الفهرس 
Introduction & Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
When part of an intestine is surgically removed, the two remaining ends are sewn or stapled together (anastomosed). The procedure is known as an intestinal anastomosis.
Enhanced recovery after surgery (ERAS) is a multimodal Perioperative care pathway designed to attenuate the stress Response during the patients’ journey through a surgical procedure to facilitate the maintenance of preoperative bodily compositions and organ function and in doing so achieve early recovery .The concept of multimodal surgical care was pioneered in the late 1990s by Professor Henrik Kehlet in Copenhagen.
The main philosophy of the ERAS protocol is to reduce the metabolic stress caused by surgical trauma and at the same time support the return of functions that allow patients to get back to normal activities rapidly.
Traditional nutrition management of patients in the days following GI resectional surgery mandates withholding enteral (ie, via oral or tube) nutrition (EN) and providing gastric decompression via a nasogastric (NG) tube. This is maintained until evidence of resumed bowel function is established, after which time a slow progression from fluids to normal diet follows, as tolerance allows. This management has been adopted over the years in the belief that it decreases the risk of nausea, vomiting, aspiration pneumonia, and anastomotic dehiscence. Traditional postoperative management was defined as withholding nutrition provision until bowel function had resumed, as evidenced by either passage of flatus or bowel motion.
There is limited data on enhanced recovery pathways for pediatric surgery. There are multiple published reports discussing streamlining patient care with the use after protocol, many of the aspects of enhanced in the adult population have long been adopted by pediatric surgery.
Our study assessed the outcome of the patients managed with enhanced recovery protocol and the Patients managed with traditional methods after resectional gastrointestinal surgery, comparing between them mainly in post-operative complication and post-operative hospital stay.
Our study was included 60 patients were be helded in pediatric surgery unit - Minia university hospital, classified into two groups, group A(30 patients) managed with enhanced recovery protocol and group B (30 Patients) managed with traditional methods after resectional gastrointestinal surgery, between February 2016 and February 2017.