Safety and efficacy of fast track surgery in the repair of the emergency upper gastrointestinal perforation

Abstract

Objective To investigate the safety and effect of fast track surger(FTS)y in repair of upper digestive tract perforation in emergency department. Methods According to the digital table, 64 patients with upper digestive tract perforation were randomly divided into the observation group(n= 34)and control group (n= 30). The control group received conventional perioperative treatment. The patients in the observation group were given related processing of perioperation under the guidance of the concept of fast track surgery.The C reactive protein(CRP) level preoperation, postoperative 1 day, postoperative 3 days, postoperative incidence of adverse reaction and complications, exhaust defecation time, hospital stay and cost of hospitalization were compared between the two groups. Results Postoperative 1 day and 3 days,the CRP levels of observation group were (85.8±17.5)mg/L and(67.1±15.6)mg/L,which were significantly lower than(112.4±12.9)mg/L and(92.7 ±25.4)mg/L of the control group(t= 1.043,3.189,all P 0.05). Conclusion FTS in the repair of emergency upper gastrointestinal perforation is safe, economic, effective, and can accelerate the progress of rehabilitation. Key words: Upper digestive tract perforation; Fast track surgery