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612-822-4611
Oxford American Pocket Notes Postoperative Ileus

Oxford American Pocket Notes Postoperative Ileus

Paperback

Series: Oxford American Pocket Notes

Medical Reference

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ISBN10: 0195384466
ISBN13: 9780195384468
Publisher: Oxford Univ Pr
Pages: 32
Language: English
Ileus is a general functional inhibition of the propulsive bowel activity in the absence of mechanical bowel obstruction. Postoperative ileus (POI) is a more specific condition which is a transient cessation of coordinated bowel motility after surgery, preventing effective transit of intestinal content. Depending on the type of surgery, and especially when the bowels are involved in the surgery, the incidence can be high, affecting 4 to 20 percent of abdominal surgery patients. Typically, in the small intestine, it can last up to 24 hours; in the stomach, between 24 and 48 hours; and in the colon, between 48 and 120 hours. During this time, the patient is prohibited from eating and drinking, often requiring nasogastric suction and parenteral feeds until passage is restored. Until then, the patient cannot be discharged from the hospital. POI is the most common reason for delays in discharge after abdominal surgery and can greatly increase the cost of healthcare. It is estimated that the healthcare costs as a result of complications of postoperative ileus may be as high as one billion dollars per year.

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