Safety of hospital discharge before return of bowel function after elective colorectal surgery

6533b7dbfe1ef96bd126ff68

RESEARCH PRODUCT

Safety of hospital discharge before return of bowel function after elective colorectal surgery

S J Chapman R Blanco-colino S Pérez-ajates O Anabitarte Bautista J Hodson R Blanco-colino S J Chapman J C Glasbey F Pata G Pellino A Sgrò A Soares T Van Elst S Van Straten D Nepogodiev J Hodson A Borakati M F Bath I H Yasin K Mclean T Arthur M Kovacevic S Delibegovic M Karamanliev M Swamad R ŽEbrák R Paramasivam A Martensen H M Larsen L Rädeker P E Frey A Kechagias A Venara E Duchalais A Ioannidis F Pata G Pellino S Pasquali A Sgrò A Simioni V Farina M Podda L Lorenzon V Schaeff A Otto M Jakubauskas T R Van Elst M Chu Fagan Pvb C I Wells A Alagoa João A Soares J Juloski R Blanco-colino S Pérez-ajates O Anabitarte Bautista Y El Kasmy El Kasmi E Espin-basany D Clerc C Ciubotaru S Popescu A Yanishev S Lee B B Ozkan A Yagız Sen M K Aktas B E Baki B Yüksek J C Glasbey S Kamarajah K Mclean A Borakati I H Yasin R A Khaw E Mills R Goodson N Thakral A D Ablett M Adra I Kwek S M Khan P Quinn L R Manley A Badran A Ramjeeawon A Campbell H L Tan D S Rye N Rajaraman J G Norman K Vutipongsatorn G Solomou M Akhbari A Ali V Murray D M Baker B D Brandao B Stainer R Thavayogan D Jones O O Onafowokan A Gharooni N Dabab S Carlton-carew G Kungwengwe M Gabriel E Sewart T C Shortland S Lawday P Pockney A Dawson T Arthur C D Brumfitt P Stewart Ng B J K Luong S Delibegovic V Ivanov A Borisova V Neykov K Kunčarová B Kološová T Antonova M Farkašová R ŽEbrák J L Harbjerg S Brandsborg S Brinck M D Kjaer A Mark-christensen K P Unbehaun P Dalsgaard K D Lycke A Kechagias P Lenaoures E Duchalais C Brigand E Dumange M Gout C Moehwald M Prem O Alhalabi S Sliwinski J Krupp E Gablenz L Schmitzer A Kopp J Steinle J Gsenger L J Pohl M Riccardi I M Christodoulou M Konstantinidis N Machairas A Zoikas D Balalis D K Manatakis M L Aguilera A Sgrò A Simioni L Marano F Fleres F Lovisetto D Sasia E Segalini G Pata A Lucchi A Sagnotta T Campagnaro F Petrelli G Gallo M Papandrea V Testa G Sinibaldi F Di Candido F Colombo G Perrone S Aresu A Biancafarina G Canonico M Pagnanelli G Curletti R Bini A De Manzoni Garberini H Impellizzeri N Cillara R Tutino A Picciariello D Coletta G Savino F Ferrara N Tamini G Talamo D Parini P Giamundo A Lo Conte G Pagano V Ripetti A Pesce N Menduni G Pellino R Giudicissi M Podda E Goldin D Rega A Belli V Andriola L Gordini F Pata C Foppa G Piccolo A Birindelli C Ferrari Z Ballarini F Tirelli M Milone M De Rosa N S Pipitone Federico B Molteni P L Tilocca G Sancini G N Piozzi A Lauretta G Poillucci S Mulas V Schaeff A Otto M Jakubauskas D Simcikas L Portelli Jwm Van Wijnbergen T L Dinger Sfh Ten Doesschate Ashm Van Dalen D D Van Den Bos M Hansmann J Medina Feliz S Z Kuiper Z Abdulrahman S R Pruijssers S Farik B M Elliott V P Geneta M Chu S Wilton H Kandelaki S L Peng S Campbell Y K Lim S S Yassaie M Murray Fagan Pvb C Haran J Tan J Castro A Laranjeira S Catarino C Neves-marques J G Correia B N Vieira A C Quintela M L Serra J Maciel M Cunha D J Aparício J Neves J Azevedo M Romano F Eiró J Romano C Monteiro M Claro M R Almeida M Peyroteo N D Machado H Capote M Ferreira X Sousa H Devesa D Cavadas I Guerreiro M Costa M Rosete M Salman C English N Mohammed S Popescu A Yanishev A Litvin V V ĆUk K Mészárosová S Van Straten R Jaich H De Lima S Brooks M Marx M Nshalati Salvation J García Cardo I Mora-guzmán J Sancho Muriel U De Andres Olabarria P Muriel C Jimenez Viñas F Alconchel O Esteban Sinovas Y El Kasmy El Kasmi C Fairén Oro S Pérez-ajates M López Otero S Figueroa Jiménez O Claramonte Bellmunt J Martínez Caballero I Rubio-pérez M M Aguilar-martínez J J Segura-sampedro C Olmedo Moreno D Negre Parra A M Estévez Diz R Martín-balbuena C Bustamante Recuenco R E Licardie Bolaños P Fernández A Díaz Padillo A Forero-torres I Alberdi San Román H Salvador Rosés M Merayo ÁLvarez P Villarejo Campos C C Lopes Moreira P Uriol Peralta M Serrano Navidad J Ripollés-melchor A Garcea H Gómez Facundo O Anabitarte Bautista P Troncoso Pereira C V Pérez Guarinos D Clerc B Blaser G Piazza B Gagliardi H Serin A Yagız Sen S S Yurdaor M K Aktas E Arslan O Kopac A Uyanik B B Ozmen E Tiftik B Aksoy A Yalcinkaya F Ozoglu M D Kocer G Bilicen E N Cinar Ö Uslu Y Kaya K Demirci J Wong Farhan-alanie Mmh G Suresh A Asif B J Finch Y Bhahirathan J Herron Z Yi Tew R Obukofe C Russell I Suchett-kay T Netke L Williams A Kisiel F Y Liu H Claireaux P James A Mondal R Kalderon H H Nadama Z Al-saraff Tam Jph A Powell-chandler F Wood A Campbell Gorgievska Rebecca A Ragavoodoo C Thakrar D Rojoa C Palmer K Davidson L Giacci J Hale F W Gan R Makin-taylor C Y Hey C Toh J M Findlay N Griffiths S Ganesananthan S Jasionowska M Poustie C Wong T Turner W Pyc W Sloper C Warner J Coey D Mason S Sait M Kowal T C Shortland M Owen A Saiyed I Ashworth K Akbari M Curran P Martin D Parker A Dawson K Kwok C Lye P Pockney M Ghaly T Sammour D Lewis R Mundasad A Wilkes G Ctercteko P Stewart S Delibegovic S Maslyankov R Dimov S Iliev D Dimitrov F Marek J ÖRhalmi P Skalický T Skalický K Chrz P Christensen J Worsøe E S Kristensen K J Emmertsen U S Loeve E Duchalais A L Mihaljevic F Herrle K M Konstantinidis D K Manatakis D Korkolis I Karanikas M L Aguilera L Vincenti G Anania F Borghi F Agresta I Maretto A Parisi L Bucci G De Palma A Guglielmi E Cucinotta F La Torre F Cianchi M Guerrieri A Lauretta M Trompetto R Persiani G Micheletto P Delrio A Belli S Cantafio F Lovisetto M Ronconi Bisagni Pag M De Prizio N Tamini G Sinibaldi A Franceschi R Galleano M Cavallini A Brescia L D'ambra A Benevento P Niolu M Calgaro E Colangelo T Grottola D F Altomare S Puleo G Salamone A Pietrabissa G Poggioli V Ripetti E Erdas R Ottonello G Canonico V Tonini F Selvaggi G Sammarco G Ceccarelli C De Nisco D Surgo L Taglietti A Ozolins A Sivinš T Poskus J Psaila W A Bemelman L J Graat B Langenhoff Wijnhoven Bpl Ahw Van De Ven M Poelman Stassen Lps G Slooter Acherman Yiz C Hoff M F Gerhards Stommel Mwj E J Hazebroek Aaw Van Geloven R A Schasfoort B L Van Leeuwen J B Tuynman Mwa Van Tilburg E G Boerma P Sharma B Jenkins I P Bissett S L Peng A Herd A Gordon D Vernon M Omundsen Ly J A Reddy G Bonnet C Harmston M Morales V Francisco S Costa A Manso E Amorim J Pereira J Cardoso S Ourô M Caratão C Nascimento B Ribeiro Da Silva V Taranu R Dias H Devesa J Mendes M Allen A Silva S Carlos E Barbosa C Carneiro L Ramos J Maciel L Lencastre R Martins P Silva-vaz P F Ridgway D A Mcnamara R Cahill A Hogan J Larkin P R O'connell I Negoi A Abelevich V M ĆUk M Vician C Ede I Sardiwalla S Mulira D Montwedi M Oyomno D Sabia V Portugal Porras V Vigorita G Sanz Ortega J García A Espí Macías F Blanco Antona J A Luján Mompeán S Salvans Ruiz P Villarejo-campos M Romero Simó L Sánchez-guillén L M Jiménez-gómez A Sánchez López T Golda D Julià Bergkvist C Nevado J F Noguera Aguilar B Ricardo Felipe J Septiem A Rodríguez Sánchez J Cañete-gómez I Ruiz Montesinos J Ripollés-melchor M Millán-scheiding I Prieto-nieto J J Segura-sampedro E Espin-basany M Frasson I Alberdi San Román D García Olmo M Hübner D Petermann M O Sauvain V Ozben I E Geçim E Disçi A Rencuzogullari A Kurt T Bisgin M Pehlivan A Isik E Onur S Leventoglu M C Haksal M S Erturk M Keskin A Guner S Tutcu Sahin G S Ozbalci A Pergel D Albayrak D Bruce N Fearnhead J Arthur M Harron G Beattie L Titu A Ali M Saunders J Phillips S Dindyal B Cresswell Y Gercek J Lee T Linn G Faulkner S Lockwood J Rees A Charalabopoulos B Campbell C Kontovounisios T Amarnath M Johnson E Epanomeritakis S Vigs P Nastro A Gilliam S Smolarek T Wilson J Orbell R Mcintyre T Agarwal P Hainsworth P Patel J Vijay B Liu P Dhruva Rao C Roxburgh M Vipond H Youssef C Thorn A Schizas S Denley D Bowley K Das T Cuming A Saha L Chung J Pitt P Davis O Jones M Taylor A Bhargava A Haji N Watson I Bloom B Singh M Norwood S Gurjar N Stylianides S Mirza M Evans G Williams P Patil J Hernon G Finch S Green K Chapple O Fafemi J Warusavitarne A Samee C Carden L Ong K Verma A Joseph N Rawat T Pinkney O Oke P Glen C Maxwell-armstrong R Oliphant J Garner S J Moug S Middleton J N Lund N J Smart G Osborn T Moore T Raymond C H Knowles T S Hany R Clarke G Khera R Brady C Sellahewa C Mason A Torrance K Lasithiotakis J Knight A Pullybank P Ainsworth F Reid A Ramwell S Maslekar R George A Skull S Holtham K Muhammad R Lal M Varcada F M Smith M Howlader D Defriend S Kirk T Richards C Evans C M Borg K Telford N Sarfraz K Busby J Hollingshead D Speake N Pawa D West M Chadwick O Komolafe S Richardson M Thornton A Goede C Osborne D Bandyopadhyay J Foong Y J Lee P Liebenberg D Mijalkov A Wells N Bull A Ajmera T Warburton S Morgan A Mahmoud M Schachtel B Mikhail I Fomin B Mekaeil N Taylor C Stevenson A Drane U Pahalawatta L T Lai A Debiasio J Wong Jun Hjs R Hengpoonthana D M Mendis P M Robb H J Lee Wyche Aab L T Davis H J Lee A Chrimes A Agarwal J Zhao S Williams Jayalath Jmsn P Liebenberg S Khor T Muddasani S Childs S Ridgway Blefari Nda H Tam N Puchalski C Ngai J Mackenzie N Johnson M Holmes R Zuzek T Saluja T Gould Y K Goh T Selvaraj C D Brumfitt Y Z Beh N N Dudi-venkata D Horne J L Borrow C Campbell G Cousins L Jackson K Maheepala S Zhao E Holden L Tutt B Thompson H Collins F Louie B Buckland D Smith C Chong T H Chua C Nayak J Redmond R R Tan M Gramlick J S Teh S Y Ng P Britten-jones R Mohd Rosli Pham Hdv T Jegathees Coulter-nile Smcj M P Gosselink J K Luong Y L Wang M Maciaszek P S Chrapko A Nair V Thirugnanasundralingam K Muir M Salibasic V Pavlov T Paycheva A Borisova E Lyulenina N Kolev V Ivanov D Nguen Y Mitkov E Mitkov P Vladova V Dimitrov M Hussain A Gabarski T Ivanov T Yotsov I Ilieva M Karamanliev A Akisheva M Shoshkova E Nawaz H Feradova T Mladenov V Neykov V Jozaf M Farkašová T Klail M Pös A Adel O Sotona M Bartoš T Amjad O Malý S Berec M Hanušová M Hurný J Riško M Ludvik M Stercz R Treskoň M Pospíšil L Hlaváčová K Kunčarová D Tomanová S Chodora O Houdek R Novický T Antonova K Sobotková S Cha K ŠUta Kimle K Jirankova M Bujda A Paclík A Trap J Jürgens-lahnstein M Storm P Dalsgaard I Damgaard F Olawi F Ehlern M Raos F P Kristensen K D Lycke K Bønnerup K P Unbehaun M D Kjaer S Brandsborg S Amiri M Enevoldsen J L Harbjerg J Højgaard Pedersen B N Jepsen T K Hillgaard S B Erichsen C V Nielsen C P Madsen J Bjerke C D Skejø R R Aabling J S Sørensen A Mark-christensen A Kechagias A Turunen J Katunin M Niskakangas T Vignaud S Frey C Ricolleau F Chanut J Magnin M Gout T Seiboldt L Beck L J Pohl K Zamzow F Betge A Poncelet M Truant H Hauschild N Neugebauer L Schöning S Cs Simon C Galata I Karampinis T Thäwel A M Seckler C Kerem S Durdevic A Ioannidis F Antonakopoulos M Konstantinidis A Mathioulaki P Chrysoheris P G Athanasopoulos V Kalles I Spyrou C Barkolias A Paspala N Machairas D Papaconstantinou E Spartalis N Arkadopoulos A Prodromidou Z Garoufalia D Balalis A Zoikas I M Christodoulou D Mendez J Rosales M Flores M Garcia A Garcia M Garcia Z Noriega D Torselli M L Aguilera J Rodriguez S Lafranceschina E Artioli S Giaccari V Nevoso A Schimera S Marino P Geretto L Pellegrino B Borghi D Sasia A Marano C Corino G Cannata M C Giuffrida F Landra G Pata D Ongaro G Baronio S Raimondo S Casiraghi R Salvadori G Savino E Finotti E Ciccioli A Galgano M Zuin A Simioni A Bettella A Barina E Vendramin G Palano D Schiavone A Di Cintio A Gemini S Trastulli M De Luca A Sagnotta J Desiderio F Gubbiotti M Cigognini G Zaffaroni A Maffioli S Colombo A Bondurri G Sampietro D Foschi F Colombo M Manigrasso M Danzi R Amato L Anastasio F Mastella R Basile R Peltrini E Marra G Luglio G Pagano M Giglio M Manigrasso P Anoldo S Vertaldi L Grimaldi N Tammaro C Pedrazzani T Campagnaro G Turri E Lazzarini C Conti I Vulcano E Bertilone G Pintabona F Viscosi S Cerasari G Galiffa P Lapolla D Coletta C Del Basso B Cirillo G De Toma K Fazzi S Bini F Coratti P Montanelli S Grandi T Nelli N Ben Khaled F Cammelli E Ferrini M E Billo P L Tilocca A G Marrosu F Scognamillo C Pala F Attene L Carboni M W Ruggiu G Gabbas I Marziali S Mazzocato F Petrelli R Vergari F Piazzai I Kubolli A Aggiusti A Paolucci M Ortenzi M Olivieri C Belluco A D Antona S Basso M Morino M Mistrangelo V Testa G Gallo G Clerico G De Santi M F Bitonti M Trompetto N S Pipitone Federico M Frattalone F Tirelli V Fico F Santullo F Belia A Spinelli M Marco F Di Candido M Bevilacqua D Tringali E Bevilacqua V Panizzo G N Piozzi V La Manna G Migliore A Aversano A Fares Bucci F Marino F Carbone P Incollingo F M Romano R Giudicissi T Zalla M Baraghini L Romoli M Calussi S Vellei C Genzano F Feroci M Vita A Barberis D Serra A Lucchi M Grassia M Romelli S Ruggiero A Percassi C Ferrari B Molteni A Magri Piccinini E Segalini M Monti M Magnoli S Romano P Gaetano F Pilotta L Baldassarre G Perrone E Bonati S Aresu A Saba G Moretto M Bacchion H Impellizzeri A Casaril M Inama M Creciun F Ferrara M Stella D Gobatti A Biancafarina M Angelini E Andolfi E Miranda M Scricciolo G Provenza G Cavallina B Frezza A Fontani R Malatesti G A Pellicanò M Podda M Anania F Pulighe A Cruccu M L Murru C Massaiu F Balestra M Pazzona C De Nisco A Giannella M Santangelo M Olivieri F Frangella D Magagnano P Liberatore R Brenna A Giani F Tirotta S Famularo M Angrisani M Ceresoli M De Rosa F Rondelli G Ceccarelli G P Angelucci R Scaramuzzo A Larcinese C Fioriti E Picone M Nardi L Marano G Castagnoli A Bartoli R Bellochi A Spaziani D Conti V Poponesi M Trippetti S Amicucci G Tazza P Procacci F Giovannini E Basile A Franceschi G Caristo M Pagnanelli P De Nardi R Rosati G Marcocci A Vignali G Curletti R Galleano A Badran M Malerba A Percivale O Ghazouani L Reggiani C Spirito G Moschetta F Cosmi G Romeo M Gasparrini F Sucameli A Gennai E Moggia C Bianchi P Bonfante S Macina C Feleppa G Talamo M Imperatore S M Tenconi S Rausei D Maioli V Marchionini F Pata C Sparta F A Mura M Barmina A Lorettu C Rettaroli G Mastino G V Ruggiu G A Mura B A Perrone M De Angelis A Mereu V Adamo C Bianco A De Manzoni Garberini M Ricciardiello C Campanaro P Panaccio L M Esposito F D'ascanio R Pietroletti A Picciariello N Chetta F Aquilino F Di Marco A Amico E Schembari S Puglisi L Licari S Campanella G Profita N Falco G Rotolo P Venturelli R Tutino P De Marco M Marcianò A Sgrò F Argenti M S Milani S Malabarba G Giambartolomei I Vella F Gronchi A Ruggieri G Sancini A Roggiani F Balsamo A Gori D Cuicchi R D'alessio D Benvenuto L Gordini E Erdas F Podda F Cappellacci C Salaris S Sanna J Marcialis L Mosino M Peddis S Melis G De Donno A C Aru E Falsetti D Parini J Lanari U D'errico S Bianchini A Birindelli F Figà A Caiazzo L Selvaggi A Capozzolo C Cerra M Pirillo M Papandrea S Cravano I Libri N Laquatra A Isabello A Truškovs A Bartnick E Malcevs M J Machatschek J Alm S Lapsa M Delorme F Zeynalov J Larnovskis J Sauka D Bodrov R Gailumsis A M Wiemann N L Müller I Jelovskis D Deksnis O Bauermeister Potts T Slimbajevs N E Samalavicius D Simcikas V Nutautiene P Zeromskas J Jurgaitis O Aliosin A Slepavicius V Eismontas M Kybransiene A Dulskas J Kuliavas P Kavaliauskas R Kavaliauskaite E Poškus D Danys M Kryžauskas S Mikalauskas R Rackauskas M Drungilas T Poškus V Jotautas K Strupas C Cachia C Cefai L Portelli Y Youssef D Degaetano S Debono M Sammut J Cassar K Sammut R C Looijen Ashm Van Dalen Becker Maj D Comert L Te Molder J Tromp E Matthee Y M Tissen E Brinkhuis H S De Vries E 'T Hart K Beckers Y Bekker S Kakar Sfh Ten Doesschate T C Van Smaalen O C Veen S A Dingemans L C Van Den Brink Vijgen Ghej Emf Van De Voort A Van Der Pool Klc Van Rest T Haak Sluijpers Nrf S R Pruijssers Molenaar Cjl M C Gordinou De Gouberville S Saleh M A Mens E M Hoeks S Nieuwenhuizen E M Van Praag E Westerduin Smit Mpcm S J Van Der Lely B Nasimi M Gerdsen Stijns Rch Leow Tys G Penningnieuwland A De Ruiter T Ribbers Aarts Cam M S Tulek J De Jonge S Kocak H J Alqethami R Constansia P C Van Elst M W Tissink A Grüter Y Vroom D M Voeten T Feenstra J Azzahhafi S Bofarid M Kip W Saleh S Franssen C L Boon Franssen Rjm I Romaen Jense Mtf J D'souza R Pascoe A Scott E Stark K Mulholland W K Lau B Smith Adams Sib N Shah E Ling J Young S L Peng A Jacobson H Macfater S Farik S Y Chen K Kilpatrick D H Kim S Dixon S Yassaie D Welman J Coulter M Morreau Li E A Rankin J Winders C Skipworth Fagan Pvb B Stanfield N Henderson A Chuang L Maskill H Ker Mclaughlin Sjp J Kearney S Wilton H Sprosen P Kerckhoffs R Alsadat R Cherry D A Chapman N Singh A Clucas G Gatenby B Kelly P Ruppeldt N D Mcintosh S Koh H Wilms F Dalzell J Tewhaiti-smith T Kader S T Yam D Dahya M Hardie Boys W Fleischl J Tan A Skavysh K Mouldey B M Elliott Hu R S Edwards C Matthews E Aitken M Walker I Guerreiro M Tomé S Patrocinio F Amado A Batista J Seabra V Praxedes N Monteiro I Martins M L Serra T C Santos R R Lages A Pimentel N D Machado T C Sá F M Bernardes P Saraiva J Almeida M Mendes V Fernandes A Ribeiro D Soares M Costa T Martins I Miguel J Martins M F Cunha J Melo D N Veiga J Rachadell J Rachadell E Amorim R Vareda J Roseira S Catarino D Aveiro M Couto A R Loureiro H Louro T Queiros B Castro S Fonseca L Carvalho A P Torre A Amado M Leite P Miranda C Cunha M Ferreira D Cavadas R Silva S Pina I Paixão L Orelhas J Santos A Pacheco A F Rocha M J Jervis V Pedro V Paixão A Guerreiro D Melo D Correia V Capella T Moinhos C Monteiro M Silva B N Vieira A G Silva D Galvão A Mora R Bettencourt F Costa I Gil J Morgado J Neves I Mónica S Oliveira H Ribeiro M Ferreira N Guimarães M Duarte J Miranda S F Martins M R Almeida R Parreira A Faustino N Medeiros R Castro B Soares M Resendes P Almeida A Cruz M Claro G Vaz Pinto D Sousa D Costa Santos A Silva F Silva G Fialho M Reia N Pratas H Capote C Costa J Costa S Morais A Machado V Horta M Rocha-melo J Patrício M Pereira R Lima A M Cinza J Oliveira C Velez M Ferreira F Borges J Simões F Eiró P Botelho B Cismasiu D Alves B Dias C Costa J P Gonçalves P Valente J Oliveira L Freire R Saraiva M Moreira M Fragoso J Guimarães G Cruz D J Aparício J Ribeiro I Borges Da Ponte S Almeida A R Martins T Louro M Morgado A S Ferreira M Alves N Oliveira R Lérias C Neves-marques I Estalagem C Botelho J Bártolo C Fidalgo Antunes F Cabral F Brito Silva A Dias Matos M Santos R Cunha M Duarte M Sousa R Canotilho M Peyroteo A M Correia P C Martins Jardim Jam S P Domingos J M Baião B S Rocha Lopes Nmro D M Jordão J G Correia M D ÂNgelo T Caroço M Romano J R Gomes R G Monteiro S Varghese E Boyle L Aljohmani J Alexander V Graziadei C Mccaughey A Jain J Lee H Ramanayake R Sabnani L F Colon N Bansal I Stephens R Tan S Sharma G Doherty S Fenn E Mulhare M Walsh C Leavey O Costigan S Griffin É Dockry E Khogali A K Aly R Mcphedran D O'gorman D Vermeulen L Dervan S J Kang O Dixon E Morrissey M Compton A R Pentony C L Piong R Nossier J Hanna K Sabir S Y Eow N Ladak D Boersma P J Kamath Soh Tbw A H Dyer S Y Chee Tan Ixh A Kelliher L Adeusi N Howarth N Mccawley A O'neill M R Jones R Saleh A Singh R Senaratne P Kakodkar I Balasubramanian A Hogan A Al-salihi V Vyas A Vedadi S S Popescu K Piras C I Ciubotaru A Litvin E Romanova N Ponomarev A Savchenko A Yanishev R Luzan E Lutovinova A Gavrilina A Barkovskaya N Kudelkina D Topchubaev R Radulović K Miloševic V V ĆUk J Bojičić J Juloski M Genčić U Janković M Zubowicz P K Sucháň J Gerstmeier K Mészárosová E Brazitikou E Fytrou M Celik M Dubovský J Schmalenbeck S C Sautter H Ceyran R Jaich N Fitchat S Mathebula J Chauke W Mculu Z Ngwenya K Withey A Piperidis Y Toyi A Nicolaides T Jaffer A Sparke N Van Staden C R Mcduling L Claassen C Kruger J Weyers M Marx J Lecler A Yebes O Anabitarte Bautista O C Mana H Gomez L Riba J Perez L Casaval Cornejo I Vicente Rodríguez F Jiménez Escovar U De Andres Olabarria M Calvo Fernández A Portugal Martínez I Badiola Bergara A Landaluce Olavarria E Del Pozo Andrés M López Otero C Samartín Toimil J C Primo ÁLvarez L Rodriguez Fernandez A Yebes C Ortega M E Ossola E Camarero M Martínez Illán L Aranda García M Lázaro Cardona C Montalvo Olmedo P Livianos Arias-camisón S Figueroa Jiménez J M Nieto Arranz M J Mateos Sexmero E Diego Alonso C Fairén Oro A Izquierdo Moreno A Margarida B Pando L Liquete Marín M Pérez Calle M J Ramos Cordero A Sagredo Cuartango E Sánchez A Marcos Rodrigo J M Martínez Díaz J J Ruiz Manzanera Á Navarro Barrios L Rodríguez Pedreño F Alconchel P 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Garceso C Uribe Galeano O Delisau Puig A Castro H Salvador Rosés C Codony Bassols N Fernandes J García ÁDamez C Caula Freixa M J Sánchez P Martín-borregón A Quevedo J Martínez J M Marín P Rodríguez J J Garcia Orozco D A Ferrusola Diaz R E Licardie Bolaños M L Garcia Jimenez L Castro Diez C Mosquera Fernandez M Merayo Alvarez E Alonso Batanero I Cifrián Canales M G Calzada C B Recuenco M C Martin I Esteban Avendaño C Jiménez Relimpio P Lancho Lavilla I Blanco Bartolomé I Gómez Cano C Blasco Andrés A Forero-torres A Alonso-poza B Dieguez M Losada C Gilsanz A García-vico A Roman-rando M Á Sánchez-gálvez I M Bersabe-alonso A Vadillo-bohorquez R D Gutierrez Rios M Eizaguirre Ubegun I Novo Sukia M Uribe Isado M Ibañez Alda C C Lopes Moreira C Olmedo Moreno C Pastor Idoate A Abad-motos E Marínez-hurtado R Salvachua-fernández E D Padilla Zegarra M Franco A Martinez P Ramos Martin P Mate Mate C Marcano Chavez I Rubio-perez H Ayllon S Jerí-mcfarlane C Soldevila-verdeguer C Pineño-flores D 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M K Yildirak E Senyigit A Güldag B Söyleyici Y E Aytin F E Akay N G Iskan B Mutlu A O Sunay A D Ablett T Tie-gill G Ramsay L De Paola S Mcguckin A Alshakhs A Ahmeidat J Wong N Goergen Z Ali L Mullarkey M F Bath R Walshe E Lewis B Berry J Moneim S Mookerjee S Christy O Ojofeitimi L Carroll A Hylands L P Delaugere D Reveendran C Coulter C Ralston L Laverty P Gallagher A Ahmed Y Q Yeo D Elliott J Bennett M Mcnamara S Sivarajah C Dunmore G Aitken M Nair M H Aly M Buari Farhan-alanie Mmh K Ahmed Z Sheikh M Monks J Lehmann O Rotimi T Bell D Limnatitou S Gormley P Taleongpong V Patel L Macgregor S Amini C Turner L Dwyer-hemmings A Busuttil J Powell C Hensher F Vivian K Wcislo Z Millar S Hirosue I Ogunmwonyi D Nakakande I Kwek H Gaze A Nirmalanantha M A Bin Amran A Foulkes N Jones S Pillai G Khoury T Powell I Maleyko A Sangheli M Ransome M Isse O Aromolaran H Bholah J Anbarasan S Rehman Hu E S Timms W Reynolds A Hotchkies V Misra G Suresh V Murray L Theocharidou T Malik I Janmohamed B Carhart A Khan A Asif R Hullait P Quinn A Rylance S Butt J Leathes B J Finch T Philip Rajathasan H Jeddy H A Kyaw N Wong S Karelia J M Clements M Rainey N Joshi A Rahman M Gallagher N Rebuffa R Abdelgalil R Siaw Yen Lai N Laurence S Thomas C Green R Frostick R Khera M Povey H L Wong C Mccusker L Hlukha G Pike F Kamel R Thakkar C Donaldson M Sequeira Campos Y Bhahirathan M N Armitage A S Hussain B Hardy M Y Hassan Serry J Herron M Bradbury T Osunronbi Tam Lyc A Khanan Kaabneh J Lawther P Fisher T Tribedi A Moosa A Ramdin M Goble E Downs L Wheldon E Baggus A Mandal A Nayeem S Ahmed W Fradley C Wilson S Gallagher T Criswell J Ward A Mukkavilli B Stubbs W Fordyce N Suchdev S Wei Lim Z Yi Tew S R Sookramanien A Chan G Bointas M Paul K L Ward M Bagnall S A Pherwani K Wang L Mitchell J Heyworth S Ayyar R Obukofe R Polson D Mason E Mackenzie C Russell N Doyle Z Habib M Zardab F Sartaj H Farooq M Tabibi D J Drury S J James R Barnett A B Teasdale Richardson Etj D A Thomas S Ahmed R L Williams H F Najabat-lattif E Cahya G Lou M Coyle K Homyer L Y Zhu M Woods J Chang H O'callaghan I Suchett-kaye T H Mihailidis H Alawattegama E Seite A Barrett E Riordan W Lam M Dowdeswell C Mulvenna T Netke O Awokoya L Gurowich K Dhera S Hayat L Williams L Tincknell M Spazzapan F Teeling K Sysum J Latter M Latter S Khan M Guruswamy W Beedham E Brazier M Elghobashy M Bajaj H Mann E Etel M Woodmass H Hayden A Kisiel Y Ali S Husain A Arnold A C Pedersen P Cunha M Ahmed S Al Zawawi V Kudva F Y Liu K Theodoropoulou M Miscampbell A V Robinson J Johnston A Dharni S Lamb T Westerman E Evans L Campbell M Gillespie C M Cheong K Kulathevanayagam A Varghese S I Ike Chu Tsm B Baljer Mogg Jaw P Rai H A Claireaux M Williams R Smillie J Goetz E Appleby T Fadipe S Vaughan-burleigh G Puri P Hussain P James R Flather A Cutler S Pathak J Sheldon T Collicott M Al-ausi A Mondal A Jovaisaite S M Shah N Khalid D Gutmann S Davison Y J Alame L Syed W J Owen S D Ahsan R Kalderon U Anthony-uzoeto C Macleod Hall S Zheng K Wynter C James D Sapre R Ghosh J Baird L Cockburn O Blackwood H H Nadama W Simpson S Jeong S Bishop R Bate C Hobson A H Adam C Redclift Do J O Adeleye F Poli A Batterham S Brown J N Parekh W Clay K Pieri A Jackson S Brown A Saxena B Gurung T Oyebola F O'brien B Djeugam S Gardezi S Ul-hasan M P Martin-hernandez M Sisley S Modi R Antakia A Elbayouk Y J Soh J Mather Z Yusuf Z Al-sarraf M Naja S B Rassool J Convill Y Nikookam A Warsame Tam Jph C Pace M Kiandee R Ridwan C Carey F Hirri Mcmillan Mja J J Ling A Powell-chandler L Pendelbury K Kerimzade A Tang E O Howard S Humayun O J Wadsworth K Tan F Abdelhameed C Haglund I Radnaeva Hu N S Rambhatla D Waldron P Madahar S Malik A Campbell L C Meney I Ibrahim C K Kang Chiu Jzj V Livie B Ibrahim M Khalil G Pooley B Shishkin R Gorgievska J Docherty A Southgate A Coomes F Mcgee S Flanagan C Thakrar Q J Tan H Anwar R Clough B Chrisp J Cassels Cross Gwv A Ragavoodoo L Mercer C Mercer A Refalo R Hadley A Mctighe F Farrow A Brodie G Davis D R Shah C Bowers S Patel O Morice A Burzic J Cheung A Shashidhara G Theodoraki J Birk A Ong Ng Mpe Wong Rtw S Maese B Yeap Z Iqbal D M Rojoa C Cabaleiro Barciela M Hussain C M Ruddy S Lindwe Y Qamar S Chuita T Melaugh J D Hall C Palmer O Kouli Hassane Asi A W Azhar T K Tan W Perchard T Scurr K Davidson E Campbell L Kelk A Ghosh A Gibbins D Mala A Loizidou O Hall L Mecia C Hew K Varathan L Tong B Chandrasekar L Giacci E Buchanan M O'connell S Y Kwak E H Ong S Gardner J Lim C Maden M Illahi J Hale Z Xuan Tan S Edwards R Stahl J Stahl A Hickman D Collett Z Goolam-mahomed B Allen A Atiyah H Ahmad J Jones O Mcgregor E Ogundiya F W Gan A Boulbadaoui O Kirnon-jackman Q X Lim H Peckham T Yeoh S Q Yong J Y Chen S Siva Z H Sam M Gilani Y N Goh M G Muthukumar S Phillips R Makin-taylor J Tjoakarfa A Giri S Suresan R Thavayogan C Y Hey P Thomas T A Johnson R I Williams A Rashid A Kushairi A Rais A James M Bugelli Y Chechelnitskaya N Sandhu C Toh R Tandon M Gray A Kumar C Ciurleo I Nyamali S Hiremath S Sinha M Chowdhary E Bradley M Mctiernan S Macdonald S Sharkey N Mclaughlin C Amey L Kraria O Skan C Kind J M Findlay P Tupper C Van Rhee S I Honeyman G Menon M Ahmed L Jegatheeswaran N Griffiths A Madhavan M Warne F L Malcolm T Lessware H T Wilkerson S Chatterjee-woolman A Yoong Ahmed Wur A Longshaw O Flannery R Green M Leaning J Cragg H Sharriff C Doherty S Ganesananthan Kwan Kwl L Sanders-crook S Bhatia S Eames F Lewis P Kirupananthan Z Y Boh S Dass A Soma A Newton M Hill Y Shafiq M Brkljac L Boyce S Jasionowska W J English S Lam C Chipeta D Yilmaz C Jain T Garofalidou S A Novotny S Locke C Bowman A Begaj C Murphy K Radcliffe J T Chong M Poustie E Jeffrey N Chaudhury K Rajendran Z Akbar B Walters B Kulendrarajah N Tran S Shrestha S Parmar C Gallagher L Hennessy E Pentti S Badhrinarayanan A Fung M Mansoor R Kenny P Kan D E Lee S Khosla M Samake F Shaban R Aftab M Gough B Woodburn S Vayalapra K Mcmurrugh C Wong D Jimulia S Deol S Pike Y Embury-young T Turner M Patel E Kilgallon R Keating A Walsh H Khan G Logue M Orekoya M Alasmar M Charalambides A Clavé Llavall E Williamson Y Bharwada S Zearmal H Evans M Panikkar G De La Cruz J Caplan A Ruparelia T Tanvir C Soare Y L Pang J Trotter A Zaidi V Thakrar P Pulickal H Ahmed J Parnell H Khan S Lennock V Ford W Pyc R Brignall D O'neill R Hanna R Kane M Nicola K Rajput Y Xiao C Warner S Michael E Wright S Juniper E Thompson L Hoskyns A Kanitkar C Ross A Unsworth H Rshaidat K Demarre A Chiang A Bareh J Van Dellen C Faqihinejad A Gadhvi R Grant J Lewsey A Morris H Martin C Mcclarty S Sanyal A Alsaif A Palkhi S Bhopal S Vishnu K A Papanikolaou A Mitra A Nur F Ali C Burford T Huq W Sloper E Irwin L Matthews W S Ngu T Hosfield F Muneeb O Page E Zeb J Coey A Al-azzawi J Mcintosh A Vucicevic M Hughes L Brooks B Fanibi M Dixon P Njoku D Morris J Jobson H Chowdhury Alawode Dot W Wynell-mayow V Udayachandran D Alsoof J Ekert N Joseph N Zulkefley G Hunt T Christodoulou O Wright S Soman M Jamal S Beqiri P Borgas S Christie F Pereira S Browne J Yiu A Dworkin J Brayley A Palmer M Charalambos C S Jones S Toner R Cowden L Lee P Nicol O Holman M Imtiaz V Albert S P Leung M Erotocritou J Wong R Stroud D Mason R Wilkin W Thomson L Mackee G N Y Bei S Sait S Mckenna Favier A Ibrahim A Kler L Reynolds S H Mohamed Y Majeed B Fakim A Jones M Kowal G Liversedge Z Carrington J Windebank A Izzarina U Akbani J Craven A Aldarragi S Harding A Millward T C Shortland M Bedford R Stroud R Obukofe E Mackenzie V Gopalan A Midgen P Khadka O Cheng S Taneja N Manobharath J Y Kok Lim Dwe T Buick M Boland S Piya R Devlin C J Fairfield R J George M Rahi S Zaman S Hajiev T Ross M Owen E Crisp C Thompson A Charalambous J L Hollywood A Saiyed Hammond Rfl J Matthews V Mendonca J Spinty K Khan J Cheng N Glynn U Muhammad M Khan L Anderson K Mccormack J Mak S Patrawala N Milinkovic R Schofield M Chauhan L Hartley J Hind I Ashworth L Nelson D Ratnasingham K Akbari T Whitehead S Dimitriadis K Marshall E J Flint M Curran C Horner A Heybourne H Morgan C Wickstone D Panagiotou E O'connell K Dean R Iqbal L Walsh Yu N N Rana E Massie Ng J M Jung Y D Lee M Harris S White S Delibegovic B Boev P Tonchev V Prochazka J ÖRhalmi J Riško A Skalický K Chrz S Ravn A Ojakäär E Duchalais C Dörr-harim F Herrle C Koutserimpas G Giraudo A Armellini A Ruzzenente C Mazzeo C De Padua A Realis Luc A Maroli I Giani M E Cufari M Vitali G Ceccarelli G P Gusai R Quattromani E Virgilio S Berti S Mulas F F Di Mola V Papagni F Tuminello M Magnoli L Vittori A Longheu G A Loche B Braccio E De Luca G Resta G Ancans A Tamosiunas M Petrulionis P Andrejevic M E Stellingwerf N Abdulrahman Kgh Van De Pas G Thomas A M Brandsma J Davids S J Rottier D De Roy Van Zuidewijn R Hawkins H I Ong Li Y B Desmond J Winstanley M Martins M Rosete M Americano M Santos S Frade R Senhorinho R Peixoto A Alagoa João C Alves-vale M Lamas D B O'connor M Hoo A Gopaul K Scanlon N O'dwyer I Negoi M Jovanović A Panyko H De Lima S Van Vuuren A Centeno I R Bernado M Paniagua Garcia Señorans L González Amor A Cuenca Ramírez J Abrisqueta M Estaire Gomez A Arroyo C Cerdán N Gómez Romeu A Forero-torres J M Enriquez-navascues F Collado-roura P Curchod S Gaspar L Imadalou D Mutlu C Akyol F A Uygur I C Eray O Biyiklioglu M F ÇEtin A E Isik B Karip H Dogan L Sarıgül E Tunc T Aydin S Bodur K Karabulut A A Francis A Al-hadithi To N Lau Isf E Smith S Mahapatra O Mcauliffe A A Francis L Imam B Akram S Hossaini R Davies Ko M J Collins A Pandya S Reilly J Archer C Auty C D Roche J Livie F A Chaudhry E Ntakomyti R Diallo T Bylinski J Wright S Lawday E Masiha J Tung B Shirazi A Neilson S Epton N Patel S Trussell A Couldrey C Donnelly S Eftychiou

subject

operative Male postoperative discharge Postoperative Complications 0302 clinical medicine Colostomy CRITERIA Prospective Studies Bowel function Colectomy IMAGINE stoma intestines Proctectomy Ileostomy digestive oral and skin physiology patient discharge colorectal surgery hospital discharge bowel function RECOVERY Middle Aged adult; colostomy; elective surgical procedures; female; follow-up studies; humans; ileostomy; ileus; male; middle aged; multivariate analysis; patient discharge; patient readmission; patient safety; postoperative complications; prospective studies; recovery of function; colectomy; proctectomy Patient Discharge Colorectal surgery ileus - - discharge - bowel function - elective - colorectal surgery Elective Surgical Procedures 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Patient Safety Cohort study safety Adult medicine.medical_specialty Ileus Patient Readmission defecation 03 medical and health sciences Ileus postoperative complications medicine Hospital discharge Humans colorectal surgery; postoperative discharge; IMAGINE; stoma colorectal resection Colorectal resection defecation postoperative complications colorectal surgery intestines patient discharge patient readmission safety surgical procedures operative colorectal resection ileus business.industry Recovery of Function Odds ratio medicine.disease digestive system diseases surgical procedures Surgery Multivariate Analysis Defecation colorectal surgery Surgery business Follow-Up Studies

description

Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110).Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients.El íleo es frecuente tras la cirugía colorrectal y se asocia con un aumento del riesgo de las complicaciones postoperatorias. Identificar las características de una recuperación normal del tránsito y la idoneidad para el alta hospitalaria es una tarea difícil. Este estudio examinó la seguridad del alta hospitalaria antes del restablecimiento de la función intestinal. MÉTODOS: Se llevó a cabo un estudio de cohortes prospectivo y multicéntrico a través de una red de colaboración internacional. Se incluyeron pacientes adultos sometidos a resección electiva colorrectal entre enero y abril 2018. El objetivo principal fue el reingreso hospitalario durante los 30 primeros días tras la intervención. Se utilizó un análisis de regresión multivariable para evaluar el impacto del momento del alta en función del restablecimiento de la función intestinal. El objetivo secundario fue las complicaciones postoperatorias en los primeros 30 días después de la cirugía, valoradas mediante el sistema de clasificación de Clavien-Dindo.Se incluyeron en el análisis 3.288 pacientes, de los cuales 301 (9,2%) fueron dados de alta antes del restablecimiento de la función intestinal. La mediana de la estancia hospitalaria de los pacientes dados de alta antes y después del restablecimiento de la función intestinal fue 5 (rango intercuartílico: 4-7) y 7 (6-8) días, respectivamente (P 0,001). No hubo diferencias significativas en las tasas de reingreso entre estos grupos (6,6% versus 8,0%; P = 0,499), y este resultado se mantuvo en el análisis multivariable tras el ajuste por diferencias basales (razón de opotunidades, odds ratio, OR 0,90; i.c. del 95% 0,55-1,46, P = 0,659). Las tasas de complicaciones postoperarorias fueron similares en aquellos dados de alta antes o después del restablecimiento de la función intestinal (complicaciones menores: 34,7% versus 39,5%; complicaciones mayores 3,3% versus 3,4%; P = 0,110). CONCLUSIÓN: Dar de alta antes del restablecimiento de la función intestinal tras cirugía colorrectal electiva parece ser seguro en pacientes debidamente seleccionados.

year	journal	country	edition	language
2020-04-01

https://hdl.handle.net/1887/3185263