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Journal of Gastrointestinal Surgery

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01-09-2015 | Original Article

Postoperative Ileus—More than Just Prolonged Length of Stay?

Authors: Sarah E. Tevis, Evie H. Carchman, Eugene F. Foley, Bruce A. Harms, Charles P. Heise, Gregory D. Kennedy

Published in: Journal of Gastrointestinal Surgery | Issue 9/2015

Abstract

Purpose

Given that postoperative ileus is common in colectomy patients, we sought to examine the association of ileus with adverse events in this patient population.

Methods

The ACS NSQIP puf file from 2012 to 2013 was queried for non-emergent colectomy cases. Predictors of other poor postoperative outcomes in patients who experienced postoperative ileus were assessed using chi-squared and multivariable regression analyses. Chi-squared analysis was used to assess for additive effects of ileus and other postoperative complications on mortality. p Values <0.05 were considered significant.

Results

We identified 32,392 patients who underwent non-emergent colectomy. Longer length of stay, higher complication, reoperation, readmission, and mortality rates were identified in patients with ileus (p < 0.001 for all). Overall, 59 % of patients with ileus had at least one adverse outcome, compared with 25 % of patients without ileus (p < 0.001). Patients who developed ileus in the absence of other complications had an identical mortality rate to patients without ileus (1 %). Additional complications led to incremental increases in mortality rates.

Conclusions

Patients with ileus and multiple complications are at significantly increased risk for adverse outcomes. Older patients with more comorbidity were found to be at risk for adverse outcomes in addition to ileus, begging the question of whether these patients may benefit from preoperative optimization.

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Title: Postoperative Ileus—More than Just Prolonged Length of Stay?
Authors: Sarah E. Tevis
Evie H. Carchman
Eugene F. Foley
Bruce A. Harms
Charles P. Heise
Gregory D. Kennedy
Publication date: 01-09-2015
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 9/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-015-2877-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postoperative Ileus—More than Just Prolonged Length of Stay?

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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