Post‐operative ileus: definitions, mechanisms and controversies

C. Wells,Tony G E Milne,S. Seo,S. Chapman,R. Vather,I. Bissett,G. O’Grady

Published 2021 in ANZ journal of surgery

ABSTRACT

Post‐operative ileus (POI) is a syndrome of impaired gastrointestinal transit which occurs following abdominal surgery. There are few effective targeted therapies for ileus, and research has been limited by inconsistent definitions and an incomplete understanding of the underlying pathophysiology. Despite considerable effort, there remains no widely‐adopted definition of ileus, and recent work has identified variation in outcome reporting is a major source of heterogeneity in clinical trials. Outcomes should be clearly‐defined, clinically‐relevant, and reflective of the underlying biology, impacts on hospital resources and quality of life. Further collaborative efforts will be needed to develop consensus definitions and a core outcome set for postoperative gastrointestinal recovery.

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