Risk factors for postoperative ileus

Aybala Agac Ay; Suat Kutun; Haluk Ulucanlar; Oguz Tarcan; Abdullah Demir; Abdullah Cetin

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자료유형: 학술저널

저자정보: Aybala Agac Ay (Ankara Oncology Research and Training Hospital) Suat Kutun (Ankara Oncology Research and Training Hospital) Haluk Ulucanlar (Ankara Oncology Research and Training Hospital) Oguz Tarcan (Ankara Oncology Research and Training Hospital) Abdullah Demir (Ankara Oncology Research and Training Hospital) Abdullah Cetin (Ankara Oncology Research and Training Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.81 No.4

발행연도: 2011.10

수록면: 242 - 249 (8page)

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Purpose: This study aimed to examine extended postoperative ileus and its risk factors in patients who have undergone abdominal surgery, and discuss the techniques of prevention and management thereof the light of related risk factors connected with our study. Methods: This prospective study involved 103 patients who had undergone abdominal surgery. The effects of age, gender, diagnosis, surgical operation conducted, excessive small intestine manipulation, opioid analgesic usage time, and systemic inflammation on the time required for the restoration of intestinal motility were investigated. The parameters were investigated prospectively. Results: Regarding the factors that affected the restoration of gastrointestinal motility, resection operation type, longer operation period, longer opioid analgesics use period, longer nasogastric catheter use period, and the presence of systemic inflammation were shown to retard bowel motility for 3 days or more. Conclusion: Our study confirmed that unnecessary analgesics use in patients with pain tolerance with non-steroid anti-inflammatory drugs, excessive small bowel manipulation, prolonged nasogastric catheter use have a direct negative effect on gastrointestinal motility. Considering that an exact treatment for postoperative ileus has not yet been established, and in light of the risk factors mentioned above, we regard that prevention of postoperative ileus is the most effective way of coping with intestinal dysmotility.

#Ileus #Abdominal surgery #Intestinal complications

참고문헌 (22)

참고문헌 신청

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