Flores-Funes Diego, Campillo-Soto Álvaro, Pellicer-Franco Enrique, Aguayo-Albasini José Luis
Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España.
Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España.
Cir Esp. 2016 Nov;94(9):495-501. doi: 10.1016/j.ciresp.2016.05.020. Epub 2016 Jul 22.
Postoperative ileus is one of the main complications in the postoperative period. New measures appeared with the introduction of «fast-track surgery» to accelerate recovery: coffee, chewing gum and gastrograffin. We performed a summary of current evidence, reviewing articles from MEDLINE, Cochrane Database of Systematic Reviews, ISI Web of Science, and SCOPUS databases. Employed search terms were «postoperative ileus» AND («definition» OR «epidemiology» OR «risk factors» OR «Management»). We selected 44 articles: 9 systematic reviews 11 narrative reviews, 13 randomized clinical trials, 6 observational studies, and the remaining 5 scientific letters, assumptions, etc. There is little literature about this topic, studies are heterogeneous, with disparity in the results. In addition, they only focus on colorectal and gynecological surgery. New high-quality studies are needed, preferably randomized clinical trials, in order to clarify the usefulness of these measures.
术后肠梗阻是术后主要并发症之一。随着“快速康复外科”的引入出现了新的加速康复措施：咖啡、口香糖和泛影葡胺。我们对当前证据进行了总结，检索了MEDLINE、Cochrane系统评价数据库、ISI科学网和SCOPUS数据库中的文章。使用的检索词为“术后肠梗阻”以及（“定义”或“流行病学”或“危险因素”或“管理”）。我们筛选出44篇文章：9篇系统评价、11篇叙述性综述、13项随机临床试验、6项观察性研究，其余5篇为科学信函、假设等。关于该主题的文献较少，研究具有异质性，结果存在差异。此外，这些研究仅聚焦于结直肠和妇科手术。需要开展新的高质量研究，最好是随机临床试验，以明确这些措施的有效性。
