Current therapies to shorten postoperative ileus.
Postoperative ileus delays hospital discharge, increases costs, and contributes to adverse outcomes. A variety of neural and chemical factors are involved. To shorten the duration of postoperative ileus, we may need to establish standard plans of care that favor earlier feeding, use of nasogastric tubes only on a selective basis, and prokinetic drugs as needed.
Johnson
Michael D
MD
Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Walsh
R Matthew
RM
D015360:Analgesia, Epidural; D000701:Analgesics, Opioid / Q000009:adverse effects; D000818:Animals; D002638:Chewing Gum; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D003131:Combined Modality Therapy; D004750:Enteral Nutrition; D005769:Gastrointestinal Motility / Q000187:drug effects / Q000502:physiology; D018589:Gastroparesis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D005773:Gastroscopy; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D010535:Laparoscopy; D010275:Parasympathetic Nervous System / Q000503:physiopathology; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control*; D012307:Risk Factors; D013564:Sympathetic Nervous System / Q000503:physiopathology; D013997:Time Factors
D000701:Analgesics, Opioid; D002638:Chewing Gum