Minimizing Ileus After Surgery Abdominal - Medical Algorithm

Are you evaluating a patient prior to major abdominal surgery?

Yes

Will a laparoscopic procedure be performed?

Yes

Will a thoracic epidural anesthesia with a local anesthetic be used if possible?

Yes

Will epidural opioids be used to supplement the local anesthetic if pain control is a problem?

Yes

Is the use of opioids to be kept to a minimum?

Yes

Will a systemic NSAID be used to supplement the opioid analgesia?

Yes

Will the infusion of intravenous fluids after surgery be kept to a minimum?

Yes

Will the nasogastric tube be removed shortly after surgery?

Yes

Will clear oral fluid intake be started on the first postoperative day?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of problems identified that could increase the risk for postoperative ileus

The chances that the patient will have a significant problem with postoperative ileus should be

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Clinical Findings in Pediatric Postoperative Intussusception
Criteria For Diagnosis
- Anastomotic Leakage from Esophagojejunostomy After Gastrectomy Classification
- Criteria for Anterior Resection Syndrome (ARS)
Severity, Prognosis, Stage
- Postoperative Ileus Screening Tool of Bromenshenkel et al
Complications
Differential Diagnosis And Mimics, Red Flags
- Bowel Obstruction Due to Gossypiboma (Retained Surgical Cotton Sponge)

Therapy

Options
- Risk Factors for Leakage of Colonic Anastomosis
Selection
- Risk Factors for Anastomotic Leakage After Gastric Bypass
- Risk Factors for Gastrointestinal Complications Following CABG Surgery
Surgery
- I-Score for Prolonged Postoperative Ileus After Colorectal Surgery

Monitoring

Complication Detection
- Risk Factors for Esophagectomy Following Interventions for Benign Esophageal Disease
- Low Anterior Resection Score (LARS) | Rectal Carcinoma

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Recommendations of Gannon for Minimizing Postoperative Ileus in a Patient Undergoing Abdominal Surgery

Purpose: To identify ways to minimize ileus following surgery based on the multimodal approach of Gannon.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10