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Review of the Pathophysiology and Management of Postoperative Ileus

World Journal of Surgery volume 30, pages 1382–1391 (2006)Cite this article

Abstract

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.

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Affiliations

  1. Department of General, Thoracic and Fetal Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Peter Mattei MD

  2. Department of Surgery, Division of Colon and Rectal Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    John L. Rombeau MD

Authors
  1. Peter Mattei MD
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  2. John L. Rombeau MD
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Correspondence to John L. Rombeau MD.

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Mattei, P., Rombeau, J.L. Review of the Pathophysiology and Management of Postoperative Ileus. World J. Surg. 30, 1382–1391 (2006). https://doi.org/10.1007/s00268-005-0613-9

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  • DOI: https://doi.org/10.1007/s00268-005-0613-9

Keywords

  • Ketorolac
  • Postoperative Ileus
  • Bowel Motility
  • Alvimopan
  • Bowel Rest