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  Česky / Czech version Rozhl. Chir., 2004, roč. 83, č. 11, s. 562-566
 
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
       

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