Postoperative ileus, a temporary impairment of gastrointestinalmotility, occurs universally after major abdominal surgery.This condition exacerbates nausea and vomiting, delays oralfeeding, increases postoperative pain, and prolongs hospitalization.Nearly 100 years ago, Cannon and Murphy1 demonstrated in dogsthat opening the peritoneal cavity and manipulating the intestinesresulted in a "striking" inhibition of contractile activityin the gastrointestinal tract.
In people, typical postoperative ileus is generally followedby the restoration of motility in the stomach and small bowelwithin 24 hours; colonic function is recovered over a periodof 48 to 72 hours.2,3 Gastrointestinal transit is modulatedby a . . . [Full Text of this Article]
References
This article has been cited by other articles:
Bream-Rouwenhorst, H. R., Cantrell, M. A.
(2009). Alvimopan for postoperative ileus. Am J Health Syst Pharm
66: 1267-1277
[Abstract][Full Text]
Moss, J., Yuan, C.-S., Steinbrook, R. A.
(2002). Selective Postoperative Inhibition of Gastrointestinal Opioid Receptors. NEJM
346: 455-455
[Full Text]
(2001). An Opioid Antagonist Improves Postoperative Ileus. JWatch General
2001: 1-1
[Full Text]