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J. F. Hamel - One of the best experts on this subject based on the ideXlab platform.

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis
    World Journal of Surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, C. Mor-martinez, A. Wolthuis, J. M. Regimbeau, S. Ostermann, J. F. Hamel
    Abstract:

    Background Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. Methods This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. Results A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p  = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p  

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis.
    World journal of surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, J. M. Regimbeau, Mor-martinez C, Wolthuis A, Ostermann S, J. F. Hamel
    Abstract:

    Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p 

M S Austenfeld - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of patient-controlled analgesia versus intramuscular narcotics in resolution of Postoperative Ileus after radical retropubic prostatectomy.
    The Journal of Urology, 1993
    Co-Authors: B K Stanley, M J Noble, C Gilliland, J W Weigel, W K Mebust, M S Austenfeld
    Abstract:

    AbstractPatient-controlled analgesia has become standard practice after major abdominal operations. The benefits of patient-controlled analgesia have been well documented. However, its possible effect of prolonging Postoperative Ileus has not been well examined. To determine if patient-controlled analgesia prolongs Postoperative Ileus when compared to conventional intramuscular narcotics, a retrospective review of length of Postoperative Ileus in 98 consecutive patients (62 using patient-controlled analgesia and 36 using intramuscular narcotics) undergoing bilateral pelvic lymphadenectomy and radical retropubic prostatectomy was done. The patients receiving patient-controlled analgesia resolved the Postoperative Ileus an average of 1.0day later than the intramuscular injection group (5.2 days versus 4.2 days p

  • Comparison of patient-controlled analgesia versus intramuscular narcotics in resolution of Postoperative Ileus after radical retropubic prostatectomy.
    The Journal of urology, 1993
    Co-Authors: B K Stanley, M J Noble, C Gilliland, J W Weigel, W K Mebust, M S Austenfeld
    Abstract:

    Patient-controlled analgesia has become standard practice after major abdominal operations. The benefits of patient-controlled analgesia have been well documented. However, its possible effect of prolonging Postoperative Ileus has not been well examined. To determine if patient-controlled analgesia prolongs Postoperative Ileus when compared to conventional intramuscular narcotics, a retrospective review of length of Postoperative Ileus in 98 consecutive patients (62 using patient-controlled analgesia and 36 using intramuscular narcotics) undergoing bilateral pelvic lymphadenectomy and radical retropubic prostatectomy was done. The patients receiving patient-controlled analgesia resolved the Postoperative Ileus an average of 1.0 day later than the intramuscular injection group (5.2 days versus 4.2 days p < 0.0001). Overall hospital stay was not significantly affected. Our results show that patient-controlled analgesia use prolongs Postoperative Ileus.

A. Venara - One of the best experts on this subject based on the ideXlab platform.

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis
    World Journal of Surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, C. Mor-martinez, A. Wolthuis, J. M. Regimbeau, S. Ostermann, J. F. Hamel
    Abstract:

    Background Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. Methods This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. Results A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p  = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p  

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis.
    World journal of surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, J. M. Regimbeau, Mor-martinez C, Wolthuis A, Ostermann S, J. F. Hamel
    Abstract:

    Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p 

  • does enhanced recovery reduce Postoperative Ileus after colorectal surgery
    Journal of Visceral Surgery, 2017
    Co-Authors: J Barbieux, A. Venara, A Hamy, M F Talbot, Christine Casa, S Mucci, Emilie Lermite
    Abstract:

    Summary Introduction While enhanced recovery after surgery (ERAS) has been proven to improve results in colorectal operations with regard to morbidity and duration of hospital stay, its impact on recovery of bowel motility is poorly documented. The aims of this study were to assess the impact of ERAS on bowel motility recovery, and to assess the consequences of the definition of Postoperative Ileus on its reported incidence in the literature. Material and methods This is a single-center prospective observational study of consecutive patients who underwent colorectal resection with anastomosis over a period of 17 months. Global resumption of intestinal transit (GROT) was defined as passage of stool combined with alimentary tolerance of solid food. Results One hundred and thirty-one patients were included. A median of 14 items (range: 13–16) was complied out of 19 observable items in the protocol. Median time to passage of flatus (MTPF) was 2 days and the GROT was 3 days. The time interval to MTPF as well as to GROT decreased as adherence to the ERAS protocol increased (respectively P 2  = 0.11 and P  = 0.04, r 2  = 0.06). The incidence of Postoperative “Ileus” varied from 1.5% to 61.8% depending on the interval chosen to define Ileus (cut-off from 1 to 7 days). Adherence to ≥ 85% of the items in the ERAS protocol protected patients from “prolonged Ileus”, i.e., lasting ≥ 4 days (OR = 0.35; 95% CI = 0.15 to 0.83). Conclusion The implementation of and compliance with an ERAS protocol allowed a reduction in the time to GROT. There is a need for a consensual definition of Postoperative Ileus.

B K Stanley - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of patient-controlled analgesia versus intramuscular narcotics in resolution of Postoperative Ileus after radical retropubic prostatectomy.
    The Journal of Urology, 1993
    Co-Authors: B K Stanley, M J Noble, C Gilliland, J W Weigel, W K Mebust, M S Austenfeld
    Abstract:

    AbstractPatient-controlled analgesia has become standard practice after major abdominal operations. The benefits of patient-controlled analgesia have been well documented. However, its possible effect of prolonging Postoperative Ileus has not been well examined. To determine if patient-controlled analgesia prolongs Postoperative Ileus when compared to conventional intramuscular narcotics, a retrospective review of length of Postoperative Ileus in 98 consecutive patients (62 using patient-controlled analgesia and 36 using intramuscular narcotics) undergoing bilateral pelvic lymphadenectomy and radical retropubic prostatectomy was done. The patients receiving patient-controlled analgesia resolved the Postoperative Ileus an average of 1.0day later than the intramuscular injection group (5.2 days versus 4.2 days p

  • Comparison of patient-controlled analgesia versus intramuscular narcotics in resolution of Postoperative Ileus after radical retropubic prostatectomy.
    The Journal of urology, 1993
    Co-Authors: B K Stanley, M J Noble, C Gilliland, J W Weigel, W K Mebust, M S Austenfeld
    Abstract:

    Patient-controlled analgesia has become standard practice after major abdominal operations. The benefits of patient-controlled analgesia have been well documented. However, its possible effect of prolonging Postoperative Ileus has not been well examined. To determine if patient-controlled analgesia prolongs Postoperative Ileus when compared to conventional intramuscular narcotics, a retrospective review of length of Postoperative Ileus in 98 consecutive patients (62 using patient-controlled analgesia and 36 using intramuscular narcotics) undergoing bilateral pelvic lymphadenectomy and radical retropubic prostatectomy was done. The patients receiving patient-controlled analgesia resolved the Postoperative Ileus an average of 1.0 day later than the intramuscular injection group (5.2 days versus 4.2 days p < 0.0001). Overall hospital stay was not significantly affected. Our results show that patient-controlled analgesia use prolongs Postoperative Ileus.

E. Duchalais - One of the best experts on this subject based on the ideXlab platform.

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis
    World Journal of Surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, C. Mor-martinez, A. Wolthuis, J. M. Regimbeau, S. Ostermann, J. F. Hamel
    Abstract:

    Background Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. Methods This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. Results A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p  = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p  

  • Incidence and Risk Factors for Severity of Postoperative Ileus After Colorectal Surgery: A Prospective Registry Data Analysis.
    World journal of surgery, 2019
    Co-Authors: A. Venara, H. Meillat, E. Cotte, M. Ouaissi, E. Duchalais, J. M. Regimbeau, Mor-martinez C, Wolthuis A, Ostermann S, J. F. Hamel
    Abstract:

    Defining severe Postoperative Ileus in terms of consequences could help physicians standardize the management of this condition. The recently described classification based on consequences requires further investigation. The aim of this study was to obtain a snapshot of Postoperative Ileus in patients undergoing colorectal surgery within enhanced recovery programs and to identify factors associated with non-severe and severe Postoperative Ileus. This prospective registry data analysis was conducted in 40 centers in five different countries. A total of 786 patients scheduled for colorectal surgery within enhanced recovery programs were included. The primary endpoint was the incidence rate of Postoperative Ileus as defined by Vather et al. A total of 121 patients experienced Postoperative Ileus (15.4%). Non-severe POI occurred in 48 patients (6.1%), and severe Postoperative Ileus occurred in 73 patients (9.3%). In multivariate analysis, the male gender and intra-abdominal complications were associated with severe Postoperative Ileus: odd ratio (OR) = 2.03 [95% confidence interval (CI) 1.14–3.59], p = 0.01 and OR = 3.60 [95% CI 1.75–7.40], p