BACKGROUND: This study evaluated the incidence and risk factors for prolonged ileus in patients undergoing elective colon resection. METHODS: Retrospective data were obtained in patients undergoing open colectomy with or without epidural analgesia and laparoscopic colectomy at a university-affiliated Veterans hospital. The incidence and risk factors of prolonged ileus as defined by no bowel movement before postoperative day 7 or placement of a nasogastric tube because of vomiting or abdominal distension were analyzed. RESULTS: Incidence of prolonged ileus was 15.2%, 22.4%, and 16.7% in epidural (92 patients), nonepidural (107 patients), and laparoscopic colectomy (48 patients), respectively (P = .39). Higher age, American Society of Anesthesiologists scores, and number of comorbidities, and lower postoperative potassium level were associated with the development of prolonged ileus. CONCLUSIONS: The incidence of prolonged ileus was similar in the 3 groups studied. However, the epidural and laparoscopic groups experienced earlier return of bowel function and toleration of diet than the nonepidural group. Published by Elsevier Inc.
BACKGROUND: This study evaluated the incidence and risk factors for prolonged ileus in patients undergoing elective colon resection. METHODS: Retrospective data were obtained in patients undergoing open colectomy with or without epidural analgesia and laparoscopic colectomy at a university-affiliated Veterans hospital. The incidence and risk factors of prolonged ileus as defined by no bowel movement before postoperative day 7 or placement of a nasogastric tube because of vomiting or abdominal distension were analyzed. RESULTS: Incidence of prolonged ileus was 15.2%, 22.4%, and 16.7% in epidural (92 patients), nonepidural (107 patients), and laparoscopic colectomy (48 patients), respectively (P = .39). Higher age, American Society of Anesthesiologists scores, and number of comorbidities, and lower postoperative potassium level were associated with the development of prolonged ileus. CONCLUSIONS: The incidence of prolonged ileus was similar in the 3 groups studied. However, the epidural and laparoscopic groups experienced earlier return of bowel function and toleration of diet than the nonepidural group. Published by Elsevier Inc.
Authors: Andrea Carolina Quiroga-Centeno; Kihara Alejandra Jerez-Torra; Pedro Antonio Martin-Mojica; Sergio Andrés Castañeda-Alfonso; María Emma Castillo-Sánchez; Oscar Fernando Calvo-Corredor; Sergio Alejandro Gómez-Ochoa Journal: World J Surg Date: 2020-05 Impact factor: 3.352
Authors: Wenquan Liang; Jiyang Li; Wang Zhang; Jie Liu; Mingsen Li; Yunhe Gao; Ning Wang; Jianxin Cui; Kecheng Zhang; Hongqing Xi; Bo Wei; Lin Chen Journal: Cancer Med Date: 2019-08-05 Impact factor: 4.452