Epidural analgesia and laparoscopic technique do not reduce incidence of prolonged ileus in elective colon resections - 08/11/12
Corresponding author. Tel.: +1-601-362-4471; fax: +1-601-364-1357Abstract |
Background |
This study evaluated the incidence and risk factors for prolonged ileus in patients undergoing elective colon resection.
Methods |
Retrospective data were obtained in patients undergoing open colectomy with or without epidural analgesia and laparoscopic colectomy at a university-affiliated Veterans hospital. The incidence and risk factors of prolonged ileus as defined by no bowel movement before postoperative day 7 or placement of a nasogastric tube because of vomiting or abdominal distension were analyzed.
Results |
Incidence of prolonged ileus was 15.2%, 22.4%, and 16.7% in epidural (92 patients), nonepidural (107 patients), and laparoscopic colectomy (48 patients), respectively (P = .39). Higher age, American Society of Anesthesiologists scores, and number of comorbidities, and lower postoperative potassium level were associated with the development of prolonged ileus.
Conclusions |
The incidence of prolonged ileus was similar in the 3 groups studied. However, the epidural and laparoscopic groups experienced earlier return of bowel function and toleration of diet than the nonepidural group.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Colon resection, Laparoscopic colectomy, Postoperative ileus, Epidural analgesia
Mappa
Vol 204 - N° 5
P. 613-618 - novembre 2012 Ritorno al numero
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