Risk factors for postoperative ileus.
10.4174/jkss.2011.81.4.242
- Author:
Aybala Agac AY
1
;
Suat KUTUN
;
Haluk ULUCANLAR
;
Oguz TARCAN
;
Abdullah DEMIR
;
Abdullah CETIN
Author Information
1. Department of General Surgery, Ankara Oncology Research and Training Hospital, Ankara, Turkey. draybala.a@gmail.com
- Publication Type:Original Article
- Keywords:
Ileus;
Abdominal surgery;
Intestinal complications
- MeSH:
Analgesics;
Analgesics, Opioid;
Catheters;
Gastrointestinal Motility;
Humans;
Ileus;
Inflammation;
Intestine, Small;
Light;
Prospective Studies;
Risk Factors
- From:Journal of the Korean Surgical Society
2011;81(4):242-249
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to examine extended postoperative ileus and its risk factors in patients who have undergone abdominal surgery, and discuss the techniques of prevention and management thereof the light of related risk factors connected with our study. METHODS: This prospective study involved 103 patients who had undergone abdominal surgery. The effects of age, gender, diagnosis, surgical operation conducted, excessive small intestine manipulation, opioid analgesic usage time, and systemic inflammation on the time required for the restoration of intestinal motility were investigated. The parameters were investigated prospectively. RESULTS: Regarding the factors that affected the restoration of gastrointestinal motility, resection operation type, longer operation period, longer opioid analgesics use period, longer nasogastric catheter use period, and the presence of systemic inflammation were shown to retard bowel motility for 3 days or more. CONCLUSION: Our study confirmed that unnecessary analgesics use in patients with pain tolerance with non-steroid anti-inflammatory drugs, excessive small bowel manipulation, prolonged nasogastric catheter use have a direct negative effect on gastrointestinal motility. Considering that an exact treatment for postoperative ileus has not yet been established, and in light of the risk factors mentioned above, we regard that prevention of postoperative ileus is the most effective way of coping with intestinal dysmotility.
