Preventive measures like coffee consumption, probiotics, and use of dikenchuto within enhanced recovery programs significantly reduce postoperative ileus frequency and duration. Minimally invasive surgical approaches show promise as additional preventive strategies. Treatment options like alvimopan, NSAIDs, and acupuncture are effective, but lidocaine use raises concerns. Ongoing exploration of novel therapeutic strategies such as targeting mast cells and vagal nerve stimulation holds promise for enhanced treatment of postoperative ileus.
Review by Iskander O in Medicine (Baltimore)
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