Impact of preoperative defecation pattern on postoperative constipation for patients undergoing cardiac surgery

İyigün, Emine; Ayhan, Hatice; Demircapar, Aslı; Taştan, Sevinç

doi:10.1111/jocn.13473

Cited by 7 publications

(10 citation statements)

References 20 publications

(42 reference statements)

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“…Preoperative Fiber and Bowel Function defecation patterns leaning toward constipation played a role in postoperative constipation. 7 This finding is also supported in the urogynecology literature in a study by Muñiz et al, 6 which found that surgical patients with preoperative obstructive defecation syndrome were more likely to experience postoperative obstructive defecation-type constipation. Preoperative interventions in these patients may be of benefit and could be an area for future research.…”

Section: Discussionmentioning

confidence: 59%

“…Among the women with preexisting constipation, as determined by our constipation score, there was an observed association with a delay in return to BM. A study of cardiac surgery patients also found that preoperative defecation patterns leaning toward constipation played a role in postoperative constipation 7 . This finding is also supported in the urogynecology literature in a study by Muñiz et al, 6 which found that surgical patients with preoperative obstructive defecation syndrome were more likely to experience postoperative obstructive defecation–type constipation.…”

Section: Discussionmentioning

confidence: 67%

“…Preoperative defecation patterns can be a factor in the development of postoperative constipation. 6,7 We are not aware of any studies looking at the effect of preoperative intervention on postoperative bowel function, particularly the use of preoperative fiber supplementation.…”

mentioning

confidence: 99%

“…Postoperative constipation is a multifactorial process, and an alternative approach involves consideration of the preoperative period. Preoperative defecation patterns can be a factor in the development of postoperative constipation 6,7 . We are not aware of any studies looking at the effect of preoperative intervention on postoperative bowel function, particularly the use of preoperative fiber supplementation.…”

mentioning

confidence: 99%

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The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial

Maheshwari

Hall

Jia

et al. 2022

Female Pelvic Med Reconstr Surg

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Importance There are limited studies evaluating the effect of preoperative interventions on postoperative bowel function after prolapse surgery. Objective The objective of this study was to evaluate if preoperative fiber intake reduces time to first bowel movement after surgery for pelvic organ prolapse. Study Design We performed a randomized controlled trial of women undergoing pelvic organ prolapse surgery between July 2019 and May 2021. Participants were recruited at their preoperative visit and randomized to receive either 3.4 g psyllium fiber supplementation twice a day for 1 week before surgery or no fiber supplementation before surgery. Postoperative bowel regimen was standardized for both groups. Participants completed a bowel diary for their first postoperative bowel movement after surgery characterized by the Bristol Stool Scale and any associated pain or urgency. The primary outcome was time to first bowel movement. Secondary outcomes included pain associated with first bowel movement. Results Eighty-four patients were enrolled in the study. Seventy-one patients had complete data for primary analysis, with 35 patients in the intervention group and 36 patients in the control group. Demographic and perioperative characteristics were similar between the groups. There was no difference found between the groups with respect to time to first bowel movement (control: 68.3 [SD, 25] hours vs intervention: 66.5 [SD, 23] hours, P = 0.749). There was no difference found with pain associated with first bowel movement (visual analog scale median [interquartile range] control: 2.0 [0.0–4.0] vs intervention: 2.0 [1.0–4.0]; P = 0.655). Conclusions Preoperative fiber supplementation before prolapse surgery does not improve time to first bowel movement after surgery.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 67%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial

Maheshwari

Hall

Jia

et al. 2022

Female Pelvic Med Reconstr Surg

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“…The system does not currently have a manner to document preadmission bowel patterns experienced by the patient. 6,7,17 Therefore, an assumption must be made that the patient is constipated at the 3-day mark. Unfortunately, this makes it difficult to determine whether the patient's lack of bowel movement is due to opioid therapy or is routine for that patient.…”

Section: Limitationsmentioning

confidence: 99%

Reducing Opioid-Induced Constipation Post-Cardiac Surgery

Rodrigues

Lofton

Tume

et al. 2022

Journal of Nursing Care Quality

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Background: Pain management with opioids and underutilization of prophylaxis for constipation can prolong a patient's hospital length of stay and impede pain management efforts. Problem: In pediatric postoperative cardiac patients, opioid therapy is a common approach to pain management but often places them at greater risk for constipation due to anatomy and age. Methods: A retrospective review of 50 patients' medical records for baseline data was conducted, and a survey evaluated providers' current knowledge and practice. Interventions: The intervention was an electronic order set that provided decision support. Additionally, prophylactic measures were supported by a validated assessment tool that created a common language to report constipation risk. Results: Although not statistically significant, postintervention data demonstrated a 21.5% decrease in postoperative constipation and a 57% increase in ordered bowel regimens. Conclusion: More focus is needed toward prophylactic bowel regimens to reduce the risk in this already high-risk population.

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Obstructed defecation syndrome in the first week after pelvic reconstructive surgery

et al. 2022

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Impact of preoperative defecation pattern on postoperative constipation for patients undergoing cardiac surgery

Abstract: During the preoperative period, clinical nurses may evaluate the patients' defecation patterns using valid and reliable scales and follow the defecation of the patients, especially patients with defecation problems, during the postoperative period.

Cited by 7 publications

References 20 publications

The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial

The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial

Reducing Opioid-Induced Constipation Post-Cardiac Surgery

Obstructed defecation syndrome in the first week after pelvic reconstructive surgery

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