Can the intestinal dysmotility of critical illness be differentiated from postoperative ileus?

Kirk A. Caddell, Robert Martindale, Stephen A. McClave, Keith Miller

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Gastrointestinal dysmotility is commonly noted in the intensive care unit and postoperative settings. Characterized by delayed passage of stool and flatus, nausea, vomiting, and abdominal distention, the condition is associated with nutritional deficiencies, risk of aspiration, and considerable allocation of health care resources. Knowledge of gastrointestinal function in health and illness continues to expand. While the factors that precipitate ileus differ between postoperative and critically ill patients, the two clinical scenarios seem to have similar mechanisms and share many of the same pathophysiologic patterns. By reviewing and comparing the literature on the respective mechanisms and contributing factors generated in these separate clinical settings, a common more comprehensive management strategy may be derived with the potential for newer innovative therapeutic options.

Original languageEnglish (US)
Pages (from-to)358-367
Number of pages10
JournalCurrent gastroenterology reports
Volume13
Issue number4
DOIs
StatePublished - Aug 1 2011

Keywords

  • Critical care
  • Delayed gastric emptying
  • Dysmotility
  • Gastrointestinal motility
  • Ileus
  • Intestinal dysmotility
  • Paralytic ileus
  • Post-operative ileus

ASJC Scopus subject areas

  • Gastroenterology

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