Postoperative ileus

Köninger, Jörg; Gutt, Carsten N.; Mn, Wente; Frieß, Helmut; Martin, Eike; Mw, Büchler

doi:10.1007/s00104-006-1234-z

Cited by 8 publications

(1 citation statement)

References 40 publications

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“…The proposed mechanism is that laparoscopy minimizes the degree of trauma and is associated with less release of endogenous mediators of postoperative ileus [35]. Another effort to ameliorate postoperative ileus is the use of motility stimulators such as cisaperide.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Efficacy of Gum Chewing for the Amelioration of Postoperative Ileus

et al. 2008

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Background: Recent trials have shown promising results for the efficacy of gum chewing for the amelioration of postoperative ileus. This finding could have a major clinical impact since gum chewing is relatively harmless and cheap while postoperative ileus has a significant impact on healthcare. Methods: Systematic review and meta-analysis of randomized controlled trials comparing the efficacy of gum chewing after colorectal surgery to a standard control for the amelioration of postoperative ileus, expressed as time to flatus, time to defecation and overall hospital stay. Results: Five randomized controlled trials with a total number of 158 patients were found. The studies were homogeneous and a meta-analysis was performed. The pooled weighted mean difference (WMD) of time to flatus was significantly shorter for the gum-chewing group (20 h with a 95% confidence interval (CI) of 13–27). The pooled WMD of time to defecation was significantly shorter (29 h, 95% CI of 19–39). There was a non-significant trend towards a shorter postoperative hospital stay (1.3 days shorter, 95% CI of 3.2 days shorter to 0.6 days longer). Conclusion: This meta-analysis shows a favorable effect of gum chewing on time to flatus and defecation but no significant effect on the hospital stay.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Efficacy of Gum Chewing for the Amelioration of Postoperative Ileus

et al. 2008

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The impact of old age on surgical outcomes of totally laparoscopic gastrectomy for gastric cancer

Kim

et al. 2013

Surg Endosc

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The results of this study demonstrated that old age can have an effect on the surgical outcomes of totally laparoscopic gastrectomy. This study especially showed that elderly patients are affected by the return of bowel movement after totally laparoscopic gastrectomy. On the other hand, however, it is presumed that old age has not had a serious impact on surgical outcomes in totally laparoscopic gastrectomy because no difference in the severe postoperative complication rate was observed.

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