Physiological impact, clinical manifestations, and complications of postoperative ileus, and early postoperative small bowel obstruction

James I. Merlino, Conor P. Delaney, Anthony J. Senagore

Research output: Contribution to journalArticle

Abstract

The physiological impact and complications of postoperative ileus and postoperative bowel obstruction result primarily from the patient's nutritionally compromised state. Patients who fail to rapidly regain nutritional competence after surgery are susceptible to increasing malnutrition in the body's already stressed surgical state. Standard postoperative fluid and electrolyte management is adequate for minimal short-term nutritional requirements in postoperative patients; however, when return to oral intake is delayed, early consideration of nutritional supplementation with parenteral nutrition is essential. Patients with compromised nutritional states, especially the elderly and those with multiple comorbidities, are at increased risk for morbidity and mortality if they experience a sustained postoperative ileus or bowel obstruction. Early identification of patients at risk and prompt intervention with nutritional support can help maintain the body's proper homeostasis and prevent adverse consequences and complications associated with postoperative ileus and bowel obstruction.

Original languageEnglish (US)
Pages (from-to)207-210
Number of pages4
JournalSeminars in Colon and Rectal Surgery
Volume16
Issue number4
DOIs
StatePublished - Dec 2005
Externally publishedYes

Fingerprint

Ileus
Nutritional Requirements
Nutritional Support
Parenteral Nutrition
Malnutrition
Mental Competency
Electrolytes
Comorbidity
Homeostasis
Morbidity
Mortality

Keywords

  • Postoperative bowel obstruction
  • Postoperative ileus
  • Surgical complications
  • Surgical nutrition

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Physiological impact, clinical manifestations, and complications of postoperative ileus, and early postoperative small bowel obstruction. / Merlino, James I.; Delaney, Conor P.; Senagore, Anthony J.

In: Seminars in Colon and Rectal Surgery, Vol. 16, No. 4, 12.2005, p. 207-210.

Research output: Contribution to journalArticle

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