Related Experiment Videos
[Postoperative ileus: part II (Clinical therapy)].
M E Kreis1, M S Kasparek, H D Becker
1Klinik für Allgemeine Chirurgie, Viszeral- und Transplantationschirurgie, Universität Tübingen. martin.kreis@uni-tuebingen.de
Zentralblatt Fur Chirurgie
|April 18, 2003
Summary
Minimizing surgical trauma and using epidural anesthesia can reduce postoperative ileus. Early feeding and specific medications further aid gastrointestinal motility recovery after surgery.
Area of Science:
- Gastroenterology
- Anesthesiology
- Surgical Oncology
Context:
- Postoperative ileus is a common complication following abdominal surgery, leading to prolonged hospital stays.
- Current management strategies focus on minimizing surgical stress and managing symptoms.
Purpose:
- To review and synthesize current evidence on preventing and managing postoperative ileus.
- To highlight the role of multimodal approaches including anesthesia, pain management, and early feeding.
Summary:
- Minimizing operative trauma, utilizing epidural anesthesia or intravenous lidocaine, and perioperative fluid restriction are key preventive measures.
- Replacing opioids with non-steroidal anti-inflammatory drugs (NSAIDs) and early postoperative oral intake enhance gastrointestinal motility recovery.
- Treatment involves osmotic laxatives, prokinetic agents (e.g., erythromycin, acetylcholinesterase inhibitors), and patient education.
Impact:
- Optimizing the management of postoperative ileus can significantly reduce patient morbidity and length of hospital stay.
- Further research into novel prokinetic drugs with improved side-effect profiles is warranted to enhance treatment efficacy.