Risk Factors for Postoperative Ileus Following Orthopedic Surgery: The Role of Chronic Constipation
- Authors
- Lee, Tae Hee; Lee, Joon Seong; Hong, Su Jin; Jang, Jae Young; Jeon, Seong Ran; Byun, Dong Won; Park, Won Young; Kinn, Soon Im; Choi, Hyung Suk; Lee, Jae Chul; Lee, Ji Sung
- Issue Date
- Jan-2015
- Publisher
- 대한소화기 기능성질환∙운동학회
- Keywords
- Ileus; Orthopedics; Risk factors
- Citation
- Journal of Neurogastroenterology and Motility (JNM), v.21, no.1, pp 121 - 125
- Pages
- 5
- Journal Title
- Journal of Neurogastroenterology and Motility (JNM)
- Volume
- 21
- Number
- 1
- Start Page
- 121
- End Page
- 125
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10998
- DOI
- 10.5056/jnm14077
- ISSN
- 2093-0879
2093-0887
- Abstract
- Background/Aims Distinction is vague between severe constipation and postoperative ileus (POI) in terms of pathogenesis, clinical features, and treatment options. However, no data are available regarding their associations. Methods After retrospective review of data from patients who underwent orthopedic surgery during the first 6 months of 2011, a total of 612 patients were included. Severe constipation was defined as symptoms of constipation requiring treatment using at least 2 laxatives from different classes for at least 6 months. POI was defined as paralytic ileus lasting more than 3 days post-surgery and associated with 2 or more of the following: (1) nausea/vomiting, (2) inability to tolerate an oral diet over a 24-hour period, and (3) absence of flatus over a 24-hour period. The subjects were divided into non-POI and POI groups, and we compared patient-, surgery-, and pharmaceutical-related factors. Results Thirteen (2.1%) out of 612 experienced POI. In comparisons between the non-POI and POI groups, univariate analysis showed significant differences in the mean age (51.4 vs 71.6 years), mean body mass index (24.1 vs 21.8 kg/m(2)), severe constipation (5.8% vs 76.9%), co-morbidities (33.2% vs 84.6%), type of orthopedic surgery (spine/hip/limb: 19.4/11.0/65.6% vs 23.1/61.5/15.4%), and estimated blood loss (50 vs 300 mL). Multivariate logistic regression analysis, after adjustment for age, body mass index, co-morbidities, type of orthopedic surgery, and estimated blood loss, showed that severe constipation was an independent risk factor for POI (OR, 35.23; 95% Cl, 7.72-160.82; P < 0.001). Conclusions Severe constipation is associated with POI after orthopedic surgery.
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- Appears in
Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
- College of Medicine > Department of Anesthesiology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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