World Journal of Surgery

, Volume 30, Issue 8, pp 1382–1391

Review of the Pathophysiology and Management of Postoperative Ileus


DOI: 10.1007/s00268-005-0613-9

Cite this article as:
Mattei, P. & Rombeau, J.L. World J. Surg. (2006) 30: 1382. doi:10.1007/s00268-005-0613-9


Investigations in the pathophysiology and treatment of postoperative ileus continue to evolve. Bowel rest is no longer a mandatory component of postoperative recovery. Tolerance of enteral nutrition and normalization of the abdominal examination are more accurate indications of the resolution of postoperative ileus than passage of flatus or first bowel movement. A multimodal "fast track" recovery approach incorporated into a clinical pathway provides a more rapid return of intestinal function and shortened hospital stay in patients undergoing major, uncomplicated gastrointestinal surgery.

Copyright information

© Société Internationale de Chirurgie 2006

Authors and Affiliations

  1. 1.Department of General, Thoracic and Fetal SurgeryChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.Department of Surgery, Division of Colon and Rectal SurgeryUniversity of Pennsylvania School of MedicinePhiladelphiaUSA