Our Summary

This research paper looks into whether a special recovery program, which includes education about stoma care, can help patients recover faster after colorectal surgery and leave the hospital sooner. A stoma is a small opening made by surgeons to allow waste to leave the body when the normal route is not possible. The study compared two groups of patients: those who received the usual stoma education and those who were enrolled in an ’enhanced recovery after surgery’ (ERAS) program that included more detailed stoma education.

The results showed that patients in the ERAS program stayed in the hospital for fewer days compared to those who received standard care. However, there were no significant differences between the two groups in terms of complications, re-admission rates, quality of life measurements, and mortality within 30 days of the surgery. In other words, the ERAS program with its additional stoma education allowed patients to go home sooner without increasing any risks. This suggests that this kind of program could be beneficial for patients who are due to receive a stoma.

FAQs

  1. What is the ’enhanced recovery after surgery’ (ERAS) program?
  2. Did the ERAS program with additional stoma education increase any risks for patients after colorectal surgery?
  3. Can the ERAS program with additional stoma education be beneficial for all patients due to receive a stoma?

Doctor’s Tip

One helpful tip a doctor might tell a patient about colorectal surgery is to follow the post-operative care instructions provided by the medical team. This may include proper wound care, pain management, dietary guidelines, and physical activity recommendations. It is important to follow these instructions closely to ensure a smooth and successful recovery after surgery. Additionally, staying in communication with the healthcare team and attending follow-up appointments is crucial for monitoring progress and addressing any concerns that may arise.

Suitable For

Patients who are typically recommended colorectal surgery include those with:

  • Colorectal cancer
  • Inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis)
  • Diverticulitis
  • Benign tumors or polyps in the colon or rectum
  • Severe constipation or bowel obstruction
  • Rectal prolapse

These patients may require surgery to remove part or all of the colon or rectum, create a stoma, or repair a prolapse. The decision to recommend surgery is based on the individual patient’s condition, symptoms, and response to other treatments. Patients who are considering colorectal surgery should discuss their options with their healthcare provider to determine the best course of action for their specific situation.

Timeline

Before Colorectal Surgery:

  • Patients meet with their surgeon to discuss the procedure, risks, and potential outcomes.
  • Patients may undergo pre-operative tests, such as blood work and imaging studies.
  • Patients may be required to follow a special diet or bowel prep regimen to prepare for surgery.
  • Patients may attend pre-operative education sessions to learn about what to expect before, during, and after surgery.

After Colorectal Surgery:

  • Patients are closely monitored in the recovery room immediately after surgery.
  • Patients may experience pain, discomfort, and fatigue in the days following surgery.
  • Patients may have a stoma (if required) and will need to learn how to care for it.
  • Patients may begin physical therapy to regain strength and mobility.
  • Patients will be discharged from the hospital once their condition is stable and they are able to manage at home.
  • Patients will have follow-up appointments with their surgeon to monitor their progress and address any concerns.

What to Ask Your Doctor

  1. What is the reason for recommending colorectal surgery in my case?
  2. What are the potential risks and complications associated with this surgery?
  3. What is the success rate of this surgery for patients with my specific condition?
  4. What is the expected recovery time following the surgery?
  5. Will I need a stoma after the surgery? If so, what type of stoma will I have and how will it affect my daily life?
  6. Can you explain the stoma care process and how I can manage it at home?
  7. Will I need any additional support or resources after the surgery, such as physical therapy or counseling?
  8. Are there any alternative treatment options to consider before proceeding with surgery?
  9. How often will I need to follow up with you after the surgery, and what signs should I watch for that may indicate a complication?
  10. Are there any specific lifestyle changes or dietary restrictions I should be aware of after the surgery?

Reference

Authors: Forsmo HM, Pfeffer F, Rasdal A, Sintonen H, Körner H, Erichsen C. Journal: Int J Surg. 2016 Dec;36(Pt A):121-126. doi: 10.1016/j.ijsu.2016.10.031. Epub 2016 Oct 22. PMID: 27780772