A Therapeutical Scope for the Postoperative IleusManagement
Gürlich R.1, Maruna P.2, 3, Fraško R.1
H. chirurgická klinika VFN a 1. LF UK Praha, přednosta doc. MUDr. J. Šváb, CSc. Ústav patologické fyziologie, přednosta prof. MUDr. E. Nečas, DrSc. 3III. interní klinika VFN a 1. LF UK Praha, přednosta prof. MUDr. Š. Svačina, DrSc. |
|
Summary:
The postoperative motility disorder of the gastrointestinal tract (POI) is a transient, however a frequent
reaction of the gastrointestinal tract to intraabdominal procedures. The cause of the onset of the POI is
multifactoral and , therefore, the treatment must also cover all known pathophysiological causes. The management
of the POI includes the following basicmeasures: employment of the minimally invasive surgical techniques,
prophylactic administration of the prokinetics, early postoperative mobilisation of the patient and early enteral
nutrition.
Key words:
surgery – postoperative motility disorder – POI – prokinetics
|