J Korean Surg Soc.  2011 Oct;81(4):242-249. 10.4174/jkss.2011.81.4.242.

Risk factors for postoperative ileus

• Ay AA
• Kutun S
• Ulucanlar
• Tarcan O
• Demir A
• Cetin A

• KMID: 1445744
• DOI: http://doi.org/10.4174/jkss.2011.81.4.242

Abstract

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.

Keyword

Ileus; Abdominal surgery; Intestinal complications

MeSH Terms

Analgesics
Analgesics, Opioid
Catheters
Gastrointestinal Motility
Humans
Ileus
Inflammation
Intestine, Small
Light
Prospective Studies
Risk Factors
Analgesics
Analgesics, Opioid

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