Reducing the burden of postoperative ileus: evaluating and implementing an evidence-based strategy
Jeffrey F Barletta1, Anthony J Senagore
1Department of Pharmacy Practice, College of Pharmacy-Glendale, Midwestern University, 19555 N 59th Avenue, Glendale, AZ, 85308, USA, jbarle@midwestern.edu.
World Journal of Surgery
|April 1, 2014
Summary
Postoperative ileus (POI) significantly burdens healthcare. This review details evidence-based strategies for preventing and treating POI, focusing on implementation for improved patient outcomes and reduced hospital stay.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Health Services Research
Background:
- Postoperative ileus (POI) presents a substantial clinical and economic challenge.
- Despite advancements, the incidence of POI remains high.
- This review addresses interventions to mitigate POI's impact.
Purpose of the Study:
- To review interventions for preventing and treating postoperative ileus.
- To present a step-by-step implementation process for evidence-based strategies.
- To highlight factors influencing gastrointestinal recovery.
Main Methods:
- A comprehensive literature search was conducted using Medline/PubMed.
- Relevant articles on postoperative ileus were identified and reviewed.
- Bibliographies of retrieved articles were screened for additional sources.
Main Results:
- Gastrointestinal recovery is influenced by management, drug, and surgery-related factors.
- Several strategies can improve gastrointestinal recovery, but few reduce hospital stay.
- A structured approach considering preoperative, intraoperative, and postoperative phases is presented.
Conclusions:
- Postoperative ileus incurs significant clinical and economic costs.
- Multidisciplinary teams and multimodal protocols are recommended for POI management.
- Continuous quality assurance is vital for assessing local outcomes.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
917
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
917
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
1.3K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
1.3K
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
989
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
989
01:29Appendicitis-II: Diagnostic Studies and Management
936
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
936
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
1.1K
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
1.1K