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Postoperative Ileus: Prevention and Treatment

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The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

Abstract

Postoperative ileus (POI) is a transitory cessation of normal bowel activity. It is arguably the most frequent complication after digestive surgery; all the more surprising then to discover that the prevention and treatment of POI still pose many problems and not much progress has been made over the years in reducing its incidence and impact. Besides the clinical impact, POI has a tremendous socioeconomic impact. It prolongs hospital stay by as much as 5 days and increases costs by about 8000 USD per patient. Furthermore POI appears to be the most frequent reasons for prolonged hospital stay and readmission after initial hospital stay. The problem begins with the lack of a standard definition of POI. Vather et al. performed a systematic review of publications that included POI as primary endpoint. In a second step, an online survey informed opinion leaders of the variable definitions of POI identified in the review, in an attempt to come to standardized definitions. The most important finding from the review was that definitions were extremely variable and sometimes contradictory.

The original version of this chapter was revised: A credit line has been added to the caption of Figure 12.1 . The erratum to this chapter is available at: DOI 10.1007/978-3-319-20364-5_30

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-20364-5_30

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Author information

Authors and Affiliations

  1. Department of Visceral Surgery, University Hospital Lausanne, Lausanne, Switzerland

    Martin Hübner M.D.

  2. Department of Anaesthesia and Perioperative Medicine, Royal Surrey County Hospital NHS Foundation Trust, Surrey, Surrey, Guildford, UK

    Michael Scott M.B.B.S., M.R.C.P., F.R.C.A.

  3. Surrey Periop-erative Anesthesia Critical Care Research Group (SPACeR), University of Surrey, Guildford, UK

    Michael Scott M.B.B.S., M.R.C.P., F.R.C.A.

  4. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA

    Bradley Champagne M.D.

Authors
  1. Martin Hübner M.D.
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  2. Michael Scott M.B.B.S., M.R.C.P., F.R.C.A.
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  3. Bradley Champagne M.D.
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Corresponding author

Correspondence to Michael Scott M.B.B.S., M.R.C.P., F.R.C.A. .

Editor information

Editors and Affiliations

  1. Division of General Surgery Steinberg-Bernstein Chair in Minimally Invasive Surgery and Innovation, McGill University, Health Centre, Montreal, Québec, Canada

    Liane S. Feldman

  2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

  3. Faculty of Medicine and Health School of Health and Medical Sciences, Department of Surgery Örebro University Örebro; Affiliated Professor of Surgery Metabolism and Nutrition, Karolinska Institute, Stockholm, Sweden

    Olle Ljungqvist

  4. Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Québec, Canada

    Francesco Carli

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Hübner, M., Scott, M., Champagne, B. (2015). Postoperative Ileus: Prevention and Treatment. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-20364-5_12

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

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