["Fast-track" rehabilitation to enhance recovery after ileostomy closure--a prospective clinical trial]. / "Fast-track"-Rehabilitation zur Beschleunigung der Rekonvaleszenz nach Ileostomarückverlagerung--eine prospektive kontrollierte Studie.

BACKGROUND AND AIMS: After 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 METHODS: All 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. RESULTS: Oral 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.