title: [Treatment of postoperative impairment of gastrointestinal motility, cholangitis and pancreatitis].
abstract: Although the mortality associated with major hepatopancreaticobiliary surgery has continuously decreased during the last decades, the morbidity of these procedures remains high. Functional disturbances of normal gastrointestinal motility as well as inflammation and infections of surgically treated organs are frequent complications resulting in considerably prolonged lengths of stay in hospital and increased healthcare costs. This review article highlights the therapeutic approaches and recent developments in the treatment of delayed gastric emptying, prolonged postoperative ileus, postoperative cholangitis and pancreatitis after hepatopancreaticobiliary surgery. Current practice is discussed on the basis of recent results in basic and clinical research, review articles, meta-analyses and guidelines.
authors.affiliation: Klinik und Poliklinik für Allgemeine Chirurgie, Viszeral-, Thorax- und Gefäßchirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Deutschland, schulzet@uni-greifswald.de.
authors.forename: T
authors.initials: T
authors.lastname: Schulze
authors.forename: C-D
authors.initials: CD
authors.lastname: Heidecke
mesh_terms: D001660:Biliary Tract Diseases / Q000601:surgery*; D002761:Cholangitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D018589:Gastroparesis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D008107:Liver Diseases / Q000601:surgery*; D010182:Pancreatic Diseases / Q000601:surgery*; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011707:Pyloric Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D012307:Risk Factors