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

作     者：Knut Magne Augestad Conor P Delaney 

作者机构：Division of Colorectal SurgeryUniversity Hospitals Case Medical CenterClevelandOH 44106-5047United States Department of Digestive SurgeryTelemedicine and Integrated CareUniversity Hospital North Norway9037 TromsφNorway 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2010年第16卷第17期

页      面：2067-2074页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by North Norwegian Health Authorities Research Fund 

主　　题：Postoperative ileus Pathophysiology Cost utilization Pharmacologic treatment Laparoscopic surgery Enhanced recovery pathways 

摘      要：Almost all patients develop postoperative ileus (POI) after abdominal *** represents the single largest factor influencing length of stay (LOS) after bowel resection,and has great implications for patients and resource utilization in health *** methods to treat and decrease the length of POI are therefore of great *** 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 *** procedures,enhanced recovery pathways and pharmacologic treatment have been *** factor has substantially contributed to decreasing the length of POI and thus LOS after bowel *** editorial outlines resource utilization of POI,normal physiology of gut motility and pathogenesis of *** treatment,fast track protocols and laparoscopic surgery can each have significant impact on pathways causing *** optimal integration of these treatment options continues to be assessed in prospective studies.