The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care

Author:

Ioannidis Orestis1ORCID,Ramirez Jose M.23ORCID,Ubieto Javier Martínez24,Feo Carlo V.5ORCID,Arroyo Antonio6ORCID,Kocián Petr7ORCID,Sánchez-Guillén Luis6ORCID,Bellosta Ana Pascual24ORCID,Whitley Adam8ORCID,Enguita Alejandro Bona9,Teresa Marta2,Anestiadou Elissavet1ORCID

Affiliation:

1. Fourth Department of Surgery, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital “George Papanikolaou”, 57010 Thessaloniki, Greece

2. Institute for Health Research Aragón, 50009 Zaragoza, Spain

3. Department of Surgery, Faculty of Medicine, University of Zaragoza, 50009 Zaragoza, Spain

4. Department of Anesthesia, Resuscitation and Pain Therapy, Miguel Servet University Hospital, 50009 Zaragoza, Spain

5. Department of Surgery, Azienda Unità Sanitaria Locale Ferrara—University of Ferrara, 44121 Ferrara, Italy

6. Department of Surgery, Universidad Miguel Hernández Elche, Hospital General Universitario Elche, 03203 Elche, Spain

7. Department of Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, 150 06 Prague, Czech Republic

8. Department of Surgery, University Hospital Kralovske Vinohrady, 100 34 Prague, Czech Republic

9. Grupo Español de Rehabilitación Multimodal, 50009 Zaragoza, Spain

Abstract

Mechanical bowel obstruction is a common symptom for admission to emergency services, diagnosed annually in more than 300,000 patients in the States, from whom 51% will undergo emergency laparotomy. This condition is associated with serious morbidity and mortality, but it also causes a high financial burden due to long hospital stay. The EUPEMEN project aims to incorporate the expertise and clinical experience of national clinical specialists into development of perioperative rehabilitation protocols. Providing special recommendations for all aspects of patient perioperative care and the participation of diverse specialists, the EUPEMEN protocol for bowel obstruction, as presented in the current paper, aims to provide faster postoperative recovery and reduce length of hospital stay, postoperative morbidity and mortality rate.

Funder

Erasmus+ Programme of the European Union

Publisher

MDPI AG

Subject

General Medicine

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