Postoperative ileus (POI) is one of the most common postoperative complications and a major concern for surgeons, as well as the medical consultants, because it significantly increases length of stay, healthcare expenditures, and postoperative morbidity. Over the last two decades there has been considerable research dedicated to identifying risk factors, prevention methods, and treatment options for POI. Fast track or enhanced recovery protocols have emerged as preferred interventions to minimize postoperative complications, POI included. These fast track and enhanced recovery protocols employ multiple evidence-based approaches that have been shown to independently reduce POI incidence. There are limited available treatments, however, once POI has occurred.
KeywordsPostoperative ileus Gastrointestinal dysmotility
Lauge Sokol-Hessner, MD. Hospital Medicine Program, Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center.
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