Ileus risk factors: Difference between revisions
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Common risk factors in the development of iuleus include:<ref name="pmid26589763">{{cite journal |vauthors=Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H |title=Relapse of ileus in patients with psychiatric disorders: A 2-year chart review |journal=Gen Hosp Psychiatry |volume=38 |issue= |pages=31–6 |year=2016 |pmid=26589763 |doi=10.1016/j.genhosppsych.2015.09.003 |url=}}</ref><ref name="pmid25343532">{{cite journal |vauthors=Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ |title=A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis |journal=Exp Clin Transplant |volume=13 |issue=6 |pages=588–92 |year=2015 |pmid=25343532 |doi=10.6002/ect.2014.0036 |url=}}</ref><ref name="pmid21233608">{{cite journal |vauthors=Kronberg U, Kiran RP, Soliman MS, Hammel JP, Galway U, Coffey JC, Fazio VW |title=A characterization of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score |journal=Ann. Surg. |volume=253 |issue=1 |pages=78–81 |year=2011 |pmid=21233608 |doi=10.1097/SLA.0b013e3181fcb83e |url=}}</ref><ref name="pmid7710343">{{cite journal |vauthors=Böhm B, Milsom JW, Fazio VW |title=Postoperative intestinal motility following conventional and laparoscopic intestinal surgery |journal=Arch Surg |volume=130 |issue=4 |pages=415–9 |year=1995 |pmid=7710343 |doi= |url=}}</ref><ref name="pmid16145376">{{cite journal |vauthors=Hollenbeck BK, Miller DC, Taub D, Dunn RL, Khuri SF, Henderson WG, Montie JE, Underwood W, Wei JT |title=Identifying risk factors for potentially avoidable complications following radical cystectomy |journal=J. Urol. |volume=174 |issue=4 Pt 1 |pages=1231–7; discussion 1237 |year=2005 |pmid=16145376 |doi= |url=}}</ref><ref name="pmid20472264">{{cite journal |vauthors=Svatek RS, Fisher MB, Williams MB, Matin SF, Kamat AM, Grossman HB, Nogueras-González GM, Urbauer DL, Dinney CP |title=Age and body mass index are independent risk factors for the development of postoperative paralytic ileus after radical cystectomy |journal=Urology |volume=76 |issue=6 |pages=1419–24 |year=2010 |pmid=20472264 |doi=10.1016/j.urology.2010.02.053 |url=}}</ref> | Common risk factors in the development of iuleus include:<ref name="pmid26589763">{{cite journal |vauthors=Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H |title=Relapse of ileus in patients with psychiatric disorders: A 2-year chart review |journal=Gen Hosp Psychiatry |volume=38 |issue= |pages=31–6 |year=2016 |pmid=26589763 |doi=10.1016/j.genhosppsych.2015.09.003 |url=}}</ref><ref name="pmid25343532">{{cite journal |vauthors=Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ |title=A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis |journal=Exp Clin Transplant |volume=13 |issue=6 |pages=588–92 |year=2015 |pmid=25343532 |doi=10.6002/ect.2014.0036 |url=}}</ref><ref name="pmid21233608">{{cite journal |vauthors=Kronberg U, Kiran RP, Soliman MS, Hammel JP, Galway U, Coffey JC, Fazio VW |title=A characterization of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score |journal=Ann. Surg. |volume=253 |issue=1 |pages=78–81 |year=2011 |pmid=21233608 |doi=10.1097/SLA.0b013e3181fcb83e |url=}}</ref><ref name="pmid7710343">{{cite journal |vauthors=Böhm B, Milsom JW, Fazio VW |title=Postoperative intestinal motility following conventional and laparoscopic intestinal surgery |journal=Arch Surg |volume=130 |issue=4 |pages=415–9 |year=1995 |pmid=7710343 |doi= |url=}}</ref><ref name="pmid16145376">{{cite journal |vauthors=Hollenbeck BK, Miller DC, Taub D, Dunn RL, Khuri SF, Henderson WG, Montie JE, Underwood W, Wei JT |title=Identifying risk factors for potentially avoidable complications following radical cystectomy |journal=J. Urol. |volume=174 |issue=4 Pt 1 |pages=1231–7; discussion 1237 |year=2005 |pmid=16145376 |doi= |url=}}</ref><ref name="pmid20472264">{{cite journal |vauthors=Svatek RS, Fisher MB, Williams MB, Matin SF, Kamat AM, Grossman HB, Nogueras-González GM, Urbauer DL, Dinney CP |title=Age and body mass index are independent risk factors for the development of postoperative paralytic ileus after radical cystectomy |journal=Urology |volume=76 |issue=6 |pages=1419–24 |year=2010 |pmid=20472264 |doi=10.1016/j.urology.2010.02.053 |url=}}</ref> | ||
*Increasing age | *Increasing age | ||
*Electrolyte abnormalities | *[[Electrolyte abnormalities]] | ||
*Previous history of abdominal surgery | *Previous history of [[abdominal surgery]] | ||
*Prolonged abdominal or pelvic surgery | *Prolonged [[abdominal]] or [[pelvic]] surgery | ||
* | *[[Laparotomy]] and lower [[GI]] procedures | ||
*Delayed enteral nutrition | *Delayed [[enteral nutrition]] | ||
*Use of preoperative albumin | *Use of preoperative [[albumin]] | ||
*Postoperative deep venous thrombosis | *Postoperative [[Deep vein thrombosis|deep venous thrombosis]] | ||
*[[Hypothyroidism]] | *[[Hypothyroidism]] | ||
*[[Diabetic ketoacidosis]] | *[[Diabetic ketoacidosis]] | ||
*Chronic use of opiates such as morphine | *Chronic use of [[opiates]] such as [[morphine]] | ||
===Less Common Risk Factors=== | ===Less Common Risk Factors=== | ||
| Line 25: | Line 25: | ||
* Severe [[illness]] with sepsis | * Severe [[illness]] with sepsis | ||
* [[Spinal cord injury]] (Thoracic cord) | * [[Spinal cord injury]] (Thoracic cord) | ||
* Obesity | * [[Obesity]] | ||
* Peripheral vascular disease | * [[Peripheral vascular disease]] | ||
* Any common complications arising from surgery can lead to increased risk of ileus. These include: | * Any common [[complications]] arising from [[surgery]] can lead to increased risk of ileus. These include: | ||
**Pneumonia | **[[Pneumonia]] | ||
**Intra-abdominal abscess | **[[Intra-abdominal abscess]] | ||
**Peritonitis | **[[Peritonitis]] | ||
**Bleeding disorder | **[[Bleeding disorders|Bleeding disorder]] | ||
**Excessive use of anesthesia for postoperative pain control | **Excessive use of [[anesthesia]] for postoperative pain control | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Common risk factors in the development of ileus include increasing age, electrolyte abnormalities , previous history of abdominal surgery, prolonged abdominal or pelvic surgery (laparotomy of lower GI procedures), delayed enteral nutrition, use of preoperative albumin, postoperative deep venous thrombosis, and hypothyroidism. Less common risk factors include spinal cord injury (thoracic cord), obesity, and peripheral vascular disease.
Risk Factors
Common Risk Factors
Common risk factors in the development of iuleus include:[1][2][3][4][5][6]
- Increasing age
- Electrolyte abnormalities
- Previous history of abdominal surgery
- Prolonged abdominal or pelvic surgery
- Laparotomy and lower GI procedures
- Delayed enteral nutrition
- Use of preoperative albumin
- Postoperative deep venous thrombosis
- Hypothyroidism
- Diabetic ketoacidosis
- Chronic use of opiates such as morphine
Less Common Risk Factors
Less common risk factors in the development of ileus include:[7][8][9]
- Severe illness with sepsis
- Spinal cord injury (Thoracic cord)
- Obesity
- Peripheral vascular disease
- Any common complications arising from surgery can lead to increased risk of ileus. These include:
- Pneumonia
- Intra-abdominal abscess
- Peritonitis
- Bleeding disorder
- Excessive use of anesthesia for postoperative pain control
References
- ↑ Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H (2016). "Relapse of ileus in patients with psychiatric disorders: A 2-year chart review". Gen Hosp Psychiatry. 38: 31–6. doi:10.1016/j.genhosppsych.2015.09.003. PMID 26589763.
- ↑ Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ (2015). "A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis". Exp Clin Transplant. 13 (6): 588–92. doi:10.6002/ect.2014.0036. PMID 25343532.
- ↑ Kronberg U, Kiran RP, Soliman MS, Hammel JP, Galway U, Coffey JC, Fazio VW (2011). "A characterization of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score". Ann. Surg. 253 (1): 78–81. doi:10.1097/SLA.0b013e3181fcb83e. PMID 21233608.
- ↑ Böhm B, Milsom JW, Fazio VW (1995). "Postoperative intestinal motility following conventional and laparoscopic intestinal surgery". Arch Surg. 130 (4): 415–9. PMID 7710343.
- ↑ Hollenbeck BK, Miller DC, Taub D, Dunn RL, Khuri SF, Henderson WG, Montie JE, Underwood W, Wei JT (2005). "Identifying risk factors for potentially avoidable complications following radical cystectomy". J. Urol. 174 (4 Pt 1): 1231–7, discussion 1237. PMID 16145376.
- ↑ Svatek RS, Fisher MB, Williams MB, Matin SF, Kamat AM, Grossman HB, Nogueras-González GM, Urbauer DL, Dinney CP (2010). "Age and body mass index are independent risk factors for the development of postoperative paralytic ileus after radical cystectomy". Urology. 76 (6): 1419–24. doi:10.1016/j.urology.2010.02.053. PMID 20472264.
- ↑ Artinyan A, Nunoo-Mensah JW, Balasubramaniam S, Gauderman J, Essani R, Gonzalez-Ruiz C, Kaiser AM, Beart RW (2008). "Prolonged postoperative ileus-definition, risk factors, and predictors after surgery". World J Surg. 32 (7): 1495–500. doi:10.1007/s00268-008-9491-2. PMID 18305994.
- ↑ Chang SS, Cookson MS, Baumgartner RG, Wells N, Smith JA (2002). "Analysis of early complications after radical cystectomy: results of a collaborative care pathway". J. Urol. 167 (5): 2012–6. PMID 11956429.
- ↑ Chapuis PH, Bokey L, Keshava A, Rickard MJ, Stewart P, Young CJ, Dent OF (2013). "Risk factors for prolonged ileus after resection of colorectal cancer: an observational study of 2400 consecutive patients". Ann. Surg. 257 (5): 909–15. doi:10.1097/SLA.0b013e318268a693. PMID 23579542.