McClellan Joseph, Achim Virginie, Clayburgh Daniel
Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.
Head Neck. 2018 Jan;40(1):E9-E12. doi: 10.1002/hed.24989. Epub 2017 Nov 9.
Head and neck surgery is not often considered a risk factor for intestinal ileus and small bowel obstruction. However, many of these patients may have had prior abdominal surgery, a known risk factor for small bowel obstruction, and may be at risk for bowel obstruction after a surgical procedure of the head and neck.
We present a case describing a patient who, after undergoing transoral robotic surgery, experienced delayed postoperative ileus and eventual small bowel obstruction requiring exploratory laparotomy and bowel resection.
Although the patient required total parenteral nutrition for several days, he eventually was able to resume tube feeds, and after several months was able to tolerate an oral diet.
Although uncommon complications of head and neck surgery, intestinal ileus and small bowel obstruction can develop as the result of stress/inflammation, postoperative narcotic pain medication, and prior abdominal surgery.
头颈部手术通常不被视为肠梗阻和小肠梗阻的危险因素。然而，这些患者中的许多人可能曾接受过腹部手术，这是已知的小肠梗阻危险因素，并且在头颈部手术操作后可能有肠梗阻风险。
我们呈现一例病例，描述一名患者在接受经口机器人手术后，出现术后肠梗阻延迟发作，最终发展为小肠梗阻，需要进行剖腹探查和肠切除。
尽管患者需要接受几天的全胃肠外营养，但他最终能够恢复管饲，几个月后能够耐受经口饮食。
尽管肠梗阻和小肠梗阻是头颈部手术不常见的并发症，但可因应激/炎症、术后麻醉性止痛药及既往腹部手术而发生。
