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Postoperative ileus (POI) is a transient, physiologic response, which has been thought to occur routinely after abdominal surgery. The etiology of POI is multifactorial and is related to activation of inhibitory neural reflexes, increased release of inhibitory neurotransmitters in the gut, endorphins and pharmacologic narcotic exposure, and increased inflammation secondary to edema. POI affects between 4% and 20% of patients undergoing abdominal surgery annually and has a detrimental effect on clinical outcomes and costs of care.
POI can delay enteral feedings or resumption of a solid diet, resulting in poor nutrition with delayed wound healing. Overall, POI is associated with major clinical and economic burdens as it can lead to increased morbidity, length of hospital stay, and health care costs. Although rarely life-threatening, POI is associated with considerable patient discomfort, prolonged hospital length of stay, and increased hospital resource utilization.
The emphasis on reducing resource use and length of hospitalization following major gastrointestinal surgery has been brought about by transitions in payment for medical services, improved understanding of perioperative physiology, and the increased use of minimally invasive surgical techniques. Prevention and management of POI is a responsibility of everyone on the postoperative healthcare team, but particularly surgeons and critical care staff.
This series of interactive courses is designed to facilitate the adoption and use of best practice care among hospitalists, critical care specialist and surgeons in the prevention and management of POI.
Faculty: Anthony J. Senagore, MD , MBA, MS, FACS, FASCRS
Review the causes of postoperative ileus (POI) and consider the factors that affect recovery while you examine the effects of POI on patients and the health system.
This self-study activity should be completed in approximately 15 minutes.
This CME activity is designed for hospitalists, critical care specialist and surgeons, who treat patients before, during, and after major abdominal and colorectal surgery.
MEBN is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
CME Credits
MEBN designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
FDA Disclosure Statement
The contents of some CME activities may contain discussions of non-approved or off-label uses of some of the agents mentioned. Please consult the prescribing information for full disclosure of approved uses.
Accreditation Period
Release Date: July 1, 2010 End Date: July 1, 2011
Any questions regarding the accreditation of this CME activity should be directed to MEBN. (accreditation@mebn.net)
This continuing education program may contain discussion of published and/or investigational uses of agents or products that are not approved by the Food and Drug Administration (FDA). The authors, sponsors or publishers do not recommend the use of any agent or product outside of the official labeled indications. Please refer to the official prescribing information for each agent or product for discussion of approved indications, contraindications, and written warnings.
Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this course should not be used by clinicians without evaluation of their patient's conditions and possible contraindications on dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.
The authors, contributors, and editorial staff have made every effort to contact holders of copyright to obtain permission to reproduce copyright material. However, if any permissions have been inadvertently overlooked, MEBN will be pleased to make the necessary and reasonable arrangements.
CME-TODAY offers FREE continuing medical education (CME) credits to recipients of the CD-ROM, program emails or CME-TODAY journal. Enter the CE Code listed on the CD-ROM, in the email or in the journal when prompted. This free offer expires on July 1, 2011. All others will be assessed a $15.95 processing fee.
