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Updated: May 27, 2026

Postoperative Ileus Murine Model
04:26

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Published on: July 12, 2024

Risk factors for postoperative ileus.

Aybala Agac Ay1, Suat Kutun, Haluk Ulucanlar

  • 1Department of General Surgery, Ankara Oncology Research and Training Hospital, Ankara, Turkey.

Journal of the Korean Surgical Society
|November 24, 2011
PubMed
Summary

Extended postoperative ileus, a common complication after abdominal surgery, is significantly influenced by factors like prolonged opioid use and excessive bowel manipulation. Prevention strategies are key to managing this condition effectively.

Keywords:
Abdominal surgeryIleusIntestinal complications

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08:49

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Published on: October 29, 2014

Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Clinical Research

Background:

  • Postoperative ileus (POI) is a common complication following abdominal surgery.
  • Delayed return of bowel function impacts patient recovery and hospital stay.
  • Effective prevention and management strategies for POI are crucial.

Purpose of the Study:

  • To investigate risk factors associated with extended postoperative ileus after abdominal surgery.
  • To discuss prevention and management techniques in relation to identified risk factors.

Main Methods:

  • Prospective study involving 103 patients undergoing abdominal surgery.
  • Evaluation of factors including age, gender, diagnosis, surgical type, bowel manipulation, opioid use, and systemic inflammation.
  • Prospective monitoring of intestinal motility restoration time.

Main Results:

  • Resection operation type, longer operative duration, extended opioid analgesic use, and prolonged nasogastric catheter use were associated with delayed bowel motility (≥3 days).
  • Systemic inflammation was also identified as a factor retarding gastrointestinal motility.
  • Factors like excessive small bowel manipulation were linked to prolonged recovery.

Conclusions:

  • Unnecessary analgesic use, excessive small bowel manipulation, and prolonged nasogastric catheter use negatively impact gastrointestinal motility.
  • Given the lack of definitive POI treatment, prevention is the most effective approach.
  • Focusing on identified risk factors can help mitigate the incidence and severity of POI.