Characterizing postoperative paralytic ileus as evidence for future research and clinical practice

Annette Bisanz, J. Lynn Palmer, Suresh Reddy, Lynn Cloutier, Teresa Dixon, Marlene Z. Cohen, Eduardo Bruera

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Postoperative ileus, a delay of gastrointestinal (GI) motility beyond 3 days, is common in patients after GI surgery. This disorder increases length of hospital stay and costs millions of dollars annually. This study was done to determine clinical factors associated with paralytic ileus. An interdisciplinary team developed a data collection tool based on eight hypotheses derived from a review of literature on factors that contribute to ileus. In a retrospective medical record review of 101 patients who had abdominal surgery, 44 developed postoperative ileus and 57 did not. Data analysis found that three factors were statistically significant in reducing ileus: (1) early postoperative introduction of fluids and food, (2) avoidance of positive fluid balance exceeding 1,000 ml, and (3) avoiding potassium elevations over a 3-day period. A trend identified that the use of nonsteroidal anti-inflammatory drugs could reduce the incidence of ileus. Clinical implications include the importance of encouraging early oral intake, monitoring fluid intake and output in postoperative patients, and identifying positive fluid balance early to prevent it from continuing.

Original languageEnglish (US)
Pages (from-to)336-344
Number of pages9
JournalGastroenterology Nursing
Volume31
Issue number5
DOIs
Publication statusPublished - Sep 1 2008

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ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Gastroenterology

Cite this

Bisanz, A., Palmer, J. L., Reddy, S., Cloutier, L., Dixon, T., Cohen, M. Z., & Bruera, E. (2008). Characterizing postoperative paralytic ileus as evidence for future research and clinical practice. Gastroenterology Nursing, 31(5), 336-344. https://doi.org/10.1097/01.SGA.0000338278.40412.df