Incidence of prolonged postoperative ileus after colorectal surgery: a systematic review and meta‐analysis
作者： A. M. Wolthuis , G. Bislenghi , S. Fieuws , A. de Buck van Overstraeten , G. Boeckxstaens
DOI: 10.1111/CODI.13210
关键词:
摘要: Aim Prolonged postoperative ileus (PPOI) after colorectal surgery remains a leading cause of delayed recovery and prolonged hospital stay. Its exact incidence is unknown. The aim this systematic review to investigate the definitions PPOI previously described. Method MEDLINE, Embase Cochrane Database Systematic Reviews (up July 2014) were searched. Two authors independently reviewed citations using predefined inclusion exclusion criteria. Results The search strategy yielded 3233 citations; 54 eligible, comprising 18 983 patients. Twenty-six studies prospective [17 these being randomized controlled trials (RCTs)] 28 retrospective. Meta-analysis revealed an 10.3% (95% CI 8.4–12.5) 10.2% 5.6–17.8) for non-RCTs RCTs, respectively. Significant heterogeneity was observed both RCTs. used definition PPOI, type access (laparoscopic, open) duration lead significant variability reported between studies. lower laparoscopic colonic resection. Conclusion There large variation in PPOI. A uniform needed allow meaningful inter-study comparisons evaluate strategies prevent
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