Application of enhanced recovery after surgery concept of multi-disciplinary treatment medical treatment for congenital duodenal obstruction during perioperative period

Objective To explore the feasibility and clinical efficacy of enhanced recovery after surgery (ERAS) concept of multi-disciplinary treatment (MDT) medical mode in perioperative application of congenital duodenal obstruction. Methods From June 2015 to December 2017, retrospective analysis was performed for 60 cases with congenital duodenal obstruction. According to parental wishes, they were divided into research group (ERAS of MDT mode, n=30) and control group (traditional methods, n=30), which were compared in postoperative milk for initial open time, operative duration, postoperative parenteral nutrition using days, postoperative complications, length of time and hospitalization expenses, etc. Results Time of initial milk intake, days of using parenteral nutrition and hospital stay in ERAS group were shorter than those of control group [(56.45±6.18) vs. (140.40±1.00) hours, (7.35±1.46) vs. (17.25±3.59) days and (11.2±1.76) vs. (22.3±4.15) days. And the differences were statistically significant (P 0.05). During a follow-up period of 8-12 weeks, no incisional infection or adhesive intestinal obstruction occurred in ERAS group and there was only 1 case (3.3%) of adhesive intestinal obstruction in control group. Conclusions ERAS concept of MDT medical mode is both safe and effective for perioperative management of children with congenital duodenal obstruction. It offers the advantages of reducing pains, accelerating postoperative rehabilitation and shortening hospitalization time. Key words: Infant; Duodenal obstruction; Enhanced recovery after surgery