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Postoperative ileus: impact of pharmacological treatment, laparoscopic surgery and enhanced recovery pathways.
World J Gastroenterol 2010; 16(17):2067-74WJ

Abstract

Almost all patients develop postoperative ileus (POI) after abdominal surgery. POI represents the single largest factor influencing length of stay (LOS) after bowel resection, and has great implications for patients and resource utilization in health care. New methods to treat and decrease the length of POI are therefore of great importance. During the past decade, a substantial amount of research has been performed evaluating POI, and great progress has been made in our understanding and treatment of POI. Laparoscopic procedures, enhanced recovery pathways and pharmacologic treatment have been introduced. Each factor has substantially contributed to decreasing the length of POI and thus LOS after bowel resection. This editorial outlines resource utilization of POI, normal physiology of gut motility and pathogenesis of POI. Pharmacological treatment, fast track protocols and laparoscopic surgery can each have significant impact on pathways causing POI. The optimal integration of these treatment options continues to be assessed in prospective studies.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Editorial
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

20440846

Citation

Augestad, Knut Magne, and Conor P. Delaney. "Postoperative Ileus: Impact of Pharmacological Treatment, Laparoscopic Surgery and Enhanced Recovery Pathways." World Journal of Gastroenterology, vol. 16, no. 17, 2010, pp. 2067-74.
Augestad KM, Delaney CP. Postoperative ileus: impact of pharmacological treatment, laparoscopic surgery and enhanced recovery pathways. World J Gastroenterol. 2010;16(17):2067-74.
Augestad, K. M., & Delaney, C. P. (2010). Postoperative ileus: impact of pharmacological treatment, laparoscopic surgery and enhanced recovery pathways. World Journal of Gastroenterology, 16(17), pp. 2067-74.
Augestad KM, Delaney CP. Postoperative Ileus: Impact of Pharmacological Treatment, Laparoscopic Surgery and Enhanced Recovery Pathways. World J Gastroenterol. 2010 May 7;16(17):2067-74. PubMed PMID: 20440846.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative ileus: impact of pharmacological treatment, laparoscopic surgery and enhanced recovery pathways. AU - Augestad,Knut Magne, AU - Delaney,Conor P, PY - 2010/5/5/entrez PY - 2010/5/5/pubmed PY - 2010/8/4/medline SP - 2067 EP - 74 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 16 IS - 17 N2 - Almost all patients develop postoperative ileus (POI) after abdominal surgery. POI represents the single largest factor influencing length of stay (LOS) after bowel resection, and has great implications for patients and resource utilization in health care. New methods to treat and decrease the length of POI are therefore of great importance. During the past decade, a substantial amount of research has been performed evaluating POI, and great progress has been made in our understanding and treatment of POI. Laparoscopic procedures, enhanced recovery pathways and pharmacologic treatment have been introduced. Each factor has substantially contributed to decreasing the length of POI and thus LOS after bowel resection. This editorial outlines resource utilization of POI, normal physiology of gut motility and pathogenesis of POI. Pharmacological treatment, fast track protocols and laparoscopic surgery can each have significant impact on pathways causing POI. The optimal integration of these treatment options continues to be assessed in prospective studies. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/20440846/Postoperative_ileus:_impact_of_pharmacological_treatment_laparoscopic_surgery_and_enhanced_recovery_pathways_ L2 - http://www.wjgnet.com/1007-9327/full/v16/i17/2067.htm DB - PRIME DP - Unbound Medicine ER -