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Safety of hospital discharge before return of bowel function after elective colorectal surgery

Title:	Safety of hospital discharge before return of bowel function after elective colorectal surgery
Authors:	S J Chapman; R Blanco-Colino; S Pérez-Ajates; O Anabitarte Bautista; J Hodson; J C Glasbey; F Pata; G Pellino; A Sgrò; A Soares; T van Elst; S Van Straten; D Nepogodiev; A Borakati; M F Bath; I H Yasin; K Mclean; T Arthur; M Kovacevic; S Delibegovic; M Karamanliev; M Swamad; R Žebrák; R Paramasivam; A Martensen; H M Larsen; L Rädeker; P E Frey; A Kechagias; A Venara; E Duchalais; A Ioannidis; S Pasquali; A Simioni; V Farina; M Podda; L Lorenzon; V Schaeff; A Otto; M Jakubauskas; T R van Elst; M Chu; Pvb Fagan; C I Wells; A Alagoa João; J Juloski; Y El Kasmy El Kasmi; E Espin-Basany; D Clerc; C Ciubotaru; S Popescu; A Yanishev; S Lee; B B Ozkan; A Yagız Sen; M K Aktas; B E Baki; B Yüksek; S Kamarajah; R A Khaw; E Mills; R Goodson; N Thakral; A D Ablett; M Adra; I Kwek; S M Khan; P Quinn; L R Manley; A Badran; A Ramjeeawon; A Campbell; H L Tan; D S Rye; N Rajaraman; J G Norman; K Vutipongsatorn; G Solomou; M Akhbari; A Ali; V Murray; D M Baker; B D Brandao; B Stainer; R Thavayogan; D Jones; O O Onafowokan; A Gharooni; N Dabab; S Carlton-Carew; G Kungwengwe; M Gabriel; E Sewart; T C Shortland; S Lawday; P Pockney; A Dawson; C D Brumfitt; P Stewart; B Ng; J K Luong; V Ivanov; A Borisova; V Neykov; K Kunčarová; B Kološová; T Antonova; M Farkašová; J L Harbjerg; S Brandsborg; S Brinck; M D Kjaer; A Mark-Christensen; K P Unbehaun; P Dalsgaard; K D Lycke; P LeNaoures; C Brigand; E Dumange; M Gout; C Moehwald; M Prem; O Alhalabi; S Sliwinski; J Krupp; E Gablenz; L Schmitzer; A Kopp; J Steinle; J Gsenger; L J Pohl; M Riccardi; I M Christodoulou; M Konstantinidis; N Machairas; A Zoikas; D Balalis; D K Manatakis; M L Aguilera; L Marano; F Fleres; F Lovisetto; D Sasia; E Segalini; G Pata; A Lucchi; A Sagnotta; T Campagnaro; F Petrelli; G Gallo; M Papandrea; V Testa; G Sinibaldi; F Di Candido; F Colombo; G Perrone; S Aresu; A Biancafarina; G Canonico; M Pagnanelli; G Curletti; R Bini; A de Manzoni Garberini; H Impellizzeri; N Cillara; R Tutino; A Picciariello; D Coletta; G Savino; F Ferrara; N Tamini; G Talamo; D Parini; P Giamundo; A Lo Conte; G Pagano; V Ripetti; A Pesce; N Menduni; R Giudicissi; E Goldin; D Rega; A Belli; V Andriola; L Gordini; C Foppa; G Piccolo; A Birindelli; C Ferrari; Z Ballarini; F Tirelli; M Milone; M De Rosa; N S Pipitone Federico; B Molteni; P L Tilocca; G Sancini; G N Piozzi; A Lauretta; G Poillucci; S Mulas; D Simcikas; L Portelli; Jwm van Wijnbergen; T L Dinger; Sfh Ten Doesschate; Ashm van Dalen; D D van den Bos; M Hansmann; J Medina Feliz; S Z Kuiper; Z Abdulrahman; S R Pruijssers; S Farik; B M Elliott; V P Geneta; S Wilton; H Kandelaki; S L Peng; S Campbell; Y K Lim; S S Yassaie; M Murray; C Haran; J Tan; J Castro; A Laranjeira; S Catarino; C Neves-Marques; J G Correia; B N Vieira; A C Quintela; M L Serra; J Maciel; M Cunha; D J Aparício; J Neves; J Azevedo; M Romano; F Eiró; J Romano; C Monteiro; M Claro; M R Almeida; M Peyroteo; N D Machado; H Capote; M Ferreira; X Sousa; H Devesa; D Cavadas; I Guerreiro; M Costa; M Rosete; M Salman; C English; N Mohammed; A Litvin; V V Ćuk; K Mészárosová; R Jaich; H De Lima; S Brooks; M Marx; M Nshalati Salvation; J García Cardo; I Mora-Guzmán; J Sancho Muriel; U de Andres Olabarria; P Muriel; C Jimenez Viñas; F Alconchel; O Esteban Sinovas; C Fairén Oro; M López Otero; S Figueroa Jiménez; O Claramonte Bellmunt; J Martínez Caballero; I Rubio-Pérez; M M Aguilar-Martínez; J J Segura-Sampedro; C Olmedo Moreno; D Negre Parra; A M Estévez Diz; R Martín-Balbuena; C Bustamante Recuenco; R E Licardie Bolaños; P Fernández; A Díaz Padillo; A Forero-Torres; I Alberdi San Román; H Salvador Rosés; M Merayo Álvarez; P Villarejo Campos; C C Lopes Moreira; P Uriol Peralta; M Serrano Navidad; J Ripollés-Melchor; A Garcea; H Gómez Facundo; P Troncoso Pereira; C V Pérez Guarinos; B Blaser; G Piazza; B Gagliardi; H Serin; S S Yurdaor; E Arslan; O Kopac; A Uyanik; B B Ozmen; E Tiftik; B Aksoy; A Yalcinkaya; F Ozoglu; M D Kocer; G Bilicen; E N Cinar; Ö Uslu; Y Kaya; K Demirci; J Wong; Mmh Farhan-Alanie; G Suresh; A Asif; B J Finch; Y Bhahirathan; J Herron; Z Yi Tew; R Obukofe; C Russell; I Suchett-Kay; T Netke; L Williams; A Kisiel; F Y Liu; H Claireaux; P James; A Mondal; R Kalderon; H H Nadama; Z Al-Saraff; Jph Tam; A Powell-Chandler; F Wood; Rebecca Gorgievska; A Ragavoodoo; C Thakrar; D Rojoa; C Palmer; K Davidson; L Giacci; J Hale; F W Gan; R Makin-Taylor; C Y Hey; C Toh; J M Findlay; N Griffiths; S Ganesananthan; S Jasionowska; M Poustie; C Wong; T Turner; W Pyc; W Sloper; C Warner; J Coey; D Mason; S Sait; M Kowal; M Owen; A Saiyed; I Ashworth; K Akbari; M Curran; P Martin; D Parker; K Kwok; C Lye; M Ghaly; T Sammour; D Lewis; R Mundasad; A Wilkes; G Ctercteko; S Maslyankov; R Dimov; S Iliev; D Dimitrov; F Marek; J Örhalmi; P Skalický; T Skalický; K Chrz; P Christensen; J Worsøe; E S Kristensen; K J Emmertsen; U S Loeve; A L Mihaljevic; F Herrle; K M Konstantinidis; D Korkolis; I Karanikas; L Vincenti; G Anania; F Borghi; F Agresta; I Maretto; A Parisi; L Bucci; G De Palma; A Guglielmi; E Cucinotta; F La Torre; F Cianchi; M Guerrieri; M Trompetto; R Persiani; G Micheletto; P Delrio; S Cantafio; M Ronconi; Pag Bisagni; M De Prizio; A Franceschi; R Galleano; M Cavallini; A Brescia; L D'Ambra; A Benevento; P Niolu; M Calgaro; E Colangelo; T Grottola; D F Altomare; S Puleo; G Salamone; A Pietrabissa; G Poggioli; E Erdas; R Ottonello; V Tonini; F Selvaggi; G Sammarco; G Ceccarelli; C De Nisco; D Surgo; L Taglietti; A Ozolins; A Sivinš; T Poskus; J Psaila; W A Bemelman; L J Graat; B Langenhoff; Bpl Wijnhoven; Ahw van de Ven; M Poelman; Lps Stassen; G Slooter; Yiz Acherman; C Hoff; M F Gerhards; Mwj Stommel; E J Hazebroek; Aaw van Geloven; R A Schasfoort; B L van Leeuwen; J B Tuynman; Mwa van Tilburg; E G Boerma; P Sharma; B Jenkins; I P Bissett; A Herd; A Gordon; D Vernon; M Omundsen; J Ly; A Reddy; G Bonnet; C Harmston; M Morales; V Francisco; S Costa; A Manso; E Amorim; J Pereira; J Cardoso; S Ourô; M Caratão; C Nascimento; B Ribeiro da Silva; V Taranu; R Dias; J Mendes; M Allen; A Silva; S Carlos; E Barbosa; C Carneiro; L Ramos; L Lencastre; R Martins; P Silva-Vaz; P F Ridgway; D A McNamara; R Cahill; A Hogan; J Larkin; P R O'Connell; I Negoi; A Abelevich; V M Ćuk; M Vician; C Ede; I Sardiwalla; S Mulira; D Montwedi; M Oyomno; D Sabia; V Portugal Porras; V Vigorita; G Sanz Ortega; J García; A Espí Macías; F Blanco Antona; J A Luján Mompeán; S Salvans Ruiz; P Villarejo-Campos; M Romero Simó; L Sánchez-Guillén; L M Jiménez-Gómez; A Sánchez López; T Golda; D Julià Bergkvist; C Nevado; J F Noguera Aguilar; B Ricardo Felipe; J Septiem; A Rodríguez Sánchez; J Cañete-Gómez; I Ruiz Montesinos; M Millán-Scheiding; I Prieto-Nieto; M Frasson; D García Olmo; M Hübner; D Petermann; M O Sauvain; V Ozben; I E Geçim; E Disçi; A Rencuzogullari; A Kurt; T Bisgin; M Pehlivan; A Isik; E Onur; S Leventoglu; M C Haksal; M S Erturk; M Keskin; A Guner; S Tutcu Sahin; G S Ozbalci; A Pergel; D Albayrak; D Bruce; N Fearnhead; J Arthur; M Harron; G Beattie; L Titu; M Saunders; J Phillips; S Dindyal; B Cresswell; Y Gercek; J Lee; T Linn; G Faulkner; S Lockwood; J Rees; A Charalabopoulos; B Campbell; C Kontovounisios; T Amarnath; M Johnson; E Epanomeritakis; S Vigs; P Nastro; A Gilliam; S Smolarek; T Wilson; J Orbell; R McIntyre; T Agarwal; P Hainsworth; P Patel; J Vijay; B Liu; P Dhruva Rao; C Roxburgh; M Vipond; H Youssef; C Thorn; A Schizas; S Denley; D Bowley; K Das; T Cuming; A Saha; L Chung; J Pitt; P Davis; O Jones; M Taylor; A Bhargava; A Haji; N Watson; I Bloom; B Singh; M Norwood; S Gurjar; N Stylianides; S Mirza; M Evans; G Williams; P Patil; J Hernon; G Finch; S Green; K Chapple; O Fafemi; J Warusavitarne; A Samee; C Carden; L Ong; K Verma; A Joseph; N Rawat; T Pinkney; O Oke; P Glen; C Maxwell-Armstrong; R Oliphant; J Garner; S J Moug; S Middleton; J N Lund; N J Smart; G Osborn; T Moore; T Raymond; C H Knowles; T S Hany; R Clarke; G Khera; R Brady; C Sellahewa; C Mason; A Torrance; K Lasithiotakis; J Knight; A Pullybank; P Ainsworth; F Reid; A Ramwell; S Maslekar; R George; A Skull; S Holtham; K Muhammad; R Lal; M Varcada; F M Smith; M Howlader; D Defriend; S Kirk; T Richards; C Evans; C M Borg; K Telford; N Sarfraz; K Busby; J Hollingshead; D Speake; N Pawa; D West; M Chadwick; O Komolafe; S Richardson; M Thornton; A Goede; C Osborne; D Bandyopadhyay; J Foong; Y J Lee; P Liebenberg; D Mijalkov; A Wells; N Bull; A Ajmera; T Warburton; S Morgan; A Mahmoud; M Schachtel; B Mikhail; I Fomin; B Mekaeil; N Taylor; C Stevenson; A Drane; U Pahalawatta; L T Lai; A Debiasio; Hjs Jun; R Hengpoonthana; D M Mendis; P M Robb; H J Lee; Aab Wyche; L T Davis; A Chrimes; A Agarwal; J Zhao; S Williams; Jmsn Jayalath; S Khor; T Muddasani; S Childs; S Ridgway; Nda Blefari; H Tam; N Puchalski; C Ngai; J Mackenzie; N Johnson; M Holmes; R Zuzek; T Saluja; T Gould; Y K Goh; T Selvaraj; Y Z Beh; N N Dudi-Venkata; D Horne; J L Borrow; C Campbell; G Cousins; L Jackson; K Maheepala; S Zhao; E Holden; L Tutt; B Thompson; H Collins; F Louie; B Buckland; D Smith; C Chong; T H Chua; C Nayak; J Redmond; R R Tan; M Gramlick; J S Teh; S Y Ng; P Britten-Jones; R Mohd Rosli; Hdv Pham; T Jegathees; Smcj Coulter-Nile; M P Gosselink; Y L Wang; M Maciaszek; P S Chrapko; A Nair; V Thirugnanasundralingam; K Muir; M Salibasic; V Pavlov; T Paycheva; E Lyulenina; N Kolev; D Nguen; Y Mitkov; E Mitkov; P Vladova; V Dimitrov; M Hussain; A Gabarski; T Ivanov; T Yotsov; I Ilieva; A Akisheva; M Shoshkova; E Nawaz; H Feradova; T Mladenov; V Jozaf; T Klail; M Pös; A Adel; O Sotona; M Bartoš; T Amjad; O Malý; S Berec; M Hanušová; M Hurný; J Riško; M Ludvik; M Stercz; R Treskoň; M Pospíšil; L Hlaváčová; D Tomanová; S Chodora; O Houdek; R Novický; K Sobotková; S Cha; K Šuta Kimle; K Jirankova; M Bujda; A Paclík; A Trap; J Jürgens-Lahnstein; M Storm; I Damgaard; F Olawi; F Ehlern; M Raos; F P Kristensen; K Bønnerup; S Amiri; M Enevoldsen; J Højgaard Pedersen; B N Jepsen; T K Hillgaard; S B Erichsen; C V Nielsen; C P Madsen; J Bjerke; C D Skejø; R R Aabling; J S Sørensen; A Turunen; J Katunin; M Niskakangas; T Vignaud; S Frey; C Ricolleau; F Chanut; J Magnin; T Seiboldt; L Beck; K Zamzow; F Betge; A Poncelet; M Truant; H Hauschild; N Neugebauer; L Schöning; S Cs Simon; C Galata; I Karampinis; T Thäwel; A M Seckler; C Kerem; S Durdevic; F Antonakopoulos; A Mathioulaki; P Chrysoheris; P G Athanasopoulos; V Kalles; I Spyrou; C Barkolias; A Paspala; D Papaconstantinou; E Spartalis; N Arkadopoulos; A Prodromidou; Z Garoufalia; D Mendez; J Rosales; M Flores; M Garcia; A Garcia; Z Noriega; D Torselli; J Rodriguez; S Lafranceschina; E Artioli; S Giaccari; V Nevoso; A Schimera; S Marino; P Geretto; L Pellegrino; B Borghi; A Marano; C Corino; G Cannata; M C Giuffrida; F Landra; D Ongaro; G Baronio; S Raimondo; S Casiraghi; R Salvadori; E Finotti; E Ciccioli; A Galgano; M Zuin; A Bettella; A Barina; E Vendramin; G Palano; D Schiavone; A Di Cintio; A Gemini; S Trastulli; M De Luca; J Desiderio; F Gubbiotti; M Cigognini; G Zaffaroni; A Maffioli; S Colombo; A Bondurri; G Sampietro; D Foschi; M Manigrasso; M Danzi; R Amato; L Anastasio; F Mastella; R Basile; R Peltrini; E Marra; G Luglio; M Giglio; P Anoldo; S Vertaldi; L Grimaldi; N Tammaro; C Pedrazzani; G Turri; E Lazzarini; C Conti; I Vulcano; E Bertilone; G Pintabona; F Viscosi; S Cerasari; G Galiffa; P Lapolla; C Del Basso; B Cirillo; G De Toma; K Fazzi; S Bini; F Coratti; P Montanelli; S Grandi; T Nelli; N Ben Khaled; F Cammelli; E Ferrini; M E Billo; A G Marrosu; F Scognamillo; C Pala; F Attene; L Carboni; M W Ruggiu; G Gabbas; I Marziali; S Mazzocato; R Vergari; F Piazzai; I Kubolli; A Aggiusti; A Paolucci; M Ortenzi; M Olivieri; C Belluco; A D Antona; S Basso; M Morino; M Mistrangelo; G Clerico; G De Santi; M F Bitonti; M Frattalone; V Fico; F Santullo; F Belia; A Spinelli; M Marco; M Bevilacqua; D Tringali; E Bevilacqua; V Panizzo; V La Manna; G Migliore; A Aversano; A Fares Bucci; F Marino; F Carbone; P Incollingo; F M Romano; T Zalla; M Baraghini; L Romoli; M Calussi; S Vellei; C Genzano; F Feroci; M Vita; A Barberis; D Serra; M Grassia; M Romelli; S Ruggiero; A Percassi; A Magri Piccinini; M Monti; M Magnoli; S Romano; P Gaetano; F Pilotta; L Baldassarre; E Bonati; A Saba; G Moretto; M Bacchion; A Casaril; M Inama; M Creciun; M Stella; D Gobatti; M Angelini; E Andolfi; E Miranda; M Scricciolo; G Provenza; G Cavallina; B Frezza; A Fontani; R Malatesti; G A Pellicanò; M Anania; F Pulighe; A Cruccu; M L Murru; C Massaiu; F Balestra; M Pazzona; A Giannella; M Santangelo; F Frangella; D Magagnano; P Liberatore; R Brenna; A Giani; F Tirotta; S Famularo; M Angrisani; M Ceresoli; F Rondelli; G P Angelucci; R Scaramuzzo; A Larcinese; C Fioriti; E Picone; M Nardi; G Castagnoli; A Bartoli; R Bellochi; A Spaziani; D Conti; V Poponesi; M Trippetti; S Amicucci; G Tazza; P Procacci; F Giovannini; E Basile; G Caristo; P De Nardi; R Rosati; G Marcocci; A Vignali; M Malerba; A Percivale; O Ghazouani; L Reggiani; C Spirito; G Moschetta; F Cosmi; G Romeo; M Gasparrini; F Sucameli; A Gennai; E Moggia; C Bianchi; P Bonfante; S Macina; C Feleppa; M Imperatore; S M Tenconi; S Rausei; D Maioli; V Marchionini; C Sparta; F A Mura; M Barmina; A Lorettu; C Rettaroli; G Mastino; G V Ruggiu; G A Mura; B A Perrone; M De Angelis; A Mereu; V Adamo; C Bianco; M Ricciardiello; C Campanaro; P Panaccio; L M Esposito; F D'Ascanio; R Pietroletti; N Chetta; F Aquilino; F Di Marco; A Amico; E Schembari; S Puglisi; L Licari; S Campanella; G Profita; N Falco; G Rotolo; P Venturelli; P De Marco; M Marcianò; F Argenti; M S Milani; S Malabarba; G Giambartolomei; I Vella; F Gronchi; A Ruggieri; A Roggiani; F Balsamo; A Gori; D Cuicchi; R D'Alessio; D Benvenuto; F Podda; F Cappellacci; C Salaris; S Sanna; J Marcialis; L Mosino; M Peddis; S Melis; G De Donno; A C Aru; E Falsetti; J Lanari; U D'Errico; S Bianchini; F Figà; A Caiazzo; L Selvaggi; A Capozzolo; C Cerra; M Pirillo; S Cravano; I Libri; N Laquatra; A Isabello; A Truškovs; A Bartnick; E Malcevs; M J Machatschek; J Alm; S Lapsa; M Delorme; F Zeynalov; J Larnovskis; J Sauka; D Bodrov; R Gailumsis; A M Wiemann; N L Müller; I Jelovskis; D Deksnis; O Bauermeister Potts; T Slimbajevs; N E Samalavicius; V Nutautiene; P Zeromskas; J Jurgaitis; O Aliosin; A Slepavicius; V Eismontas; M Kybransiene; A Dulskas; J Kuliavas; P Kavaliauskas; R Kavaliauskaite; E Poškus; D Danys; M Kryžauskas; S Mikalauskas; R Rackauskas; M Drungilas; T Poškus; V Jotautas; K Strupas; C Cachia; C Cefai; Y Youssef; D Degaetano; S Debono; M Sammut; J Cassar; K Sammut; R C Looijen; Maj Becker; D Comert; L Te Molder; J Tromp; E Matthee; Y M Tissen; E Brinkhuis; H S de Vries; E 't Hart; K Beckers; Y Bekker; S Kakar; T C van Smaalen; O C Veen; S A Dingemans; L C van den Brink; Ghej Vijgen; Emf van de Voort; A van der Pool; Klc van Rest; T Haak; Nrf Sluijpers; Cjl Molenaar; M C Gordinou de Gouberville; S Saleh; M A Mens; E M Hoeks; S Nieuwenhuizen; E M van Praag; E Westerduin; Mpcm Smit; S J van der Lely; B Nasimi; M Gerdsen; Rch Stijns; Tys Leow; G Penningnieuwland; A de Ruiter; T Ribbers; Cam Aarts; M S Tulek; J de Jonge; S Kocak; H J Alqethami; R Constansia; P C van Elst; M W Tissink; A Grüter; Y Vroom; D M Voeten; T Feenstra; J Azzahhafi; S Bofarid; M Kip; W Saleh; S Franssen; C L Boon; Rjm Franssen; I Romaen; Mtf Jense; J D'Souza; R Pascoe; A Scott; E Stark; K Mulholland; W K Lau; B Smith; Sib Adams; N Shah; E Ling; J Young; A Jacobson; H Macfater; S Y Chen; K Kilpatrick; D H Kim; S Dixon; S Yassaie; D Welman; J Coulter; M Morreau; E Li; A Rankin; J Winders; C Skipworth; B Stanfield; N Henderson; A Chuang; L Maskill; H Ker; Sjp McLaughlin; J Kearney; H Sprosen; P Kerckhoffs; R Alsadat; R Cherry; D A Chapman; N Singh; A Clucas; G Gatenby; B Kelly; P Ruppeldt; N D McIntosh; S Koh; H Wilms; F Dalzell; J Tewhaiti-Smith; T Kader; S T Yam; D Dahya; M Hardie Boys; W Fleischl; A Skavysh; K Mouldey; R Hu; S Edwards; C Matthews; E Aitken; M Walker; M Tomé; S Patrocinio; F Amado; A Batista; J Seabra; V Praxedes; N Monteiro; I Martins; T C Santos; R R Lages; A Pimentel; T C Sá; F M Bernardes; P Saraiva; J Almeida; M Mendes; V Fernandes; A Ribeiro; D Soares; T Martins; I Miguel; J Martins; M F Cunha; J Melo; D N Veiga; J Rachadell; R Vareda; J Roseira; D Aveiro; M Couto; A R Loureiro; H Louro; T Queiros; B Castro; S Fonseca; L Carvalho; A P Torre; A Amado; M Leite; P Miranda; C Cunha; R Silva; S Pina; I Paixão; L Orelhas; J Santos; A Pacheco; A F Rocha; M J Jervis; V Pedro; V Paixão; A Guerreiro; D Melo; D Correia; V Capella; T Moinhos; M Silva; A G Silva; D Galvão; A Mora; R Bettencourt; F Costa; I Gil; J Morgado; I Mónica; S Oliveira; H Ribeiro; N Guimarães; M Duarte; J Miranda; S F Martins; R Parreira; A Faustino; N Medeiros; R Castro; B Soares; M Resendes; P Almeida; A Cruz; G Vaz Pinto; D Sousa; D Costa Santos; F Silva; G Fialho; M Reia; N Pratas; C Costa; J Costa; S Morais; A Machado; V Horta; M Rocha-Melo; J Patrício; M Pereira; R Lima; A M Cinza; J Oliveira; C Velez; F Borges; J Simões; P Botelho; B Cismasiu; D Alves; B Dias; J P Gonçalves; P Valente; L Freire; R Saraiva; M Moreira; M Fragoso; J Guimarães; G Cruz; J Ribeiro; I Borges da Ponte; S Almeida; A R Martins; T Louro; M Morgado; A S Ferreira; M Alves; N Oliveira; R Lérias; I Estalagem; C Botelho; J Bártolo; C Fidalgo Antunes; F Cabral; F Brito Silva; A Dias Matos; M Santos; R Cunha; M Sousa; R Canotilho; A M Correia; P C Martins; Jam Jardim; S P Domingos; J M Baião; B S Rocha; Nmro Lopes; D M Jordão; M D Ângelo; T Caroço; J R Gomes; R G Monteiro; S Varghese; E Boyle; L Aljohmani; J Alexander; V Graziadei; C McCaughey; A Jain; H Ramanayake; R Sabnani; L F Colon; N Bansal; I Stephens; R Tan; S Sharma; G Doherty; S Fenn; E Mulhare; M Walsh; C Leavey; O Costigan; S Griffin; É Dockry; E Khogali; A K Aly; R McPhedran; D O'Gorman; D Vermeulen; L Dervan; S J Kang; O Dixon; E Morrissey; M Compton; A R Pentony; C L Piong; R Nossier; J Hanna; K Sabir; S Y Eow; N Ladak; D Boersma; P J Kamath; 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S Eftychiou
Contributors:	J Chapman, S; Blanco-Colino, R; Pérez-Ajates, S; Anabitarte Bautista, O; Hodson, J; C Glasbey, J; Pata, F; Pellino, G; Sgrò, A; Soares, A; van Elst, T; Van Straten, S; Nepogodiev, D; Borakati, A; F Bath, M; H Yasin, I; Mclean, K; Arthur, T; Kovacevic, M; Delibegovic, S; Karamanliev, M; Swamad, M; Žebrák, R; Paramasivam, R; Martensen, A; M Larsen, H; Rädeker, L; E Frey, P; Kechagias, A; Venara, A; Duchalais, E; Ioannidis, A; Pasquali, S; Simioni, A; Farina, V; Podda, M; Lorenzon, L; Schaeff, V; Otto, A; Jakubauskas, M; R van Elst, T; Chu, M; Fagan, Pvb; I Wells, C; Alagoa João, A; Juloski, J; El Kasmy El Kasmi, Y; Espin-Basany, E; Clerc, D; Ciubotaru, C; Popescu, S; Yanishev, A; Lee, S; B Ozkan, B; Yagız Sen, A; K Aktas, M; E Baki, B; Yüksek, B; Kamarajah, S; A Khaw, R; Mills, E; Goodson, R; Thakral, N; D Ablett, A; Adra, M; Kwek, I; M Khan, S; Quinn, P; R Manley, L; Badran, A; Ramjeeawon, A; Campbell, A; L Tan, H; S Rye, D; Rajaraman, N; G Norman, J; Vutipongsatorn, K; Solomou, G; Akhbari, M; Ali, A; Murray, V; M Baker, D; D Brandao, B; Stainer, B; Thavayogan, R; Jones, D
Publication Year:	2020
Collection:	Università degli Studi di Verona: Catalogo dei Prodotti della Ricerca (IRIS)
Subject Terms:	Colorectal surgery
Description:	Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients.
Document Type:	article in journal/newspaper
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/31976560; info:eu-repo/semantics/altIdentifier/wos/WOS:000508958100001; volume:107; issue:5; firstpage:552; lastpage:559; numberofpages:8; journal:BRITISH JOURNAL OF SURGERY; https://hdl.handle.net/11562/1029124
DOI:	10.1002/bjs.11422
Availability:	https://hdl.handle.net/11562/1029124; https://doi.org/10.1002/bjs.11422
Accession Number:	edsbas.76682C6
Database:	BASE