International journal of colorectal disease
-
Int J Colorectal Dis · Dec 2007
Clinical Trial"Fast-track" rehabilitation after colonic surgery in elderly patients--is it feasible?
The aim of the "fast-track" rehabilitation after elective colonic surgery is to lower the extent of general complications. Elderly patients may especially profit from this multi-modal peri-operative treatment including enforced early mobilisation and oral nutrition. ⋯ Using the "fast-track" rehabilitation programme on elderly patient is not only feasible but may also lower the number of general complications and the duration of the hospital stay.
-
Int J Colorectal Dis · Dec 2007
A prolonged interval between deep intestinal ischemia and anastomotic construction does not impair wound strength in the rat.
Transient intestinal ischemia can reduce anastomotic strength, which poses an increased risk of complications. The objective of this study is to establish if a prolonged interval between profound ischemia and construction of an anastomosis affects anastomotic strength. ⋯ Extending the interval between transient deep intestinal ischemia and construction of an anastomosis does not impair wound strength.
-
Int J Colorectal Dis · Dec 2007
C-reactive protein as early predictor for infectious postoperative complications in rectal surgery.
This study evaluated the role of the acute phase C-reactive protein (CRP) in the postoperative course of a large series of rectal resections on the basis of a prospective database. Main focus of this study was the early identification of complications. ⋯ Persistent CRP elevation and elevation of serum CRP above 140 mg/dl on PODs 3-4 are predictive of infectious postoperative complications and should prompt intense clinical search for an inflammatory process, especially for an anastomotic leak if pneumonia and wound infection are unlikely or excluded.