Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation
Background The experience with Enhanced Recovery After Surgery ® (ERAS ® ) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CD...
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| Veröffentlicht in: | Pediatric surgery international 2024-12, Vol.41 (1), p.49, Article 49 |
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| container_title | Pediatric surgery international |
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| creator | Røkkum, Henrik Treider, Martin Alavi Børke, Wenche Bakken Bergersen, Janicke Lassen, Kristoffer Støen, Ragnhild Sæter, Thorstein Bjørnland, Kristin |
| description | Background
The experience with Enhanced Recovery After Surgery
®
(ERAS
®
) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CDO), and early outcome after implementation.
Methods
An ERP for CDO was developed and implemented. Experiences with ERP development and implementation are described. Early clinical outcome in patients treated before (January 2015–Descember 2020) and after (February 2022–September 2024) implementation were compared. Ethical approval was obtained.
Results
A multidisciplinary ERP team was established. The ERP for CDO was developed with stakeholder involvement. Implementation was challenging, but with close follow-up and frequent meetings with the involved medical disciplines, an overall ERP compliance of 80% was achieved for the 21 patients treated after implementation. Compared to 40 patients treated before ERP implementation (January 2015-Descember 2020), the use of minimally invasive surgery increased and time to first postoperative enteral and breast feed were reduced, without increasing the rate of postoperative complications.
Conclusions
This study presents an ERP specifically designed for CDO with a unique description of our experiences with the development and implementation process. Early results suggest that this ERP for CDO is feasible and safe. |
| doi_str_mv | 10.1007/s00383-024-05951-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11680611</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3149638602</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-72704da4c630043a53a2c2c7d2b02928f01934ce65f21a9a5b014bda41182f8e3</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoqXwAiyQJTZsAuO_JF4hVJUfqRIbWFuOM-l1ldjBTi6UFe_AG_Ik-JJSCgtWHnu-c8b2IeQxg-cMoHmRAUQrKuCyAqUVq_gdcsykaCrdMnH3Vn1EHuR8CQCtqPV9ciR0wzUDdky-noWdDQ57mtDFPaYrOqe4RBdHOsREXQwXGPxiR9qvscdQitjlJa1u8THQH9--U1_6vpzjlxmTx-KW6We_7GiPexzjPGFYqA099dM84mFnD9qH5N5gx4yPrtcT8vH12YfTt9X5-zfvTl-dV06oeqka3oDsrXS1AJDCKmG5467peQdc83YApoV0WKuBM6ut6oDJrggYa_nQojghLzffee0m7F2Zn-xo5uQnm65MtN783Ql-Zy7i3jBWt1AzVhyeXTuk-GnFvJjJZ4fjaAPGNRvBpFZStUoX9Ok_6GVcU_m1japFWwMvFN8ol2LOCYeb2zAwh2zNlq0p2Zpf2ZqD6Mntd9xIfodZALEBubRKbOnP7P_Y_gTRMLMm</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3149638602</pqid></control><display><type>article</type><title>Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Røkkum, Henrik ; Treider, Martin Alavi ; Børke, Wenche Bakken ; Bergersen, Janicke ; Lassen, Kristoffer ; Støen, Ragnhild ; Sæter, Thorstein ; Bjørnland, Kristin</creator><creatorcontrib>Røkkum, Henrik ; Treider, Martin Alavi ; Børke, Wenche Bakken ; Bergersen, Janicke ; Lassen, Kristoffer ; Støen, Ragnhild ; Sæter, Thorstein ; Bjørnland, Kristin</creatorcontrib><description>Background
The experience with Enhanced Recovery After Surgery
®
(ERAS
®
) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CDO), and early outcome after implementation.
Methods
An ERP for CDO was developed and implemented. Experiences with ERP development and implementation are described. Early clinical outcome in patients treated before (January 2015–Descember 2020) and after (February 2022–September 2024) implementation were compared. Ethical approval was obtained.
Results
A multidisciplinary ERP team was established. The ERP for CDO was developed with stakeholder involvement. Implementation was challenging, but with close follow-up and frequent meetings with the involved medical disciplines, an overall ERP compliance of 80% was achieved for the 21 patients treated after implementation. Compared to 40 patients treated before ERP implementation (January 2015-Descember 2020), the use of minimally invasive surgery increased and time to first postoperative enteral and breast feed were reduced, without increasing the rate of postoperative complications.
Conclusions
This study presents an ERP specifically designed for CDO with a unique description of our experiences with the development and implementation process. Early results suggest that this ERP for CDO is feasible and safe.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-024-05951-2</identifier><identifier>PMID: 39729101</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Clinical Protocols ; Duodenal Obstruction - congenital ; Duodenal Obstruction - surgery ; Enhanced Recovery After Surgery ; Female ; Humans ; Infant, Newborn ; Male ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pediatric Surgery ; Pediatrics ; Postoperative Complications ; Recovery (Medical) ; Surgery ; Treatment Outcome</subject><ispartof>Pediatric surgery international, 2024-12, Vol.41 (1), p.49, Article 49</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>Copyright Springer Nature B.V. Dec 2025</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c356t-72704da4c630043a53a2c2c7d2b02928f01934ce65f21a9a5b014bda41182f8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-024-05951-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-024-05951-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39729101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Røkkum, Henrik</creatorcontrib><creatorcontrib>Treider, Martin Alavi</creatorcontrib><creatorcontrib>Børke, Wenche Bakken</creatorcontrib><creatorcontrib>Bergersen, Janicke</creatorcontrib><creatorcontrib>Lassen, Kristoffer</creatorcontrib><creatorcontrib>Støen, Ragnhild</creatorcontrib><creatorcontrib>Sæter, Thorstein</creatorcontrib><creatorcontrib>Bjørnland, Kristin</creatorcontrib><title>Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Background
The experience with Enhanced Recovery After Surgery
®
(ERAS
®
) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CDO), and early outcome after implementation.
Methods
An ERP for CDO was developed and implemented. Experiences with ERP development and implementation are described. Early clinical outcome in patients treated before (January 2015–Descember 2020) and after (February 2022–September 2024) implementation were compared. Ethical approval was obtained.
Results
A multidisciplinary ERP team was established. The ERP for CDO was developed with stakeholder involvement. Implementation was challenging, but with close follow-up and frequent meetings with the involved medical disciplines, an overall ERP compliance of 80% was achieved for the 21 patients treated after implementation. Compared to 40 patients treated before ERP implementation (January 2015-Descember 2020), the use of minimally invasive surgery increased and time to first postoperative enteral and breast feed were reduced, without increasing the rate of postoperative complications.
Conclusions
This study presents an ERP specifically designed for CDO with a unique description of our experiences with the development and implementation process. Early results suggest that this ERP for CDO is feasible and safe.</description><subject>Clinical Protocols</subject><subject>Duodenal Obstruction - congenital</subject><subject>Duodenal Obstruction - surgery</subject><subject>Enhanced Recovery After Surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Postoperative Complications</subject><subject>Recovery (Medical)</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EoqXwAiyQJTZsAuO_JF4hVJUfqRIbWFuOM-l1ldjBTi6UFe_AG_Ik-JJSCgtWHnu-c8b2IeQxg-cMoHmRAUQrKuCyAqUVq_gdcsykaCrdMnH3Vn1EHuR8CQCtqPV9ciR0wzUDdky-noWdDQ57mtDFPaYrOqe4RBdHOsREXQwXGPxiR9qvscdQitjlJa1u8THQH9--U1_6vpzjlxmTx-KW6We_7GiPexzjPGFYqA099dM84mFnD9qH5N5gx4yPrtcT8vH12YfTt9X5-zfvTl-dV06oeqka3oDsrXS1AJDCKmG5467peQdc83YApoV0WKuBM6ut6oDJrggYa_nQojghLzffee0m7F2Zn-xo5uQnm65MtN783Ql-Zy7i3jBWt1AzVhyeXTuk-GnFvJjJZ4fjaAPGNRvBpFZStUoX9Ok_6GVcU_m1japFWwMvFN8ol2LOCYeb2zAwh2zNlq0p2Zpf2ZqD6Mntd9xIfodZALEBubRKbOnP7P_Y_gTRMLMm</recordid><startdate>20241227</startdate><enddate>20241227</enddate><creator>Røkkum, Henrik</creator><creator>Treider, Martin Alavi</creator><creator>Børke, Wenche Bakken</creator><creator>Bergersen, Janicke</creator><creator>Lassen, Kristoffer</creator><creator>Støen, Ragnhild</creator><creator>Sæter, Thorstein</creator><creator>Bjørnland, Kristin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241227</creationdate><title>Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation</title><author>Røkkum, Henrik ; Treider, Martin Alavi ; Børke, Wenche Bakken ; Bergersen, Janicke ; Lassen, Kristoffer ; Støen, Ragnhild ; Sæter, Thorstein ; Bjørnland, Kristin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-72704da4c630043a53a2c2c7d2b02928f01934ce65f21a9a5b014bda41182f8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical Protocols</topic><topic>Duodenal Obstruction - congenital</topic><topic>Duodenal Obstruction - surgery</topic><topic>Enhanced Recovery After Surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Postoperative Complications</topic><topic>Recovery (Medical)</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Røkkum, Henrik</creatorcontrib><creatorcontrib>Treider, Martin Alavi</creatorcontrib><creatorcontrib>Børke, Wenche Bakken</creatorcontrib><creatorcontrib>Bergersen, Janicke</creatorcontrib><creatorcontrib>Lassen, Kristoffer</creatorcontrib><creatorcontrib>Støen, Ragnhild</creatorcontrib><creatorcontrib>Sæter, Thorstein</creatorcontrib><creatorcontrib>Bjørnland, Kristin</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Røkkum, Henrik</au><au>Treider, Martin Alavi</au><au>Børke, Wenche Bakken</au><au>Bergersen, Janicke</au><au>Lassen, Kristoffer</au><au>Støen, Ragnhild</au><au>Sæter, Thorstein</au><au>Bjørnland, Kristin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2024-12-27</date><risdate>2024</risdate><volume>41</volume><issue>1</issue><spage>49</spage><pages>49-</pages><artnum>49</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Background
The experience with Enhanced Recovery After Surgery
®
(ERAS
®
) protocols in neonatal intestinal surgery is very limited. We present the development and implementation of an Enhanced Recovery Protocol (ERP) designed specifically for neonates treated for congenital duodenal obstruction (CDO), and early outcome after implementation.
Methods
An ERP for CDO was developed and implemented. Experiences with ERP development and implementation are described. Early clinical outcome in patients treated before (January 2015–Descember 2020) and after (February 2022–September 2024) implementation were compared. Ethical approval was obtained.
Results
A multidisciplinary ERP team was established. The ERP for CDO was developed with stakeholder involvement. Implementation was challenging, but with close follow-up and frequent meetings with the involved medical disciplines, an overall ERP compliance of 80% was achieved for the 21 patients treated after implementation. Compared to 40 patients treated before ERP implementation (January 2015-Descember 2020), the use of minimally invasive surgery increased and time to first postoperative enteral and breast feed were reduced, without increasing the rate of postoperative complications.
Conclusions
This study presents an ERP specifically designed for CDO with a unique description of our experiences with the development and implementation process. Early results suggest that this ERP for CDO is feasible and safe.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39729101</pmid><doi>10.1007/s00383-024-05951-2</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Pediatric surgery international, 2024-12, Vol.41 (1), p.49, Article 49 |
| issn | 1437-9813 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11680611 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Clinical Protocols Duodenal Obstruction - congenital Duodenal Obstruction - surgery Enhanced Recovery After Surgery Female Humans Infant, Newborn Male Medicine Medicine & Public Health Original Original Article Pediatric Surgery Pediatrics Postoperative Complications Recovery (Medical) Surgery Treatment Outcome |
| title | Enhanced recovery protocol for congenital duodenal obstruction – initial experiences with development and implementation |
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