腹部肿瘤手术后胃肠道功能的恢复:叙述性综述。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Gui-Sheng Xie, Liang Ma, Jian-Hong Zhong
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引用次数: 0

摘要

约有 10% 的腹部肿瘤手术会出现术后胃肠道功能障碍,包括暂时性非机械性抑制胃肠道蠕动(称为术后回肠梗阻)。由于这些并发症会延长住院时间并影响进食,因此了解其风险因素并确定有效的干预措施来控制或预防这些并发症非常重要。本综述全面研究了相关文献,以描述术后回肠梗阻的风险因素和有效的干预措施。风险因素包括高龄、开放手术、手术难度、手术时间超过 3 小时、术前肠道治疗、感染和输血。防止术后回肠梗阻的因素包括早期肠内营养、微创手术和多模式疼痛治疗。可缩短或预防这种回肠梗阻的干预措施包括微创手术、早期肠内营养以及使用口香糖、泻药和阿维莫潘。这些干预措施中的大多数已被纳入当前的指南,以促进术后胃肠功能的恢复。未来需要开展高质量的研究,以澄清我们对疗效和安全性的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recovery of gastrointestinal functional after surgery for abdominal tumors: A narrative review.

Postoperative gastrointestinal dysfunction, including temporary nonmechanical suppression of gastrointestinal motility (known as postoperative ileus), occurs in about 10% surgeries of abdominal tumors. Since these complications can prolong hospitalization and affect eating, it is important to understand their risk factors and identify effective interventions to manage or prevent them. The present review comprehensively examined the relevant literature to describe risk factors for postoperative ileus and effective interventions. Risk factors include old age, open surgery, difficulty of surgery, surgery lasting longer than 3 hours, preoperative bowel treatment, infection, and blood transfusion. Factors that protect against postoperative ileus include early enteral nutrition, minimally invasive surgery, and multimodal pain treatment. Interventions that can shorten or prevent such ileus include minimally invasive surgery, early enteral nutrition as well as use of chewing gum, laxatives, and alvimopan. Most of these interventions have been integrated into current guidelines for enhanced recovery of gastrointestinal function after surgery. Future high-quality research is needed in order to clarify our understanding of efficacy and safety.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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