Postoperative Ileus After Total Joint Arthroplasty

Abstract We evaluated the incidence and risk factors for postoperative ileus (POI) after total joint arthroplasty in a consecutive group of patients between January 2004 and December 2005 using regional anesthesia and multimodal pain management protocols. Postoperative ileus developed in 31 (0.7%) o...

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Bibliographic Details
Published in:The Journal of arthroplasty 2008-04, Vol.23 (3), p.360-365
Main Authors: Parvizi, Javad, MD, FRCS, Han, Seung-Beom, MD, Tarity, T. David, BS, Pulido, Luis, MD, Weinstein, Michael, MD, Rothman, Richard H., MD, PhD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
arthroplasty, replacement
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Female
hip
Humans
ileus
Ileus - etiology
Ileus - therapy
intestinal pseudo-obstruction
knee
Male
Middle Aged
narcotics
opioid-related disorders
Orthopedics
Postoperative Complications - therapy
Risk Factors
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Summary:Abstract We evaluated the incidence and risk factors for postoperative ileus (POI) after total joint arthroplasty in a consecutive group of patients between January 2004 and December 2005 using regional anesthesia and multimodal pain management protocols. Postoperative ileus developed in 31 (0.7%) of 4567 patients. Of these patients, 21 (67.7%) were men, and 10 (32.3%) were women, with a mean age of 68 years (range, 52-91 years). The ileus was treated successfully in 29 patients during the hospitalization. One patient died from this complication, and another one required sigmoid colon resection due to perforation. The risk factors for developing POI after joint arthroplasty were older age, male sex, hip arthroplasty, and prior history of abdominal surgery. The type and dose of narcotic medications, as administered using our current protocol, did not appear to influence the development of POI.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2007.12.019