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Radical Cystectomy and GI complications
What is already known:
Gastro-intestinal complications are the most frequent after radical cystectomy – up to 30% of patients will experience major GI complications (including severe post-operative ileus requiring a nasogastric tube). This study is a review of how ERAS programs can affect GI complications after radical cystectomy. You can view the ERAS guidelines for cystectomy here.
What this paper adds:
The authors report an impressively low rate of severe post-operative ileus (6%), with a comprehensive ERAS program as well as the regular use of prokinetics and peripherally acting mu-opioid receptor antagonists. The authors also conduct a review of the pathophysiology and management of the common GI complications – post-operative ileus, nausea and vomiting.
Chris Jones, Guildford.
ERAS® protocol improves survival after radical cystectomy: A single-center cohort study.François Crettenand, Olivier M’Baya, Nuno Grilo, Massimo Valerio, Florence Dartiguenave, Yannick Cerantola, Beat Roth, Jean-Daniel Rouvé, Catherine Blanc, Ilaria…
Impact of analgesic techniques on early quality of recovery after prostatectomy: a 3‐arm, randomised trial. Beilstein CM, Huber M, Furrer MA, Löffel LM, Wuethrich PY, Engel D. European Journal…
Renal outcome after radical cystectomy and urinary diversion performed with restrictive hydration and vasopressor administration in the frame of an enhanced recovery program: A follow-up study of a randomized clinical…
ERAS for robotic assisted radical cystectomy surgery Collins JW, Adding C, Hosseini A, Nyberg T, Pini G, Dey L, Wiklund PN. Introducing an enhanced recovery programme to an established totally…
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