Holte Kathrine
Kirurgisk Gastroenterologisk Afdeling 435, Hvidovre Hospital, DK-2650 Hvidovre, Denmark.
Ugeskr Laeger. 2010 Jan 4;172(1):38-40.
Based on the evidence presented in the Cochrane review "Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults", routine administration of systemic prokinetics for the prevention of postoperative ileus is not recommendable. The potential of selective opioid antagonists and intravenous lidocaine should be further investigated, particularly in conjunction with laparoscopic surgery, epidural pain management and fast-track surgery.
