A novel approach to prevent post-operative ileus after continuous-flow left ventricular assist device implantation: A retrospective cohort study

Badami, Abbasali; Prell, E.A. Fehrenbach; Murray, Margaret; Johnson, Maryl R.; Akhter, Shahab A.; Lozonschi, Lucian; Osaki, Satoru; Lushaj, Entela B.; Kohmoto, Takushi

doi:10.1016/j.ijsu.2015.06.054

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…Various products and postoperative management procedures have been used to prevent postoperative peritoneal adhesions [1][2][3][4][5][6][7][8] . The usefulness of the absorptive anti-adhesion barrier film Seprafilm [9][10][11][12][13][14] has been shown by many randomized control studies and meta-analysis, although studies with negative results do exist [15][16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

Absorptive anti-adhesion barrier for the prevention of bowel obstruction after laparoscopic colorectal cancer surgery

Fujii

Tsukamoto

Shimada

et al. 2018

J Anus Rectum Colon

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Abstract:Objectives: The protective efficacy of an absorptive adhesion prevention product (Seprafilm ) against bowel obstruction (BO) during open surgery was demonstrated in a large-scale randomized controlled clinical trial in Europe and America. However, the efficacy of Seprafilm against BO in laparoscopic surgery remains uncertain. The objective of this study was to clarify the protective efficacy of Seprafilm against BO after laparoscopic surgery for colorectal cancer. Methods: From 2009 to 2016, 1328 laparoscopic colorectal resections were performed for colorectal cancer. From 2009, Seprafilm was used for preventing BO in laparoscopic colorectal surgery. The incidence of BO and short-term results were compared between the Seprafilm and non-Seprafilm groups after propensity score matching. Results: Propensity scoring generated 270 matched patients per group for the comparisons between the Seprafilm and non-Seprafilm groups. The two groups showed no significant differences regarding patients' backgrounds. Among all patients, 73.1% (19/26) of BO occurred within 30 days after the surgery. Significantly lower incidences of all grade (2.6% vs. 7.0%; p = 0.016) and grade 2 + 3a (1.5% vs. 5.2%; p = 0.017) BO were observed in the Seprafilm group than in the non-Seprafilm group; no significant difference regarding grade 3b BO (1.1% vs. 1.9%; p = 0.476) was found. A significant difference in BO within 30 days was also noted between the two groups (1.9% vs. 5.2%, p = 0.036). There were no significant differences between the groups regarding anastomotic leakage and deep surgical site infection. Conclusions: Seprafilm was useful for preventing BO, requiring decompression therapy of the bowel, after laparoscopic colorectal surgery without increasing adverse events.

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Section: Introductionmentioning

confidence: 99%

Absorptive anti-adhesion barrier for the prevention of bowel obstruction after laparoscopic colorectal cancer surgery

Fujii

Tsukamoto

Shimada

et al. 2018

J Anus Rectum Colon

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“…The development of postoperative ileus is a common event in patients on MCS and bowel regimen protocols including elements of diet advancement based on achievement of bowel movement in addition to daily laxative and stool softener titration may contribute to decrease the risk of postoperative ileus [63]. Furthermore, the administration of prokinetics (e.g.…”

Section: Metabolic Inflammatory and Gastrointestinal Monitoringmentioning

confidence: 99%

Nutrition support for patients on mechanical circulatory support

Dresen,

Modir,

Stoppe

2023

Current Opinion in Anaesthesiology

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Purpose of review No specific guidelines on medical nutrition therapy (MNT) in patients on different types of mechanical circulatory support (MCS) devices yet exist and overall evidence is limited. The purpose of this narrative review is to provide an overview about current existing evidence, which might be of underrecognized importance for the patients‘ short-term and long-term clinical and functional outcomes. Recent findings Patients on MCS inherit substantial metabolic, endocrinologic, inflammatory, and immunologic alterations, and together with the specificities of MCS therapy, technical modalities of respective devices, and concomitant medication, the consideration of individualized MNT approaches is indicated in routine clinical practice. Exemplarily, the evaluation of the patients’ individual nutrition status, determination of nutrition targets, progressive increase of energy and protein supply throughou t the different phases of disease, prevention of micronutrient deficiencies, implementation of nutrition protocols, appropriate monitoring strategies, and continuous quality improvement are essential elements of MNT in patient on MCS. Summary The importance of MNT for patients on MCS still often remains underrecognized, which might be of particular relevance in view of the significant metabolic alterations, the long treatment period, and severity of illness in these patients. Further research on more targeted MNT approaches in those patients is urgently needed for the generation of evidence-based guidelines for this specific cohort of critically ill patients.

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Perioperative Management of LVAD Patients

Ayyagari

Mulvoy

Castillo

et al. 2017

Mechanical Circulatory Support for Advanced Heart Failure

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A novel approach to prevent post-operative ileus after continuous-flow left ventricular assist device implantation: A retrospective cohort study

Abstract: A novel postoperative bowel management protocol successfully decreased the incidence of POI following CF-LVAD implant surgery at our institution.

Cited by 4 publications

References 28 publications

Absorptive anti-adhesion barrier for the prevention of bowel obstruction after laparoscopic colorectal cancer surgery

Absorptive anti-adhesion barrier for the prevention of bowel obstruction after laparoscopic colorectal cancer surgery

Nutrition support for patients on mechanical circulatory support

Perioperative Management of LVAD Patients

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