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 Citations (Scopus)

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
StatePublished - Sep 1 2008

Fingerprint

Intestinal Pseudo-Obstruction
Ileus
Water-Electrolyte Balance
Length of Stay
Gastrointestinal Motility
Hospital Costs
Medical Records
Potassium
Anti-Inflammatory Agents
Food
Incidence
Pharmaceutical Preparations

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

Characterizing postoperative paralytic ileus as evidence for future research and clinical practice. / Bisanz, Annette; Palmer, J. Lynn; Reddy, Suresh; Cloutier, Lynn; Dixon, Teresa; Cohen, Marlene Z; Bruera, Eduardo.

In: Gastroenterology Nursing, Vol. 31, No. 5, 01.09.2008, p. 336-344.

Research output: Contribution to journalArticle

Bisanz, A, Palmer, JL, Reddy, S, Cloutier, L, Dixon, T, Cohen, MZ & Bruera, E 2008, 'Characterizing postoperative paralytic ileus as evidence for future research and clinical practice', Gastroenterology Nursing, vol. 31, no. 5, pp. 336-344. https://doi.org/10.1097/01.SGA.0000338278.40412.df
Bisanz, Annette ; Palmer, J. Lynn ; Reddy, Suresh ; Cloutier, Lynn ; Dixon, Teresa ; Cohen, Marlene Z ; Bruera, Eduardo. / Characterizing postoperative paralytic ileus as evidence for future research and clinical practice. In: Gastroenterology Nursing. 2008 ; Vol. 31, No. 5. pp. 336-344.
@article{c91b51f0b4cd4080886de559a4b10af0,
title = "Characterizing postoperative paralytic ileus as evidence for future research and clinical practice",
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.",
author = "Annette Bisanz and Palmer, {J. Lynn} and Suresh Reddy and Lynn Cloutier and Teresa Dixon and Cohen, {Marlene Z} and Eduardo Bruera",
year = "2008",
month = "9",
day = "1",
doi = "10.1097/01.SGA.0000338278.40412.df",
language = "English (US)",
volume = "31",
pages = "336--344",
journal = "Gastroenterology Nursing",
issn = "1042-895X",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Characterizing postoperative paralytic ileus as evidence for future research and clinical practice

AU - Bisanz, Annette

AU - Palmer, J. Lynn

AU - Reddy, Suresh

AU - Cloutier, Lynn

AU - Dixon, Teresa

AU - Cohen, Marlene Z

AU - Bruera, Eduardo

PY - 2008/9/1

Y1 - 2008/9/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=56849096231&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56849096231&partnerID=8YFLogxK

U2 - 10.1097/01.SGA.0000338278.40412.df

DO - 10.1097/01.SGA.0000338278.40412.df

M3 - Article

VL - 31

SP - 336

EP - 344

JO - Gastroenterology Nursing

JF - Gastroenterology Nursing

SN - 1042-895X

IS - 5

ER -