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- W2022128819 abstract "Despite significant advancements in the care of the surgical patient, little progress has been made in the understanding and treatment of postoperative ileus (PI). Cystectomy with urinary diversion and complex urinary tract reconstruction using bowel are procedures in urologic surgery associated with some of the greatest hospital costs and longest lengths of stay (LOS). Improvements in costs, patient satisfaction, and complication rates often accompany the institution of “care pathways” designed to minimize the variability between practice patterns and postoperative care. 1 Koch M.O. Seckin B. Smith Jr, J.A. Impact of a collaborative care approach to radical cystectomy and urinary reconstruction. J Urol. 1995; 154: 996-1001 Abstract Full Text Full Text PDF PubMed Scopus (41) Google Scholar Cystectomy is a procedure in which reductions in LOS, costs, and patient morbidity have been difficult to achieve. A primary contribution to the longer LOS in the urologic patients undergoing bowel surgery is the relatively slow return of normal gastrointestinal function and, in many instances, PI that translates into a prolonged hospital stay of days to weeks. Radical cystectomy patients often feel poorly for 4 to 8 weeks after surgery, and loss of appetite is a common feature. A weight loss of 10 to 20 lb is not uncommon. The ability to reestablish normal eating sooner would provide a substantial benefit to the patient and healthcare costs alike. We examined the current understandings of bowel function physiology and treatments of PI after major abdominal surgery." @default.
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- W2022128819 date "2002-04-01" @default.
- W2022128819 modified "2023-10-16" @default.
- W2022128819 title "Postoperative ileus after abdominal surgery" @default.
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- W2022128819 doi "https://doi.org/10.1016/s0090-4295(01)01561-8" @default.
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