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A survey of perceptions and attitudes among European surgeons towards the clinical impact and management of postoperative ileus.

Published on May 1, 2005in Colorectal Disease3.00
· DOI :10.1111/j.1463-1318.2005.00763.x
Henrik Kehlet105
Estimated H-index: 105
,
Russell Williamson4
Estimated H-index: 4
(GSK: GlaxoSmithKline)
+ 1 AuthorsRobert W. Beart70
Estimated H-index: 70
(SC: University of Southern California)
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Abstract
Objective  Postoperative ileus (POI) can negatively affect patient recovery and morbidity, yet the lack of an internationally accepted definition and clinical management pathway for this condition suggest POI may be under-recognized as a clinical problem. The purpose of this survey was therefore to assess current attitudes of surgeons towards the clinical impact and management of POI. Subjects and methods  Telephone interviews were conducted with 230 surgeons from hospitals in the UK, France, Germany, Italy and Spain. Results  Across Europe, there are differences in the terms surgeons use to refer to delayed recovery of gastrointestinal (GI) function and the symptoms, concerns and risks they associate with this condition. Furthermore, there is marked variation in the attitudes of European surgeons towards minimizing the risk of delayed recovery of GI function and in the strategies to manage POI. Additionally, some of the measures applied most commonly by European surgeons are in contrast to evidence in the literature indicating that they have no benefit for quicker resolution of GI function. Conclusion  The results suggest that there is a need for clearer definition of the factors that constitute POI, increased recognition of the impact of this condition and improved understanding of the most effective peri-/postoperative care for surgical patients.
  • References (16)
  • Citations (34)
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References16
Newest
#1Timothy G. Schuster (UM: University of Michigan)H-Index: 22
#2James E. Montie (UM: University of Michigan)H-Index: 71
#1Akiko Taguchi (WashU: Washington University in St. Louis)H-Index: 15
#2Neeru Sharma (WashU: Washington University in St. Louis)H-Index: 6
Last.Andrea Kurz (University of Vienna)H-Index: 60
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#1W. Schwenk (HSU: Humboldt State University)H-Index: 23
#2B. Böhm (HSU: Humboldt State University)H-Index: 5
Last.J. M. Müller (HSU: Humboldt State University)H-Index: 12
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#1B. T. Stewart (St. Vincent's Health System)H-Index: 1
#2Rodney Woods (St. Vincent's Health System)H-Index: 14
Last.J. Keck (St. Vincent's Health System)H-Index: 6
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#1A. Venara (University of Angers)H-Index: 3
#2Michel Neunlist (University of Nantes)H-Index: 41
Last.G. Meurette (University of Nantes)H-Index: 1
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#1Martin HübnerH-Index: 23
#2Michael Scott (University of Surrey)H-Index: 13
Last.Bradley ChampagneH-Index: 1
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#1Melanie R. Ksienski (AHS: Alberta Health Services)H-Index: 1
#2Tanis R. Fenton (AHS: Alberta Health Services)H-Index: 18
Last.Kevin B. Laupland (U of C: University of Calgary)H-Index: 56
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