Wubet Habtie Bantider, Gobezie Negesse Zurbachew, Asmare Temesgen Birlie, Diress Getachew Mekete, Alachew Moges Kefale, Mossie Kaletsidk Desalegn, Mekuriaw Begizew Yimenu, Mebratie Alemie Fentie, Setargew Kidist Hunegn, Teshome Diriba
Department of Anesthesia, School of Medicine, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Langenbecks Arch Surg. 2025 Jul 31;410(1):236. doi: 10.1007/s00423-025-03808-3.
Postoperative ileus (POI) is a common consequence following abdominal surgeries; however, its incidence and risk factors in non-abdominal procedures remain unknown. Identifying clinical indicators of POI in this population is essential for early detection and treatment.
This study aims to assess the incidence and determinants of postoperative ileus (POI) in patients undergoing non-abdominal surgeries at Debre Tabor Comprehensive Specialized Hospital.
A prospective cohort study was conducted between September 1, 2024, and January 30, 2025. Demographic characteristics, comorbidities, surgical details, and perioperative parameters were recorded. Data were analyzed using SPSS version 27, with continuous and categorical variables summarized using descriptive statistics. Independent predictors of postoperative ileus (POI) were identified through bivariate and multivariate logistic regression analyses.
Among the 400 patients who underwent elective non-abdominal surgery, 31 (7.75%) developed postoperative ileus (POI). Significant predictors included opioid use (OR = 3.28 [95% CI, 2.25-7.12], P < 0.01), neuromuscular blockers (OR = 2.33 [95% CI, 2.01-5.12], P < 0.01), poor postoperative functional status (OR = 5.67 [95% CI, 3.41-8.91], P < 0.01), and delayed postoperative mobility (OR = 4.45 [95% CI, 2.05-8.17], P < 0.01).
POI occurs in a significant proportion of patients undergoing non-abdominal surgery. Implementing targeted perioperative strategies may reduce the incidence of POI and enhance postoperative outcomes.
术后肠梗阻（POI）是腹部手术后常见的后果；然而，其在非腹部手术中的发生率和危险因素尚不清楚。确定该人群中POI的临床指标对于早期发现和治疗至关重要。
本研究旨在评估德布雷塔博尔综合专科医院接受非腹部手术患者术后肠梗阻（POI）的发生率及其决定因素。
于2024年9月1日至2025年1月30日进行了一项前瞻性队列研究。记录了人口统计学特征、合并症、手术细节和围手术期参数。使用SPSS 27版进行数据分析，连续变量和分类变量采用描述性统计进行汇总。通过二元和多因素逻辑回归分析确定术后肠梗阻（POI）的独立预测因素。
在400例接受择期非腹部手术的患者中，31例（7.75%）发生了术后肠梗阻（POI）。显著的预测因素包括使用阿片类药物（OR = 3.28 [95% CI，2.25 - 7.12]，P < 0.01）、神经肌肉阻滞剂（OR = 2.33 [95% CI，2.01 - 5.
