[术后肠梗阻。病理生理学与预防]

[Postoperative ileus. Pathophysiology and prevention].

作者信息

Köninger J, Gutt C N, Wente M N, Friess H, Martin E, Büchler M W

机构信息

Abteilung für Allgemein-, Viszeral- und Unfallchirurgie, Chirurgische Klinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Deutschland.

出版信息

Chirurg. 2006 Oct;77(10):904-12. doi: 10.1007/s00104-006-1234-z.

DOI:10.1007/s00104-006-1234-z

PMID:16951951

Abstract

Continuous improvements in surgical technique and anaesthesia for ileus have resulted in a significant reduction of perioperative complications. Postoperative outcome of surgical patients is increasingly dependent on the severity of postoperative ileus, which often determines morbidity and length of hospital stay. In the present article we discuss possible variables influencing this disease. Furthermore, means of prevention and therapeutic strategies for postoperative ileus are briefly presented.

摘要

肠梗阻手术技术和麻醉的持续改进已使围手术期并发症显著减少。手术患者的术后结局越来越依赖于术后肠梗阻的严重程度，而术后肠梗阻往往决定了发病率和住院时间。在本文中，我们讨论了影响这种疾病的可能变量。此外，还简要介绍了术后肠梗阻的预防方法和治疗策略。