“…Both the neuronal activation by intestinal manipulation (IM) and inflammatory cell infiltrates in the intestinal muscularis compromise gastrointestinal motility. These detrimental alterations are emphasized as major factors in the development of POI (4,8,9,15,16,[35][36][37][38][40][41][42]. We reported a time-and trauma-degree-dependent inflammatory cascade (35, 36); infiltration of leukocytes (40 -42, 72, 83), macrophages (21,22,37,87), and immunologically competent cells (35,36,40,67,69,72,81,83); and an upregulation of proinflammatory cytokines within the intestinal muscularis (36, 38 -40, 66, 68, 71, 80 -82, 84, 88).…”