Ileus risk factors
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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 iuleus include increasing age, electrolyte abnormalities , previous history of abdominal surgery, prolonged abdominal or pelvic surgery (laprotomy 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
- Laprotomy 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.