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Epidemiology, Etiopathogenesis, Diagnosis, and Treatment of Postoperative Paralytic Ileus in Intensive Care

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Abstract

The intestinal function is a primary determinant of the outcome of critically ill patients. The motility disorders of the digestive tract play a central role in reducing or delaying the normal and correct nutrient intake. An abnormal postoperative ileus extends the ICU or hospital lent of stay(LOS) and increases the costs. In order to correctly front the challenge of such a problem, it is necessary a thorough knowledge of anatomy, function, and physiopathology of the gastrointestinal tract. The pathogenesis of transit disorders is multifactorial: the description of the different contributions of these factors only allows a correct therapeutic approach. At the end of a wide description of the therapeutic opportunities, a multimodal approach to the problem is presented, according to the ERAS (Enhanced Recovery after Surgery) protocols.

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Authors and Affiliations

  1. Intensive Care Unit, IRCCS Policlinico San Donato, Piazza Malan 1, 20097, San Donato Milanese, Italy

    Marco Dei Poli

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  1. Marco Dei Poli
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Correspondence to Marco Dei Poli .

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Editors and Affiliations

  1. Istituto Nazionale dei Tumori, Milan, Italy

    Biagio Allaria

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Dei Poli, M. (2014). Epidemiology, Etiopathogenesis, Diagnosis, and Treatment of Postoperative Paralytic Ileus in Intensive Care. In: Allaria, B. (eds) Practical Issues in Anesthesia and Intensive Care 2013. Springer, Milano. https://doi.org/10.1007/978-88-470-5529-2_11

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  • DOI: https://doi.org/10.1007/978-88-470-5529-2_11

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5528-5

  • Online ISBN: 978-88-470-5529-2

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