Study of Postoperative Ileus in Digestive Surgery
University Hospital, Toulouse
161 participants
Apr 24, 2024
OBSERVATIONAL
Conditions
Summary
Post-operative ileus is a temporary stoppage of bowel function following surgery. Indeed it can occur in 20% of cases during post-operative follow-up of bowel surgery. The absence of resumption of transit can lead to the implementation of specific treatments such as the placement of a nasogastric tube and drug treatments. To date, the definition of this event is not accepted by everyone and is not based on reproducible evaluation criteria. The main objective of this study is to evaluate a score used to date to define postoperative ileus, the IFEED score, and to compare it to the length of postoperative stay.
Eligibility
Inclusion Criteria4
- Patient entering our care sector for surgical management of a pathology affecting the digestive tract:
- Colorectal cancer
- Chronic inflammatory bowel disease
- Colonic diverticulosis.
Exclusion Criteria10
- Patient treated for digestive resection with associated resection procedure or to be treated with intraperitoneal chemotherapy.
- Patient presenting during hospitalization with an ileus secondary to another intra-abdominal complication.
- Patient cared for in an emergency
- Hepatic resection or other associated metastatic site
- Multiple digestive resection
- Colorectal anastomosis less than 7 cm from the anal margin (below the Pouch of Douglas)
- Patient with American Society of Anesthesiologists physical status (ASA) score \> 2
- Patient with an Eastern Cooperative Oncology Group (ECOG) Performance Status Scale \>2
- Pregnant or breastfeeding women
- Patient under a protection regime for adults (guardianship, curators, safeguard of justice)
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Interventions
Collection of ileus events, items of IFEED score and surgical complications
Locations(2)
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NCT06018961