Current therapies to shorten postoperative ileus

Cleve Clin J Med. 2009 Nov;76(11):641-8. doi: 10.3949/ccjm.76a.09051.

Abstract

Postoperative ileus delays hospital discharge, increases costs, and contributes to adverse outcomes. A variety of neural and chemical factors are involved. To shorten the duration of postoperative ileus, we may need to establish standard plans of care that favor earlier feeding, use of nasogastric tubes only on a selective basis, and prokinetic drugs as needed.

Publication types

  • Review

MeSH terms

  • Analgesia, Epidural
  • Analgesics, Opioid / adverse effects
  • Animals
  • Chewing Gum
  • Colonic Pseudo-Obstruction / diagnosis
  • Colonic Pseudo-Obstruction / etiology
  • Colonic Pseudo-Obstruction / prevention & control
  • Combined Modality Therapy
  • Enteral Nutrition
  • Gastrointestinal Motility / drug effects
  • Gastrointestinal Motility / physiology
  • Gastroparesis / diagnosis
  • Gastroparesis / etiology
  • Gastroparesis / prevention & control
  • Gastroscopy
  • Humans
  • Ileus / diagnosis
  • Ileus / drug therapy
  • Ileus / etiology
  • Ileus / prevention & control*
  • Intubation, Gastrointestinal / adverse effects
  • Laparoscopy
  • Parasympathetic Nervous System / physiopathology
  • Postoperative Care / methods*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / drug therapy
  • Postoperative Complications / prevention & control*
  • Risk Factors
  • Sympathetic Nervous System / physiopathology
  • Time Factors

Substances

  • Analgesics, Opioid
  • Chewing Gum