Predictors of ileus following colorectal resections.
BACKGROUND
Ileus following colorectal surgery is a significant burden for healthcare and can be challenging to manage. This study aims to evaluate risk factors for postoperative ileus in patients undergoing colorectal surgery.


METHODS
Patients who underwent colorectal resections for any diagnosis were identified from our institutional database between 2009 and 2014. Patient demographics, pre-operative comorbidities, and operation-related variables were compared in patients with and without ileus within 30 days after surgery.


RESULTS
A total of 5369 patients were identified with a mean age of 53 years. 892 patients (16.6%) developed postoperative ileus. Males were twice as likely (p < 0.001) and patients with anastomosis were 1.4 times more likely to develop ileus compared to those without (p < 0.001). Laparoscopic surgery and younger age were associated with lower ileus risk. Patients with colorectal cancer, Crohn's disease, and ulcerative colitis diagnoses were all more likely to develop postoperative ileus compared to patients with diverticular disease.


CONCLUSIONS
Evaluation of factors such as male gender, older age, anastomosis formation, diagnosis of cancer and inflammatory bowel disease, can help facilitate earlier diagnosis of postoperative ileus and may require consideration of prophylactic therapy.
['Sapci|Ipek|I|', 'Hameed|Irbaz|I|', 'Ceylan|Arda|A|', 'Oktem|Ayda|A|', 'Rencuzogullari|Ahmet|A|', 'Hull|Tracy L|TL|', 'Liska|David|D|', 'Delaney|Conor P|CP|', 'Gorgun|Emre|E|']
D000367:Age Factors D003108:Colonic Diseases D005260:Female D006801:Humans D045823:Ileus D010535:Laparoscopy D008297:Male D008875:Middle Aged D011183:Postoperative Complications D012002:Rectal Diseases D012307:Risk Factors D012737:Sex Factors
Colorectal surgery Risk factors Postoperative ileus