Smoking is a risk factor for postoperative ileus after radical resection in male patients

Wang, Jiangling; Guo, Wenjing; Cui, Xiaoying; Shen, Yajian; Guo, Ye; Cai, Yunfang; Liu, Xinyi; Fang, Man; Gu, Bin; Yuan, Jun-Bo; Xie, Yuyizi; Xie, Kangjie; Zhou, Huibin; Chen, Xinzhong

doi:10.1097/md.0000000000027465

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Moreover, dysmenorrhea is closely related to changes in central nervous system function, and more analgesic drugs may be required during perioperative period [ 29 ], which will inhibit gastrointestinal function and increase the risk of POI. In addition, tobacco contains nicotine substances, which can stimulate capillaries and cause contraction, affecting the blood supply at the surgical site, resulting in postoperative incision infection and poor healing, and thus affecting the postoperative gastrointestinal function recovery of patients [ 30 ]. Cribb et al [ 31 ] also support this view.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postoperative ileus in hysterectomy: A systematic review and meta-analysis

Hou,

Liu,

et al. 2024

PLoS ONE

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Objective The study intended to evaluate the risk factors of postoperative ileus in hysterectomy patients. Study design Systematic review and meta-analysis. Methods This study conducted a systematic review and meta-analysis in accordance with the Preferred Reporting Program for Systematic Review and Meta-analysis statement. PubMed, Web of Science, Embase, the Cochrane Library and China National Knowledge Internet were searched. The search period was restricted from the earliest records to March 2024. Key words used were: (hysterectomy) AND (postoperative ileus OR postoperative intestinal obstruction OR ileus OR intestinal obstruction). Two researchers screened literatures and extracted data, and used Newcastle-Ottawa scale and Joanna Briggs Institute critical appraisal checklist for analytical cross-sectional studies to evaluate their quality. Then, Stata17 software was used for statistical analysis. Result A total of 11 literatures were included. Personal factors and previous history of disease factors of postoperative ileus in hysterectomy patients included use opioids (OR = 3.91, 95%CI: 1.08–14.24), dysmenorrhea (OR = 2.51, 95%: 1.25–5.05), smoking (OR = 1.55, 95%: 1.18–2.02), prior abdominal or pelvic surgery (OR = 1.46, 95%CI: 1.16–1.83) and age (OR = 1.03, 95%: 1.02–1.04). Surgery-related factors included perioperative transfusion (OR = 4.50, 95%CI: 3.29–6.16), concomitant bowel surgery (OR = 3.79, 95%CI: 1.86–7.71), anesthesia technique (general anesthesia) (OR = 2.73, 95%CI: 1.60, 4.66), adhesiolysis (OR = 1.97, 95%CI: 1.52–2.56), duration of operation (OR = 1.78, 95%CI: 1.32–2.40), operation approach (laparoscopic hysterectomy) (OR = 0.43, 95%CI: 0.29–0.64) and operation approach (vaginal hysterectomy) (OR = 0.35, 95%CI: 0.18–0.69). Conclusions The results of this study were personal factors and previous history of disease factors, surgery-related factors, which may increase the risk of postoperative ileus in hysterectomy patients. After the conclusion of risk factors, more accurate screening and identification of high-risk groups can be conducted and timely preventive measures can be taken to reduce the incidence of postoperative ileus. Trial registration The study protocol for this meta-analysis was registered (CRD42023407167) with the PROSPERO database (www.crd.york.ac.uk/prospero).

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Section: Discussionmentioning

confidence: 99%

Risk factors for postoperative ileus in hysterectomy: A systematic review and meta-analysis

Hou,

Liu,

et al. 2024

PLoS ONE

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Recovery of gastrointestinal functional after surgery for abdominal tumors: A narrative review

Xie,

Ma,

Zhong

2024

Medicine

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Postoperative gastrointestinal dysfunction, including temporary nonmechanical suppression of gastrointestinal motility (known as postoperative ileus), occurs in about 10% surgeries of abdominal tumors. Since these complications can prolong hospitalization and affect eating, it is important to understand their risk factors and identify effective interventions to manage or prevent them. The present review comprehensively examined the relevant literature to describe risk factors for postoperative ileus and effective interventions. Risk factors include old age, open surgery, difficulty of surgery, surgery lasting longer than 3 hours, preoperative bowel treatment, infection, and blood transfusion. Factors that protect against postoperative ileus include early enteral nutrition, minimally invasive surgery, and multimodal pain treatment. Interventions that can shorten or prevent such ileus include minimally invasive surgery, early enteral nutrition as well as use of chewing gum, laxatives, and alvimopan. Most of these interventions have been integrated into current guidelines for enhanced recovery of gastrointestinal function after surgery. Future high-quality research is needed in order to clarify our understanding of efficacy and safety.

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Smoking is a risk factor for postoperative ileus after radical resection in male patients

Cited by 2 publications

References 28 publications

Risk factors for postoperative ileus in hysterectomy: A systematic review and meta-analysis

Risk factors for postoperative ileus in hysterectomy: A systematic review and meta-analysis

Recovery of gastrointestinal functional after surgery for abdominal tumors: A narrative review

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