Postoperative ileus: Impact of pharmacological treatment,laparoscopic surgery and enhanced recovery pathways

查看全文 作　　者：Knut Magne [1,2]Augestad;Conor P [1]Delaney 机构地区：[1]Division of Colorectal Surgery,University Hospitals Case Medical Center,Cleveland,OH 44106-5047,United States;[2]Department of Digestive Surgery,Telemedicine and Integrated Care,University Hospital North Norway,9037 Tromsφ,Norway 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第17期,共8页 基　　金：Supported by North Norwegian Health Authorities Research Fund 摘　　要：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. 关 键 词：Postoperative ileus PATHOPHYSIOLOGY Cost utilization Pharmacologic treatment Laparoscopic surgery Enhanced recovery pathways