{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T06:05:28Z","timestamp":1776751528337,"version":"3.51.2"},"reference-count":47,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,9,9]],"date-time":"2015-09-09T00:00:00Z","timestamp":1441756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although patterns of return of bowel function (<jats:styled-content style=\"fixed-case\">ROBF<\/jats:styled-content>) following colorectal surgery with enhanced recovery after surgery (ERAS) programmes have been well delineated, regular morphine use is uncommon. This study describes the patterns of post\u2010operative nausea and vomiting (<jats:styled-content style=\"fixed-case\">PONV<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">ROBF<\/jats:styled-content> in this context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients undergoing elective major colorectal surgery on an <jats:styled-content style=\"fixed-case\">ERAS<\/jats:styled-content> programme over 1 year were included. Patient details, intra\u2010operative course, post\u2010operative management, outcomes and complications were collected retrospectively from clinical records. Statistical analysis was performed using <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tata version 12.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 136\/142 (96%) patients received morphine for post\u2010operative analgesia. Most (112\/142, 79%) experienced either no vomiting (87\/142, 61%) or small amounts (25\/142, 18%). On average, patients without an ileostomy passed flatus and opened their bowels after 2.4 and 4.3 days, those with an ileostomy taking 1.5 and 2.1 days. Vomiting was not related to <jats:styled-content style=\"fixed-case\">ROBF<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0.370) or overall complications; wound complications (odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) = 8.1, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>): 2.0\u201332.5), electrolyte abnormalities (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 2.9, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.2\u20137.1) and length of stay (hazard ratio = 1.3, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.2\u20131.5) were related.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most patients do not experience <jats:styled-content style=\"fixed-case\">PONV<\/jats:styled-content> in this context. <jats:styled-content style=\"fixed-case\">ROBF<\/jats:styled-content> is predictable without prolonged delays. This information could be used to allow confident early discharge and identify patients whose deviation from normal may indicate complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13290","type":"journal-article","created":{"date-parts":[[2015,9,9]],"date-time":"2015-09-09T17:46:56Z","timestamp":1441820816000},"page":"823-828","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Nausea, vomiting and return of bowel function after colorectal surgery"],"prefix":"10.1111","volume":"85","author":[{"given":"Karen L.","family":"Barclay","sequence":"first","affiliation":[{"name":"Department of General Surgery Northern Health  Melbourne Victoria Australia"},{"name":"Northern Clinical School Department of Surgery The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying\u2010Yan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Northern 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