Дисертації з теми "Postoperative ileus"
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Liss, Britta, and Josefina Wahlbeck. "Sjuksköterskans omvårdnadsåtgärder vid förebyggande av postoperativ ileus." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-26457.
Повний текст джерелаAbstract Background: Postoperative ileus is a serious complication, often due to pain relief medication or the inflammation of intestinal tissue. Bowel movements stop and the gastrointestinal tract ceases and the resulting symptoms are: severe abdominal pain, vomiting and tensioned abdomen. This result in pain, anxiety and long-term hospitalization for the patient. Aim: To describe nursing interventions which prevent postoperative ileus and describe the selection groups of included articles. Method: A literature study of descriptive design based on eleven articles, all of which take a quantitative approach. Main result: Nursing interventions such as; early oral fluid and food intake, chewing gum, mobilization, swing rocking chair, acupressure and nurse information have been shown to accelerate healing of the intestine and reduce the risk of postoperative ileus. Nursing interventions had best result relating to: bowel sound, bowel movement, defecation and tolerance of normal food. Conclusion: Nursing interventions have been shown effective in the prevention of postoperative ileus. Clear indications of intestinal recovery and postoperative paralysis recovery include first flatus, bowel sound, bowel movement and defecation, all of which are more likely to occur if the patient has had nursing intervention. Continuously acquiring knowledge through research enables nurses to perform professional care of high standard. It is the nurse's responsibility to carry out nursing interventions that prevent risks, reduce suffering and promote healing.
Apelqvist, Josefin, and Jennifer Dahlin. "Postoperativt ileus : En kartläggning av interventioner inom svensk kirurgisk vård." Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-157052.
Повний текст джерелаBackground: Postoperative ileus (POI) occurs as a normal reaction to all forms of surgery. POI is defined as a deviant pattern of gastrointestinal motility with characteristic symptoms such as nausea and vomiting, abdominal distension and lack of gas or stool. Postoperative ileus has been shown to affect the postoperative recovery in a negative way. Aim: The aim of this study was to investigate the current use of interventions aimed to reduce the duration time of postoperative ileus in Swedish surgical wards. Design: A cross-sectional study. Method: A web-based survey was administered to matrons at 86 surgical wards in five university hospitals in the mid- and south of Sweden. Results: In total, 21 wards responded. The knowledge about the meaning and management of POI was perceived as moderate to good. The most frequent used nursing intervention was mobilization, and the most common pharmacological action proposed was laxatives of various sorts. Conclusion: Both nursing and pharmacological interventions with various grades of evidence are used in Swedish surgical wards. There are indications of a need for education and implementation of science-based knowledge within the area of assessing and managing POI.
Olsson, Emma, and Ina Rasmusson. "Sjuksköterskors omvårdnadsåtgärder för främjandet av den gastrointestinala motiliteten i det postoperativa skedet : En litteraturstudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39319.
Повний текст джерелаDysfunction of the gastrointestinal motility in the post-operative stage is a complication that can be caused by surgical procedures. This can cause abdominal tension, nausea and pain that complicate an incomplete and rapid recovery after surgery. Dysfunction of gastrointestinal motility increases the risk of additional postoperative complications such as dehydration, electrolyte disruption and sepsis. As well as increasing the risk of reoperation and readmission in hospitals after discharge. Dysfunction of the gastrointestinal motility can lead to increased suffering for patients, create longer care times, bring higher hospital costs and increase the workload of healthcare professionals. Purpose: The purpose was to describe nursing care measures in dysfunction of the gastrointestinal motility to patients in the postoperative stage. Method: The study was conducted as a literature review with inductive approach. Result: The result was based on nine scientific articles with quantitative approaches. Based on the coding of opinion units from the scientific articles, four main categories emerged: Patient-related conversation, Mobilization, Diet and fluid intake and Stimulation of gastrointestinal motility. Conclusion: Nursing care measures were an important part of the prevention of the promotion of gastrointestinal motility in the postoperative stage, and improved the possibility of an earlier recovery for patients. Early intervention with nursing care measures for patients who have undergone surgery, it contributed to reduced suffering, shorter patient care times and reduced workload for healthcare professionals.
Klumpp, Anna-Maria. "Der Einfluß des vasoaktiven intestinalen Peptids auf den postoperativen Ileus bei der Ratte." [S.l. : s.n.], 2005. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB11878708.
Повний текст джерелаSedin, John. "Prevention of Postoperative Duodenal Ileus by COX-2 Inhibition Improves Duodenal Function in Anaesthetised Rats." Doctoral thesis, Uppsala universitet, Fysiologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-198049.
Повний текст джерелаПак, Василь Якович, Василий Яковлевич Пак, Vasyl Yakovych Pak, С. Я. Пак та Ю. В. Юрченко. "Рання післяопераційна спайкова непрохідність кишок". Thesis, Сумський державний університет, 2015. http://essuir.sumdu.edu.ua/handle/123456789/41975.
Повний текст джерелаBerdún, Marin Sergio. "Implication of mast cells, nerve growth factor and splanchnic nerves in postoperative ileus. Study in patients undergoing abdominal surgery and in a rat experimental model." Doctoral thesis, Universitat Autònoma de Barcelona, 2015. http://hdl.handle.net/10803/298178.
Повний текст джерелаPostoperative ileus (POI) is defined as a temporal cessation of propulsive gastrointestinal (GI) motility in patients undergoing abdominal surgery, especially those subjected to intestinal resection. Mast cell (MC) degranulation has been reported in patients undergoing abdominal surgery and in experimental models of POI. MC stabilizers or the use of MC-deficient mutant models point towards a role for MCs in POI, but the exact mechanisms involved remains unclear. Interactions between MCs and nerve endings or inflammatory mediators such as the nerve growth factor (NGF) may represent a key factor in POI pathogenesis. The aim of this work was to study POI in human patients by characterizing the activation of peritoneal mast cells (PMCs) in colorectal surgery. A part from that, we also aimed to explore the role of NGF antagonists on MCs and MC-nerve interactions in a rat model of POI. We firstly studied human POI. We evaluated MC protease release in peritoneal lavage (by means of ELISA) collected from patients undergoing laparoscopic and open colorectal surgery. In these patients we also studied MC density in colonic samples (by immunohistochemistry) and postoperative clinical recovery. Secondly, we set up a model of POI in rat to further explore the role of MCs. We evaluated the effect of pre-treatment with NGF receptor antagonist, K252a. In vitro effects of K252a were also evaluated on rat PMCs. Activation of dorsal root ganglia (DRG) in POI rat model was also characterized in a separate experiment in which the role of MCs was investigated using ketotifen (MC stabilizer) and compound 48/80 (C48/80, MC degranulator). Our study demonstrated release of MC proteases into peritoneal cavity after colorectal surgery. This protease release was observed only in patients with a subsequent delay of clinical recovery (those who developed POI). In our animal study we demonstrated that induction of POI by intestinal manipulation immediately evokes release of MC protease RMCP-6 in the peritoneal cavity. At 24h after intestinal manipulation, our model also presented delayed GI transit and increased expression of interleukin-6 (IL-6, RT-qPCR) and myeloperoxidase activity (MPO) in ileum samples. In contrast, density of intestinal MCs (immunohistochemistry and toluidine blue staining) and RMCP-2 and 6 gene expressions (RT-qPCR) in the ileum were unaltered in the animal POI model. K252a prevented PMC degranulation in vitro (β-hexosaminidase assay) and the release of RMCP-6 in the POI model. In addition, K252a attenuated IL-6 expression after intestinal manipulation and decreased basal peritoneal release of RMCP-2 and TrkA (NGF receptor) gene expression However, GI transit was not ameliorated after K252a treatment. Intestinal manipulation in the POI model also increased gene expression of calcitonin gene-related peptide, NGF, TrkA and protease-activated receptor-2 in somas of DRGs but these changes were not modulated by ketotifen or C48/80. In contrast, C48/80 did delay GI transit and induced up-regulation of IL-6 and MPO activity. Ketotifen also prevented delayed gastric emptying and the postoperative decrease of fecal output. To sum up, our results indicate that intestinal manipulation is associated with a local response of MCs in the peritoneal cavity. Intestinal manipulation delayed GI motility in vivo, induced intestinal inflammation and activated DRGs. K252a stabilized MCs and down-regulated IL-6 expression in the inflammatory response leading to POI. Our data also showed that MCs are involved in GI motility alteration and inflammation after intestinal manipulation. In contrast, activation of DRGs seems to be independent of MC activation based on our assessment using a pharmacological approach. We conclude that MCs participate in POI and that interactions between NGF, TrkA and PMCs may represent a target for treatment of POI or other MC-mediated diseases.
Guschlbauer, Maria [Verfasser]. "Influence of Lidocaine on the Equine Small Intestine Contractile Function after an Ischaemia and Reperfusion Injury: Effects and Mechanisms – Therapy of the Postoperative Paralytic Ileus in the Horse / Maria Guschlbauer." Hannover : Bibliothek der Tierärztlichen Hochschule Hannover, 2010. http://d-nb.info/100960385X/34.
Повний текст джерелаKuppinger, David. "Parenterale Aminosäurenzufuhr und postoperative Ileum-Proteinsynthese." Diss., lmu, 2010. http://nbn-resolving.de/urn:nbn:de:bvb:19-122016.
Повний текст джерелаStein, Kathy [Verfasser]. "Zelluläre und molekulare Mechanismen der Entzündungsauflösung im postoperativen Ileus / Kathy Stein." Bonn : Universitäts- und Landesbibliothek Bonn, 2015. http://d-nb.info/1080864520/34.
Повний текст джерелаKarlsson, Emma, and Moa Berglund. "Omvårdnadsåtgärder för att förebygga eller lindra postoperativ ileus : -en integrerad litteraturöversikt." Thesis, Luleå tekniska universitet, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-63335.
Повний текст джерелаMeile, Tobias. "Der Einfluss viszeraler afferenter Nervenfasern auf den postoperativen Ileus bei der Ratte." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=969057245.
Повний текст джерелаKlumpp, Anna-Maria. "Der Einfluss des vasoaktiven intestinalen Peptids auf den postoperativen Ileus der Ratte." [S.l.] : [s.n.], 2005. http://deposit.ddb.de/cgi-bin/dokserv?idn=975523104.
Повний текст джерелаMüller, Maren Bernadette [Verfasser]. "Einfluss der Docosahexaensäure und ihren Metaboliten auf den postoperativen Ileus / Maren Bernadette Müller." Bonn : Universitäts- und Landesbibliothek Bonn, 2021. http://d-nb.info/1231911107/34.
Повний текст джерелаChang, Johannes [Verfasser]. "Die Fragmentierung der Extrazellulären Matrix als lokaler Trigger für den postoperativen Ileus / Johannes Chang." Bonn : Universitäts- und Landesbibliothek Bonn, 2017. http://d-nb.info/1139118757/34.
Повний текст джерелаSträßer, Stefan [Verfasser]. "Makrophagenspezifische Inhibition des p38 MAP Kinase-Signalweges als neue Option zur Prophylaxe des postoperativen Ileus / Stefan Sträßer. Medizinische Fakultät." Bonn : Universitäts- und Landesbibliothek Bonn, 2011. http://d-nb.info/1016190646/34.
Повний текст джерелаBrandlhuber, Martina [Verfasser], and Martin [Akademischer Betreuer] Kreis. "Afferente Sensibilität und morphologische Charakterisierung des Dünndarms in der Frühphase des postoperativen Ileus bei der Maus / Martina Brandlhuber. Betreuer: Martin Kreis." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2015. http://d-nb.info/1078851883/34.
Повний текст джерелаGutweiler, Sebastian [Verfasser], and Daniel [Akademischer Betreuer] Engel. "CD103+CD11b+ dendritische Zellen, das Mikrobiom sowie im Dünn- und Dickdarm unterschiedliche Makrophagenpopulationen sind essenziell für einen murinen Postoperativen Ileus / Sebastian Gutweiler ; Betreuer: Daniel Engel." Duisburg, 2021. http://d-nb.info/1236501861/34.
Повний текст джерелаWohlgemuth, Krystiane [Verfasser]. "Bringt die Extraperitonealisierung der Ileum-Neoblase einen Vorteil bezüglich des peri- und postoperativen Outcomes im Vergleich zur transperitonealen Operationstechnik? / Krystiane Wohlgemuth." Ulm : Universität Ulm, 2016. http://d-nb.info/1111635226/34.
Повний текст джерелаDudi-Venkata, Nagendra Naidu. "The Role of Laxatives in Improving Recovery of Gastrointestinal Function after Colorectal Surgery." Thesis, 2021. https://hdl.handle.net/2440/134166.
Повний текст джерелаThesis (Ph.D.) -- University of Adelaide, Adelaide Medical School, 2021
SZU, SHU-YING, and 司淑英. "Exploring the Effects of Chewing Gum on Recovery from Postoperative Ileus after Colorectal Resection." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/92186285870118150870.
Повний текст джерела長榮大學
護理學系碩士班
104
Colorectal cancer is the first most common cancer in Taiwan and the surgical resection is currently the first choice to carry out the treatment on the disease. However, each patient who receives such surgery has to experience temporary disturbance in gastric and bowel motility and needs time of recovery flatus pass after surgery; this recovery period is also refered to postoperative ileus. The longer the postoperative ileus is, the more length of hospital stay will be, which will also increase medical costs. The aim of study was to explore the effectiveness of chewing gum on recovery from postoperative ileus after colorectal resection. An experimental and prospective single blinded study was conducted in a medical center and a regional teaching hospital in Southern Taiwan. Data were collected in gastrointestinal surgical wards. There were a total of 30 participants in a gum-chewing group and 30 patients in a control group participating in the study after written informed consent. Participants who were (1) aged 40-75 years old and diagnosed with colorectal cancer on stage I, II, or III and scheduled for open colorectal resection with only one bowel anastomosis; (2) conscious clear and able to communicate in either Chinese or Taiwanese; and (3) no nasogastric tube placed after surgery were recruited. Exclusion criteria included (1) the score of Karnofsky Scale on neither zero nor one; (2) receiving emergent surgery; (3) evidence showed intra-abdominal infection before operation by finding of abdomianl CT; (4) having a loop colostomy after surgery; (5) having an ileostomy after surgery; (6) experience of previous pelvic radiation therapy; and (7) jaw joint and chewing muscle dysfunction. Participants who agreed and provided written informed consent were assigned to either experimental group or control group. A total of 60 participants, 30 participants in each group, finished the study. The questionnaires included the Karnofsky Scale, the demographic characteristics of the colorectal resection patients, the surgery-related survey, and the bowel function survey. Participants experimental group received sugar-free chewing gum contains xylitol. The gum-chewing group was scheduled to chew gum for 15 minutes from the first postoperative day and 3 times a day (i.e. 9:00AM, 2:00PM and 7:00PM) and each of them had to carry out the chewing until his or her first flatus. The control group received routine postoperative care. All subjects in this study were calculated from their first pass flatus and first defecation. Data were analyzed using the SPSS 20.0 statistical software. Statistical methods included chi-square test, Fisher's exact test, independent t-test, Mann-Whitney U test, Spearman’s rank correlation coeffient, and ANCOVA analysis. Results showed that the first passage of flatus occurred on postoperative hour 39.13±15.66 in the gum-chewing group and on hour 52.92±21.97 in the control group (p = .004). The first defecation occurred on postoperative hour 54.55±18.90 in the gum-chewing group and on hour 77.98±34.59 in the control group (p = .025). There was significantly positive correlation that the first passage of flatus and the first defecation in both experimental group (rs=0.376; p=.02) and the control group (rs=0.533; p=.001). After adjusting operative time and ages, ANCOVA reveals that the first passage of flatus in the gum-chewing group was faster than control group ( p=.008), without affecting the first defecation (p=.073). In this study, no severe complications or side effects were caused by gum chewing in any patients. Based on the findings of this study, gum chewing, which is highly recommended to extend the experience to clinical application, is a safe and cheap intervention to reduce postoperative ileus after colorectal resection.
Gurgui, Mihaela [Verfasser]. "Proinflammatory action of sphingolipids in primary cultured rat intestinal smooth muscle cells : implications for postoperative- and sepsis-induced ileus / vorgelegt von Mihaela Gurgui." 2007. http://d-nb.info/98421884X/34.
Повний текст джерелаKuppinger, David [Verfasser]. "Parenterale Aminosäurenzufuhr und postoperative Ileum-Proteinsynthese / vorgelegt von David Kuppinger." 2010. http://d-nb.info/1008447102/34.
Повний текст джерелаMeile, Tobias [Verfasser]. "Der Einfluß viszeraler afferenter Nervenfasern auf den postoperativen Ileus bei der Ratte / vorgelegt von Tobias Meile." 2003. http://d-nb.info/969057245/34.
Повний текст джерелаKlumpp, Anna-Maria [Verfasser]. "Der Einfluß des vasoaktiven intestinalen Peptids auf den postoperativen Ileus der Ratte / vorgelegt von Anna-Maria Klumpp." 2005. http://d-nb.info/975523104/34.
Повний текст джерелаKampitoglou, Dimitrios [Verfasser]. "Aktivierung vagaler Hirnstammnervenkerne und extrinsischer afferenter Nervenfasern nach selektiver COX-2-Inhibition während des postoperativen Ileus bei der Maus / vorgelegt von Dimitrios Kampitoglou." 2007. http://d-nb.info/986972924/34.
Повний текст джерела