Early Alimentation Following Colorectal Surgery

Inclusion Criteria:

• Patient 18 years old or more
• Class ASA (American Society of AnaesthesioIogy) I, II or III, +/- E
• Patient willing to participate in the study
• Patient who understands and accepts to sign the informed consent form
• Patient who will undergo elective or urgent colic resection using laparoscopy or opened surgery defined in section B

Section B: patient must meet one of the following inclusion criterion:

• segmental or total colorectal resection with creation of a primary colo-colic or colo-rectal anastomosis not protected with a derivation ostomy
• ileal resection in continuity with total or a segment of the colon with creation of a primary colo-colic or colo-rectal anastomosis not protected with a derivation ostomy
• Closing of a terminal or loop colostomy

Exclusion Criteria:

• Class ASA IV or V patient
• Documented problem of gastro-intestinal motility
• Pregnancy
• Any acute or recent (<10 days) septic event
• Chemotherapy during the 4 weeks preceding surgery
• Previous irradiation surrounding the planned anastomosis location
• Small intestine iatrogenic transparietal laceration done during surgery
• Small intestine synchrone resection without continuity with the colon
• Intra-peritoneal chemotherapy administered during or following surgery
• Presence of residual peritoneal carcinosis at the end of surgery
• Colic surgery associated with another major intra-abdominal surgery
• Creation of a colo-anal or ileo-anal anastomosis
• Any per-surgery discovery which requires the use of a gastric drainage procedure following surgery
• Any post-surgery change in patient condition which requires naso-gastric tube holding after surgery