Annals of Coloproctology

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Case Report

Benign bowel disease

Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reports: In-Kyeong Kim, Seung-jin Kwag, Han-Gil Kim, Young-Tae Ju, Seung-Jun Lee, Tae-Jin Park, Sang-Ho Jeong, Eun-Jung Jung, Jin-Kwon Lee; Ann Coloproctol. 2023;39(6):521-525. Published online December 7, 2021; DOI: https://doi.org/10.3393/ac.2021.00647.0092

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Abstract PDF: We report considerations related with surgery through 2 cases of acute apendicitis with COVID-19 infection. In November and December 2020, two patients infected with COVID-19 developed acute apendicitis and underwent emergency surgery. In case 1, an 84-year-old woman was asymptomatic and diagnosed with acute apendicitis on the 20th day of infection. She was discharged after surgery without complication. In contrast, case 2 was a 69-year-old male patient with pneumonia treated with antibiotics, steroids and remdesivir. After surgery, he was hospitalized for a long duration due to persistent pneumonia and wound complications. We should perform appendectomy in well-established negative pressure operating rooms, personal protective equipment, and protocols. Since the physical examination and blood tests were limited, image examination like computed tomography scan should be considered if acute apendicitis is suspected. If the patient has pneumonia before surgery, it can get worse after surgery, and complications such as wound infections can occur.

Original Article

Standardizing the Protocols for Enhanced Recovery From Colorectal Cancer Surgery: Are We a Step Closer to Ideal Recovery?: Mosab Shetiwy, Tamer Fady, Fayez Shahatto, Ahmed Setit; Ann Coloproctol. 2017;33(3):86-92. Published online June 30, 2017; DOI: https://doi.org/10.3393/ac.2017.33.3.86

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15 Web of Science
14 Citations

Abstract PDF

Purpose

Enhanced recovery protocols are being implemented into the standard of care in surgical practice. This study aimed to insert a steadfast set of elements into the perioperative care pathway to establish an improved recovery program for colorectal cancer patients.

Methods

Seventy patients planned for elective laparoscopic colorectal resection were randomized into 2 groups: conventional recovery group (n = 35) and enhanced recovery group (n = 35). The primary outcome was the length of hospital stay. Secondary outcomes included the times of removal of nasogastric tubes (NGTs), successful enteral feeding, and removal of drains, postoperative complications, intra-hospital mortality, and rate of readmission.

Results

The mean postoperative hospital stay was 4.49 ± 0.85 days vs. 13.31 ± 6.9 days (P < 0.001), the mean time of removal of NGTs was 0.77 ± 1.031 days vs. 3.26 ± 2.737 days (P < 0.001), the mean time of successful enteral feeding was 1.89 ± 1.13 days vs. 5.46 ± 1.67 days (P < 0.001), and the mean time for removal of intra-abdominal drains was 2.94 ± 1.056 days vs. 9.06 ± 3.757 days (P < 0.001) for the enhanced and the conventional groups, respectively. Complications were significantly lower among patients in the enhanced group (25.7% vs. 65.7%) (P = 0.001). The rates of readmission were similar in the 2 groups.

Conclusion

Applying definite evidence-based elements to the colorectal rehabilitation program significantly boosts the recovery pathway with favorable outcomes, including faster recovery of gastrointestinal tract functions, lower morbidities, and eventually earlier discharge from the hospital.

Citations

Citations to this article as recorded by

Impact of “Enhanced Recovery After Surgery” (ERAS) protocols vs. traditional perioperative care on patient outcomes after colorectal surgery: a systematic review
Vaishnavi Kannan, Najeeb Ullah, Sunitha Geddada, Amir Ibrahiam, Zahraa Munaf Shakir Al-Qassab, Osman Ahmed, Iana Malasevskaia
Patient Safety in Surgery.2025;[Epub] CrossRef
Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality
Khara M. Sauro, Christine Smith, Seremi Ibadin, Abigail Thomas, Heather Ganshorn, Linda Bakunda, Bishnu Bajgain, Steven P. Bisch, Gregg Nelson
JAMA Network Open.2024; 7(6): e2417310. CrossRef
Effect of rapid rehabilitation nursing on improving clinical outcomes in postoperative patients with colorectal cancer
Jing-Yan Song, Jing Cao, Jian Mao, Jiang-Lian Wang
World Journal of Gastrointestinal Surgery.2024; 16(7): 2119. CrossRef
Pathogenesis, Updates on Current Treatment Options and Alvimopan for Postoperative Ileus
Satish Patil, Swapnil Sharma, Sarvesh Paliwal
Biosciences Biotechnology Research Asia.2023; 20(2): 653. CrossRef
RETRACTED: The effects of enhanced recovery after surgery on wound infection, complications, and postoperative hospital stay in patients undergoing colorectal surgery: A systematic review and meta‐analysis
Nianmei Li, Shuju Wei, Yonghua Qi, Wenjng Wei
International Wound Journal.2023; 20(10): 3990. CrossRef
Perioperative optimisation in low- and middle-income countries (LMICs): A systematic review and meta-analysis of enhanced recovery after surgery (ERAS)
Aya M Riad, Aisling Barry, Stephen R Knight, Carlie J Arbaugh, Parvez D Haque, Thomas G Weiser, Ewen M Harrison
Journal of Global Health.2023;[Epub] CrossRef
Prevention and Management of Postoperative Ileus: A Review of Current Practice
Zeeshan H Khawaja, Ahmed Gendia, Naqqash Adnan, Jamil Ahmed
Cureus.2022;[Epub] CrossRef
Perioperative Care Pathways in Low‐ and Lower‐Middle‐Income Countries: Systematic Review and Narrative Synthesis
Jignesh Patel, Timo Tolppa, Bruce M. Biccard, Brigitta Fazzini, Rashan Haniffa, Debora Marletta, Ramani Moonesinghe, Rupert Pearse, Sutharshan Vengadasalam, Timothy J. Stephens, Cecilia Vindrola‐Padros
World Journal of Surgery.2022; 46(9): 2102. CrossRef
The Prognostic Significance of Lymph Node Status and Lymph Node Ratio (LNR) on Survival of Right Colon Cancer Patients: a Tertiary Center Experience
Mosab Shetiwy, Amr F Elalfy, Osama Eldamshety, Ramy Abbas, Mohamed Abdelkhalek
Journal of Gastrointestinal Cancer.2021; 52(3): 1010. CrossRef
Intraoperative and postoperative complications in colorectal procedures: the role of continuous updating in medicine
Antonello FORGIONE, Salman Y. GURAYA, Michele DIANA, Jacques MARESCAUX
Minerva Surgery.2021;[Epub] CrossRef
The Predictive Value of Pulse Wave Velocity for Anastomotic Leakage After Colorectal Surgery
A. Venara, R. Jaouen, E. Lermite, P. Le Naoures, C. Casa, E. Mirallié, E. Duchalais, A. Hamy
World Journal of Surgery.2019; 43(1): 252. CrossRef
Is the Enhanced Recovery After Surgery (ERAS) Program Effective and Safe in Laparoscopic Colorectal Cancer Surgery? A Meta-Analysis of Randomized Controlled Trials
Xiaofei Ni, Dan Jia, Yan Chen, Lei Wang, Jian Suo
Journal of Gastrointestinal Surgery.2019; 23(7): 1502. CrossRef
The efficacy and safety of enhanced recovery after surgery (ERAS) program in laparoscopic digestive system surgery: A meta-analysis of randomized controlled trials
Xiaofei Ni, Dan Jia, Yuchen Guo, Xuan Sun, Jian Suo
International Journal of Surgery.2019; 69: 108. CrossRef
The Need for Subdividing the Enhanced Recovery Program and Evaluation Criteria After Colorectal Surgery
In Ja Park
Annals of Coloproctology.2017; 33(3): 79. CrossRef

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