepts for early recovery (ERAS or fast-track) could reduce the length of the hospital stay. Whether or not such a multimodal treatment can shorten the hospitalisation after loop ileostomy closure was investigated in the present study.Patients And MethodsAll patients admitted for elective closure of a loop ileostomy were prospectively investigated. The first group (n = 20) was postoperatively treated in a conventional manner. In the other group (n = 20), a concept for "fast-track" rehabilitation including early oral feeding, early mobilisation and abandonment of opioid analgesia was used.ResultsOral feeding with liquids and solid food was tolerated in the "fast-track" group earlier than after conventional treatment. There was no increase in the incidence of postoperative complications. Patients of the "fast-track" group could be discharged 3 days earlier on average (p = 0,01).Conclusion"Fast-track" rehabilitation can shorten the length of hospitalisation after elective ileostomy closure.

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