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Predictors of ileus following colorectal resections.
Am J Surg 2019AJ

Abstract

BACKGROUND

Ileus following colorectal surgery is a significant burden for healthcare and can be challenging to manage. This study aims to evaluate risk factors for postoperative ileus in patients undergoing colorectal surgery.

METHODS

Patients who underwent colorectal resections for any diagnosis were identified from our institutional database between 2009 and 2014. Patient demographics, pre-operative comorbidities, and operation-related variables were compared in patients with and without ileus within 30 days after surgery.

RESULTS

A total of 5369 patients were identified with a mean age of 53 years. 892 patients (16.6%) developed postoperative ileus. Males were twice as likely (p < 0.001) and patients with anastomosis were 1.4 times more likely to develop ileus compared to those without (p < 0.001). Laparoscopic surgery and younger age were associated with lower ileus risk. Patients with colorectal cancer, Crohn's disease, and ulcerative colitis diagnoses were all more likely to develop postoperative ileus compared to patients with diverticular disease.

CONCLUSIONS

Evaluation of factors such as male gender, older age, anastomosis formation, diagnosis of cancer and inflammatory bowel disease, can help facilitate earlier diagnosis of postoperative ileus and may require consideration of prophylactic therapy.

Authors+Show Affiliations

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Ohio, USA. Electronic address: gorgune@ccf.org.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31604485

Citation

Sapci, Ipek, et al. "Predictors of Ileus Following Colorectal Resections." American Journal of Surgery, 2019.
Sapci I, Hameed I, Ceylan A, et al. Predictors of ileus following colorectal resections. Am J Surg. 2019.
Sapci, I., Hameed, I., Ceylan, A., Oktem, A., Rencuzogullari, A., Hull, T. L., ... Gorgun, E. (2019). Predictors of ileus following colorectal resections. American Journal of Surgery, doi:10.1016/j.amjsurg.2019.10.002.
Sapci I, et al. Predictors of Ileus Following Colorectal Resections. Am J Surg. 2019 Oct 5; PubMed PMID: 31604485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of ileus following colorectal resections. AU - Sapci,Ipek, AU - Hameed,Irbaz, AU - Ceylan,Arda, AU - Oktem,Ayda, AU - Rencuzogullari,Ahmet, AU - Hull,Tracy L, AU - Liska,David, AU - Delaney,Conor P, AU - Gorgun,Emre, Y1 - 2019/10/05/ PY - 2019/06/29/received PY - 2019/10/03/revised PY - 2019/10/04/accepted PY - 2019/10/13/entrez KW - Colorectal surgery KW - Postoperative ileus KW - Risk factors JF - American journal of surgery JO - Am. J. Surg. N2 - BACKGROUND: Ileus following colorectal surgery is a significant burden for healthcare and can be challenging to manage. This study aims to evaluate risk factors for postoperative ileus in patients undergoing colorectal surgery. METHODS: Patients who underwent colorectal resections for any diagnosis were identified from our institutional database between 2009 and 2014. Patient demographics, pre-operative comorbidities, and operation-related variables were compared in patients with and without ileus within 30 days after surgery. RESULTS: A total of 5369 patients were identified with a mean age of 53 years. 892 patients (16.6%) developed postoperative ileus. Males were twice as likely (p < 0.001) and patients with anastomosis were 1.4 times more likely to develop ileus compared to those without (p < 0.001). Laparoscopic surgery and younger age were associated with lower ileus risk. Patients with colorectal cancer, Crohn's disease, and ulcerative colitis diagnoses were all more likely to develop postoperative ileus compared to patients with diverticular disease. CONCLUSIONS: Evaluation of factors such as male gender, older age, anastomosis formation, diagnosis of cancer and inflammatory bowel disease, can help facilitate earlier diagnosis of postoperative ileus and may require consideration of prophylactic therapy. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/31604485/Predictors_of_ileus_following_colorectal_resections L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(19)30893-1 DB - PRIME DP - Unbound Medicine ER -