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Postoperative Ileus – Pathophysiology, Prevention and Treatment (Overview)


Authors: R. Duchoň;  D. Pinďák;  J. Pechan
Authors place of work: Klinika chirurgickej onkológie SZU a NOÚ, Bratislava, Slovenská republika
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 6, s. 349-351.
Category: Monothematic special - Original

Summary

Postoperative ileus is relatively frequent postoperative complication after major abdominal operations, extending the patient’s hospital stay and thus the cost of hospitalization. Multimodal fast-tract-access surgery is increasingly being implemented into clinical practice allows for an early resumption of intestinal activity and shortening hospital stays after uncomplicated major gastrointestinal operations.

Key words:
postoperative ileus – bowel preparation – early oral intake – epidural analgesia – fast-tract surgery


Zdroje

1. Baig, M. K., Wexner, S. D. Postoperative ileus: a review. Dis. Colon Rectum, 2004; 47(4): 516–526

2. Artinyan, A., Nunoo-Mensah, J. W., Balasubramaniam, S., Gauderman, J., Essani, R., Gonzalez-Ruiz, C., Kaiser, A. M., Beart, R. W. Jr. Prolonged postoperative ileus-definition, risk factors and predictors after surgery. World J. Surg., 2008; 32(7): 1495–500.

3. Armendariz, P., Ortiz, H., Yarnoz, M. C. Cirugía laparoscópica colorrectal:acorta el íleo postoperatorio? Cir. Esp., 1996; 60: 168–171.

4. Behm, B., Stollman, N. Postoperative ileus: etiologies and interventions. Clin. Gastroenterol. Hepatol., 2003; 1(2): 71–80.

5. Saclarides, T. J. Current choices-good or bad-for the proactive management of potoperative ileus: A surgeon’s view. J. Perianesth. Nurs., 2006; 21(2A Suppl): S7–15.

6. Kehlet, H. Postoperative ileus-an update on preventive techniques. Nat. Clin. Pract. Gastroenterol. Hepatol., 2008; 5(10): 552–558.

7. van Geldere, D., Fa-Si-Pen, P., Noach, L. A., at al. Complications after colorectal surgery without mechanical bowel preparation. J. Am. Coll. Surg., 2002; 1: 40–47.

8. Alfonsi, P., Schaack, E. Accelerated postoperative recovery after colorectal surgery. J. Chir(Paris), 2007; 144(3): 191–196.

9. Gravante, G., Caruso, R., Andreani, S. M., Giordano, P. Mechanical bowel preparation for colorectal surgery: a meta-analysis on abdominal and systemic complications on almost 5 000 patients. Int. J. Colorectal. Dis., 2008.

10. Bauer, J. L. Is routine post-operative nasogastric decompression necessary? Ann. Surg., 1985; 201: 233–236.

11. Racette, D. L., Chang, F. C., Trekel, M. E., Farha, G. J. Is nasogastric intubation necessary in colon operations? Am. J. Surg., 1987; 154: 640–642.

12. Lei, W. Z., Zhao, G. P., Cheng, Z., Li, K., Zhou, Z. G. Gastrointestinal decompression after excision and anastomosis of lower digestive tract. World J. Gastroenterol., 2004; 10(13): 1998–2001.

13. Cheatham, M. L., Chapman, W. C., Key, S. P., Sawyers, J. L. A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy. Ann. Surg., 1995; 221: 469–476.

14. Nelson, R., Edwards, S., Tse, B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst. Rev., 2007; (1): CD004929.

15. Ng, W. Q., Neill, J. Evidence for early oral feeding of patients after elective open colorectal surgery: A literatue review. J. Clin. Nurs., 2006; 15: 696–709.

16. Khoo, C. K., Vickery, C. J., Forsyth, N., Vinall, N. S., Eyre-Brook, I. A. A prospective randomized controlled trial of multimodal perioperative management protocol in patients undergoing elective colorectal resection for cancer. Ann. Surg., 2007; 245(6): 867–872.

17. Lewis, S..J., Egger, M., Silvester, P. A., Thomas, S. Early feeding versus „nil by mouth“ after gastrointestinal surgery: Systematic review and meta-analysis of controlled trials. BMJ, 2001; 323: 1–5.

18. Charoenkwan, K., Philipson, G., Vutyavanich, T. Early versus delayed (traditional) oral fluids and food for reducing complications after major abdominal gynaecologic surgery. Cochrane Database Syst. Rev., 2007; (4): CD004508.

19. Villalba Ferrer, F., Bruna Esteban, M., Garcia Coret, M. J., Garcia Romero, J., Roig Vila, J. V. Evidence of early oral feeding in colorectal surgery. Rev. Esp. Enferm. Dig., 2007; 99: 709–713.

20. Artinyan, A., Nunoo-Mensah, J. W., Balasubramaniam, S., Gauderman, J., Essani, R., Gonzalez-Ruiz, C., Kaiser, A. M., Beart, R. W. Jr. Prolonged postoperative ileus-definition, risk factors and predictors after surgery. World J. Surg., 2008; 32(7): 1495–1500.

21. Delaney, C. P. Clinical perspective on postoperative ileus and the effect of opiates. Neurogastroenterol Motil., 2004; 16(Suppl. 2): 61–66.

22. Nakayoshi, T., Kawasaki, N., Suzuki, Y., Urashima, M., Hanyu, N., Yanaga, K. Epidural analgesia and gastrointestinal motility after open abdominal surgery-a review. J. Smooth Muscle Res., 2008; 44(2): 57–64.

23. Büchler, M. W., Seiler, C. M., Monson, J. R., Flamant, Y., Thompson-Fawcett, M. W., Byrne, M. M., Mortensen, E. R., Altman, J. F., Williamson, R. Clinical trial: alvimopan for the management of postoperative ileus after abdominal surgery: results of an international randomised, double blind, multicentre, placebo-controlled clinical study. Aliment Pharmacol. Ther., 2008.

24. Senagore, A. J., Bauer, J. J., Du, W., Techner, L. Alvimopan accelerates gastrointestinal recovery after bowel resection regardless of age, gender, race, or concomitant medication use. Surgery, 2007; 142(4): 478–486.

25. Okamura, K., Sasaki, N., Yamada, M., Inokuma, H. Effects of mosapride citrate, metoclopramide hydrochloride, lidocaine hydrochloride, and cisapride citrate on equine gastric emptying, small intestinal and caecal motility. Res. Vet. Sci., 2008.

26. Okamura, K., Sasaki, N., Fukunaka, M., Yamada, H., Inokuma, H. The prokinetic effect of mosapride citrate on horse gastric emptying rates. J. Vet. Med. Sci., 2008; 70(6): 627–628.

27. Traut, U., Brügger, L., Kunz, R., Pauli-Magnus, C., Haug, K., Bucher, H. C., Koller, M. T. Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults. Cochrane Database Syst. Rev., 2008; (1): CD 004930.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 6

2010 Číslo 6
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