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Journal articles on the topic 'Postoperative ileus'

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Published: 10 December 2022
Last updated: 28 January 2023

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1

Bowker, Brennan, Rebecca Orsulak Calabrese, and Emily Barber. "Postoperative Ileus." Physician Assistant Clinics 6, no. 2 (April 2021): 215–27. http://dx.doi.org/10.1016/j.cpha.2020.12.001.

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2

Holte, Kathrine, and Henrik Kehlet. "Postoperative Ileus." Drugs 62, no. 18 (2002): 2603–15. http://dx.doi.org/10.2165/00003495-200262180-00004.

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3

RA, Sastry. "Postoperative ileus." Journal of Medical and Scientific Research 1, no. 3 (September 1, 2013): 135–44. http://dx.doi.org/10.17727/jmsr.2013/1-023.

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4

Harnsberger, Cristina, Justin Maykel, and Karim Alavi. "Postoperative Ileus." Clinics in Colon and Rectal Surgery 32, no. 03 (April 2, 2019): 166–70. http://dx.doi.org/10.1055/s-0038-1677003.

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AbstractPostoperative ileus (POI) is a common complication following colon and rectal surgery, with reported incidence ranging from 10 to 30%. It can lead to increased morbidity, cost, and length of stay. Although definitions vary considerably in the literature, in its pathologic form, it can be characterized by a temporary inhibition of gastrointestinal motility after surgical intervention due to nonmechanical causes that prevents sufficient oral intake. Various risk factors for development of POI have been identified including increasing age, American Society of Anesthesiologists scores 3 to 4, open approach, operative difficulty, operative duration more than 3 hours, bowel handling, drop in hematocrit or need for a transfusion, increasing crystalloid administration, and delayed mobilization. While treatment is expectant and supportive, significant investigations into strategies to mitigate development of POI or shorten its duration have been undertaken with mixed results. There is significant evidence to suggest that a minimally invasive approach and multimodal pain regimens reduce the development of POI. The beneficial effect of chewing gum, alvimopan, and enhanced recovery after surgery protocols may decrease development of POI in selected groups of patients who undergo elective colorectal surgery, and shorten time to return of bowel function, but overall, the data remain inconclusive.
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5

Kehlet, H. "Postoperative ileus." Gut 47, no. 90004 (December 1, 2000): 85iv—86. http://dx.doi.org/10.1136/gut.47.suppl_4.iv85.

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6

Nunley, James C., and Gregory P. FitzHarris. "Postoperative ileus." Current Surgery 61, no. 4 (July 2004): 341–45. http://dx.doi.org/10.1016/j.cursur.2003.07.008.

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7

Livingston, Edward H., and Edward P. Passaro. "Postoperative ileus." Digestive Diseases and Sciences 35, no. 1 (January 1990): 121–32. http://dx.doi.org/10.1007/bf01537233.

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8

Nestorovic, Milica, Goran Stanojevic, Branko Brankovic, Vanja Pecic, and Ljiljana Jeremic. "Prolonged postoperative ileus after elective colorectal cancer surgery." Vojnosanitetski pregled 75, no. 8 (2018): 780–86. http://dx.doi.org/10.2298/vsp160527387n.

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Background/Aim. Postoperative ileus is a frequent and frustrating occurence for both, patients and surgeons after abdominal surgery. Besides clinical importance of postoperative ileus, its economic aspect is also important. The aim of this prospective study was to analyze development of prolonged postoperative ileus after elective colorectal surgery for cancer and its impact on early postoperative outcome. Methods. This prospective study included all eligible patients, 18 years or older, scheduled for open colorectal resection for cancer from June, 2015 to February, 2016. Patients with metastatic disease, prior hemoirradiation or any resection other then curative were excluded. The study duration was up to 30 days postoperatively. Primary outcome measure was development of prolonged postoperative ileus according to strict definition. The impact of prolonged postoperative ileus on other outcome measures such as postoperative complications, surgical site infections, anastomotic leakage, reoperations, mortality and length of hospital stay were of great interest, too. Results. This prospective study included 103 patients, 64 (37.9%) men and 39 (62.1%) women, mean age 66 years. Prolonged postoperative ileus developed in 12 (11.3%) patients. One third of the patients had some type of surgical site infection, while 47.6% had complications. Ten (9.7%) patients required reoperation. Comparing the group of patients with prolonged postoperative ileus with those without, there were no statistically significant differences in rates of surgical site infection and anastomotic leakage. There was statistically significant difference in terms of complications (_2 = 34.966; p < 0.001), complications grade III (_2 = 23.43; p < 0.001) and reoperations (_2 = 15.724; p <0.001). Patients who developed prolonged postoperative ileus had statistically significant longer postoperative hospital stay (Z = 2.291, p = 0.022) and longer total length of hospital stay (Z = 2.377, p = 0.015). According to regression analyzes prolonged postoperative ileus represents a risk factor for reoperations [odds ratio (OR) = 12.286; p = 0.001]. Conclusion. Prolonged postoperative ileus, although not life-threatening complication effects recovery, increases length of hospital stay and contributes to poor surgical outcome.
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9

Prasad, Madhu, and Jeffrey B. Matthews. "Deflating postoperative ileus." Gastroenterology 117, no. 2 (August 1999): 489–92. http://dx.doi.org/10.1053/gast.1999.0029900489.

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10

Alban, Joseph, and M. Kay Garcia. "Prolonged Postoperative Ileus." Medical Acupuncture 20, no. 4 (December 2008): 291–92. http://dx.doi.org/10.1089/acu.2008.701.

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11

Schmidt-Matthiesen, H., and A. Schmidt-Matthiesen. "Der postoperative Ileus." Geburtshilfe und Frauenheilkunde 47, no. 04 (April 1987): 217–23. http://dx.doi.org/10.1055/s-2008-1035812.

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12

Rodríguez-Padilla, Ángela, Germán Morales-Martín, Rocío Pérez-Quintero, Juan Gómez-Salgado, Rafael Balongo-García, and Carlos Ruiz-Frutos. "Postoperative Ileus after Stimulation with Probiotics before Ileostomy Closure." Nutrients 13, no. 2 (February 15, 2021): 626. http://dx.doi.org/10.3390/nu13020626.

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Loop ileostomy closure after colorectal surgery is often associated with Postoperative ileus, with an incidence between 13–20%. The aim of this study is to evaluate the efficacy and safety of preoperative stimulation of the efferent loop with probiotics prior to ileostomy closure in patients operated on for colorectal carcinoma. For this, a prospective, randomized, double-blind, controlled study is designed. All patients who underwent surgery for colorectal carcinoma with loop ileostomy were included. Randomized and divided into two groups, 34 cases and 35 controls were included in the study. Postoperative ileus, the need for nasogastric tube insertion, the time required to begin tolerating a diet, restoration of bowel function, and duration of hospital stay were evaluated. The incidence of Postoperative ileus was similar in both groups, 9/34 patients stimulated with probiotics and 10/35 in the control group (CG) with a p = 0.192. The comparative analysis showed a direct relationship between Postoperative ileus after oncological surgery and Postoperative ileus after reconstruction surgery, independently of stimulation. Postoperative ileus after closure ileostomy is independent of stimulation of the ileostomy with probiotics through the efferent loop. There seem to be a relationship between Postoperative ileus after reconstruction and the previous existence of Postoperative ileus after colorectal cancer surgery.
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13

Sueta, Made Agus Dwianthara, Nyoman Golden, and Mira Dewi Prawira. "Risk Factors for Post-operative Ileus: A Retrospective Study in Tertiary Referral Hospital in Indonesia." Open Access Macedonian Journal of Medical Sciences 10, B (February 15, 2022): 1148–52. http://dx.doi.org/10.3889/oamjms.2022.8286.

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Background: Postoperative ileus is a complication that may result in the longer duration of stay and decreases the quality of life of patients. Previous studies have found some factors related to postoperative ileus. This study aimed to determine the risk factor of postoperative ileus in laparotomic resection and anastomosis surgery. Methods: Patients who underwent laparotomic resection and anastomosis surgery during January 2019 – July 2020 were included. Postoperative ileus was diagnosed in fourth day after surgery. The variables included in this study are age, gender, BMI, pathology site, duration of surgery, type of anastomosis, length of resection. Result: Fifty laparotomic resection and anastomosis surgery patients were included in this study, 50% of subjects is patients with postoperative ileus. Patient aged 65 years old or older had a higher incidence postoperative ileus (68% vs 28%; RR 2.3 95% CI: 1.23-4.33; p value: 0.010). Study also found duration of surgery 180 minutes or longer also had higher incidence postoperative ileus (79% vs 36%; RR: 2.49 95% CI: 1.20-5.15; p value: 0.010). Conclusion: This study concludes that age 65 years old or older and duration of surgery 180 minutes or longer are significant risk factor to postoperative ileus in laparotomic resection and anastomosis surgery patients.
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14

Thompson, Melissa, and Barbara Magnuson. "Management of Postoperative Ileus." Orthopedics 35, no. 3 (March 1, 2012): 213–17. http://dx.doi.org/10.3928/01477447-20120222-08.

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15

Bream-Rouwenhorst, Heather R., and Matthew A. Cantrell. "Alvimopan for postoperative ileus." American Journal of Health-System Pharmacy 66, no. 14 (July 15, 2009): 1267–77. http://dx.doi.org/10.2146/ajhp080445.

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16

Barnes, Joanne, Karl-Ludwig Resch, and Edzard Ernst. "Homeopathy for Postoperative Ileus?" Journal of Clinical Gastroenterology 25, no. 4 (December 1997): 628–33. http://dx.doi.org/10.1097/00004836-199712000-00016.

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17

Bauer, A. J., and G. E. Boeckxstaens. "Mechanisms of postoperative ileus." Neurogastroenterology and Motility 16, s2 (October 2004): 54–60. http://dx.doi.org/10.1111/j.1743-3150.2004.00558.x.

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18

Stewart, David, and Kenneth Waxman. "Management of Postoperative Ileus." American Journal of Therapeutics 14, no. 6 (November 2007): 561–66. http://dx.doi.org/10.1097/mjt.0b013e31804bdf54.

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19

Kehlet, Henrik, and Kathrine Holte. "Review of Postoperative Ileus." American Journal of Surgery 182, no. 5 (November 2001): S3—S10. http://dx.doi.org/10.1016/s0002-9610(01)00781-4.

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20

Stewart, David, and Kenneth Waxman. "Management of Postoperative Ileus." Disease-a-Month 56, no. 4 (April 2010): 204–14. http://dx.doi.org/10.1016/j.disamonth.2009.12.008.

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21

Korolkiewicz, Roman, and Jacek Sein-Anand. "Mosapride and Postoperative Ileus." Diseases of the Colon & Rectum 52, no. 4 (April 2009): 751–52. http://dx.doi.org/10.1007/dcr.0b013e3181a0dc27.

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22

Baig, Mirza K., and Steven D. Wexner. "Postoperative Ileus: A Review." Diseases of the Colon & Rectum 47, no. 4 (April 2004): 516–26. http://dx.doi.org/10.1007/s10350-003-0067-9.

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23

Morris, Ian R. "Does postoperative ileus exist?" Journal of Critical Care 24, no. 4 (December 2009): 614–16. http://dx.doi.org/10.1016/j.jcrc.2009.02.006.

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24

Khomyakov, E. A., E. G. Rybakov, I. V. Zarodnyuk, Yu A. Shelygin, and D. Yu Pikunov. "Risk factors of postoperative prolonged ileus after colorectal cancer surgery." Grekov's Bulletin of Surgery 176, no. 5 (October 28, 2017): 82–87. http://dx.doi.org/10.24884/0042-4625-2017-176-5-82-87.

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OBJECTIVE. The authors identified independent risk factors of postoperative prolonged ileus after colorectal cancer surgery. MATERIAL AND METHODS. Multivariate logit regression analysis was made in order to reveal independent risk factors of prolonged ileus. RESULTS. The frequency of prolonged ileus cases consisted of 13 %. The authors detected three independent risk factors such as body mass index higher than 25 kg/m² (p=0,033), taking of opioid analgetics (p=0,022) and left colon flexure mobilization (p=0,047) in multivariate statistical analysis. CONCLUSIONS. Postoperative prolonged ileus was the frequent complication in colorectal cancer surgery. There is a possibility to identify the group of patients who exposed to risk of occurrence of prolonged postoperative ileus due to application of revealed risk factors.
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25

Winstead, P. Shane, and Josh Rusinak. "Pharmacologic Management of Postoperative Ileus." Orthopedics 30, no. 1 (January 1, 2007): 25–28. http://dx.doi.org/10.3928/01477447-20070101-10.

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26

Ay, Aybala Agac, Suat Kutun, Haluk Ulucanlar, Oguz Tarcan, Abdullah Demir, and Abdullah Cetin. "Risk factors for postoperative ileus." Journal of the Korean Surgical Society 81, no. 4 (2011): 242. http://dx.doi.org/10.4174/jkss.2011.81.4.242.

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27

Zhang, Lei, and Xiaohui Xu. "Therapeutic management of postoperative ileus." Translational Surgery 2, no. 2 (2017): 50. http://dx.doi.org/10.4103/ts.ts_40_16.

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28

Boeckxstaens, G. E., and W. J. de Jonge. "Neuroimmune mechanisms in postoperative ileus." Gut 58, no. 9 (August 11, 2009): 1300–1311. http://dx.doi.org/10.1136/gut.2008.169250.

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29

Ponec, R. "Rapid relief for postoperative ileus." Dimensions of Critical Care Nursing 18, no. 6 (November 1999): 54. http://dx.doi.org/10.1097/00003465-199911000-00011.

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30

Saclarides, Theodore. "Postoperative ileus: strategies for reduction." Therapeutics and Clinical Risk Management Volume 4 (October 2008): 913–17. http://dx.doi.org/10.2147/tcrm.s2390.

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31

Vather, Ryash, Rachel Josephson, Rebekah Jaung, Arman Kahokehr, Tarik Sammour, and Ian Bissett. "Gastrografin in Prolonged Postoperative Ileus." Annals of Surgery 262, no. 1 (July 2015): 23–30. http://dx.doi.org/10.1097/sla.0000000000001062.

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32

Harms, Bruce A., and Charles P. Heise. "Pharmacologic Management of Postoperative Ileus." Annals of Surgery 245, no. 3 (March 2007): 364–65. http://dx.doi.org/10.1097/01.sla.0000256394.97313.fb.

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33

Pavoor, Raghava, and Jeffrey Milsom. "Postoperative Ileus After Laparoscopic Colectomy." Annals of Surgery 254, no. 6 (December 2011): 1075. http://dx.doi.org/10.1097/sla.0b013e31823ac397.

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34

Kiran, Ravi P. "Postoperative Ileus After Laparoscopic Colectomy." Annals of Surgery 254, no. 6 (December 2011): 1075–76. http://dx.doi.org/10.1097/sla.0b013e31823ac5ef.

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35

Miedema, Brent W. "Postoperative ileus after laparoscopic colectomy." Journal of the American College of Surgeons 195, no. 6 (December 2002): 901. http://dx.doi.org/10.1016/s1072-7515(02)01493-x.

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36

Cheng, Guozhang, Christopher Cassissi, P. Greg Drexler, Stephen B. Vogel, Charles A. Sninsky, and Michael P. Hocking. "Salsalate, morphine, and postoperative ileus." American Journal of Surgery 171, no. 1 (January 1996): 85–89. http://dx.doi.org/10.1016/s0002-9610(99)80079-8.

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37

Behm, Brian, and Neil Stollman. "Postoperative ileus: Etiologies and interventions." Clinical Gastroenterology and Hepatology 1, no. 2 (March 2003): 71–80. http://dx.doi.org/10.1053/cgh.2003.50012.

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38

Schuster, Timothy G., and James E. Montie. "Postoperative ileus after abdominal surgery." Urology 59, no. 4 (April 2002): 465–71. http://dx.doi.org/10.1016/s0090-4295(01)01561-8.

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39

Cheng, G., C. Cassissi, PG Drexler, SB Vogel, CA Sninsky, and MP Hocking. "Salsalate, morphine, and postoperative ileus." Gastroenterology 108, no. 4 (April 1995): A1216. http://dx.doi.org/10.1016/0016-5085(95)29162-8.

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40

Cullen, J. J., J. C. Eagon, and K. A. Kelly. "Motilin levels during postoperative ileus." Gastroenterology 103, no. 4 (October 1992): 1382. http://dx.doi.org/10.1016/0016-5085(92)91577-q.

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41

Holte, K., and H. Kehlet. "Postoperative ileus: a preventable event." British Journal of Surgery 87, no. 11 (November 1, 2000): 1480–93. http://dx.doi.org/10.1046/j.1365-2168.2000.01595.x.

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42

Wehner, Sven, Tim O. Vilz, Burkhard Stoffels, and Joerg C. Kalff. "Immune mediators of postoperative ileus." Langenbeck's Archives of Surgery 397, no. 4 (March 2, 2012): 591–601. http://dx.doi.org/10.1007/s00423-012-0915-y.

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43

Person, Benjamin, and Steven D. Wexner. "The Management of Postoperative Ileus." Current Problems in Surgery 43, no. 1 (January 2006): 12–65. http://dx.doi.org/10.1067/j.cpsurg.2005.10.004.

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44

Basque, Jean-Rene, R. Gürlich, R. Frasco, P. Maruna, and I. Chachkhiani. "Postoperative Ileus after Laparoscopic Cholecystectomy." American Journal of Gastroenterology 100 (September 2005): S304. http://dx.doi.org/10.14309/00000434-200509001-00822.

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45

Greenwood-Van Meerveld, Beverley. "Emerging drugs for postoperative ileus." Expert Opinion on Emerging Drugs 12, no. 4 (November 2007): 619–26. http://dx.doi.org/10.1517/14728214.12.4.619.

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46

Doherty, Thomas J. "Postoperative Ileus: Pathogenesis and Treatment." Veterinary Clinics of North America: Equine Practice 25, no. 2 (August 2009): 351–62. http://dx.doi.org/10.1016/j.cveq.2009.04.011.

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47

Cowles, V. E., Y. R. Zhu, E. Herranz, E. Tekin, and R. E. Condon. "Adrenergic antagonists and postoperative ileus." Gastroenterology 99, no. 4 (October 1990): 1210. http://dx.doi.org/10.1016/0016-5085(90)90699-2.

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48

Tu, Chih-Peng, Chung-Hsin Tsai, Chia-Chi Tsai, Tung-Sun Huang, Shih-Ping Cheng, and Tsang-Pai Liu. "Postoperative Ileus in the Elderly." International Journal of Gerontology 8, no. 1 (March 2014): 1–5. http://dx.doi.org/10.1016/j.ijge.2013.08.002.

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49

Prawira, Mira Dewi, Made Agus Dwianthara Sueta, and Nyoman Golden. "Faktor risiko kejadian ileus paralitik patologis pasca laparotomi dengan reseksi dan anastomosis pada traktus gastrointestinal." Intisari Sains Medis 13, no. 3 (November 14, 2022): 635–39. http://dx.doi.org/10.15562/ism.v13i3.1549.

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Background: Postoperative paralytic ileus is a physiological response of the intestine to surgical stress. However, if this condition lasts more than 3 days, it is pathological. Some factors related to postoperative ileus have been identified, but the results are still confusing. This study aimed to identify risk factors of postoperative ileus following laparotomy for anastomosis and resection of the gastrointestinal tract at Prof. Dr. I.G.N.G. Ngoerah Hospital. Method: This was a retrospective cohort study between January 2019 until July 2020. The subjects were recruited consecutively, which included adult patients who had undergone laparotomic surgery with anastomosis and resection. Data was taken in Prof. Dr. I.G.N.G. Ngoerah Hospital until the needed samples were fulfilled. Data were analyzed using SPSS version 24 for Windows. Result: There were 50 subjects aged from 32 to 74 years old in this study. About 62% of subjects were female. Analysis showed a correlation between postoperative ileus occurrence and Age; it also correlates with the operation duration. Multivariate analysis found that patients aged 65 years and older have a 5.96 greater risk of developing postoperative ileus than younger patients (95% CI 1.55-22.99; p=0.010). This study also found that an operation lasting 180 minutes or more had a 6.14 greater risk of postoperative ileus than a shorter surgery duration (95% CI 1.57-24.05; p=0.009). Conclusion: Age over 65 years old and duration of operation more than 3 hours were associated with postoperative paralytic ileus in adult patients who had undergone laparotomy for anastomosis and resection of the gastrointestinal tract. Latar Belakang: Ileus paralitik pasca operasi merupakan sebuah respon fisiologis usus terhadap stress pembedahan. Namun ketika ileus yang terjadi berlangsung lebih dari 3 hari maka kondisi ini masuk dalam kondisi patologis. Beberapa faktor sudah diidentifikasi untuk memprediksi kejadian ileus post operasi namun hasilnya masih ambigu. Penelitian ini bertujuan mengetahui faktor risiko ileus paralitik patologis pasca operasi pada populasi pasien laparatomi reseksi dengan anastomosis di RSUP Prof. Dr. I.G.N.G. Ngoerah. Metode: Penelitian ini menggunakan pendekatan kohort retrospektif yang berlangsung sejak Januari 2019 hingga Juli 2020. Pengambilan data dilakukan dengan metode konsekutif sampling pada pasien dewasa. Pengambilan data dilakukan di RSUP Prof. Dr. I.G.N.G. Ngoerah sampai jumlah sampel terpenuhi. Data dianalisis dengan SPSS versi 24 untuk Windows. Hasil: Sebanyak 50 subjek diikutsertakan dalam penelitian ini dengan rentang usia 32 hingga 74 tahun. Sebanyak 62% adalah perempuan. Pada analisis ditemukan adanya hubungan usia dan durasi operasi dengan kejadian ileus post operasi. Pada analisis multivariat ditemukan bahwa usia di atas 65 tahun memiliki risiko mengalami ileus post operasi 5,96 kali lebih besar dibanding usia yang lebih muda (95% IK=1,55-22,99; p=0,010). Selain itu juga ditemukan operasi yang berlangsung selama 180 menit atau lebih memiliki risiko 6.14 kali lebih besar mengalami ileus post operasi dibanding durasi operasi yang lebih singkat (95% IK=1,57–24,05; p=0,009). Simpulan: Usia pasien di atas 65 tahun dan durasi operasi lebih dari 3 jam berhubungan dengan kejadian ileus paralitik patologis paska operasi pada pasien yang menjalani operasi laparotomi dengan reseksi dan anastomosis.
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50

Nguyen, Bob H., Olivia J. Bono, and James V. Bono. "Decreasing Incidence of Postoperative Ileus following Total Knee Arthroplasty: A 17-Year Retrospective Review of 38,007 Knee Replacements at One Institution." Journal of Knee Surgery 33, no. 08 (April 8, 2019): 750–53. http://dx.doi.org/10.1055/s-0039-1684013.

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AbstractIleus following total knee arthroplasty is a clinically and financially significant postoperative complication that has not been extensively described in the orthopaedic joint literature. Ileus has been found to occur in 0.7 to 4.0% of patients after total joint arthroplasty. In a 17-year period (2001 fiscal year through 2017 fiscal year) at one institution, we found an incidence of 0.500% (190/38,007) following knee arthroplasty. In addition, the incidence of ileus following total knee arthroplasty (TKA) has drastically declined over this 17-year period, from 1.593% (13/816) in 2001 to 0.120% (4/3,332) in 2017. This decrease may be attributed to a reduction in narcotic use postoperatively, earlier ambulation following surgery, and reduction in length of hospital stay. Though postoperative ileus is not yet a preventable complication, recognition of risk factors may permit earlier intervention to ameliorate some of the morbidity associated with this condition.
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