Degree Name
Master of Science in Nursing (MSN)
Document Type
Major Paper
School
Zvart Onanian School of Nursing
Department
Nursing
Date of Original Version
4-20-2023
Abstract
Postoperative ileus is a type of complication that is commonly seen in colorectal patients in a hospital setting. It is known to be a prolonged absence of bowel function after surgical procedures, usually after abdominal surgeries. Prolonged impairment can lead to patient discomfort, dissatisfaction, and prolonged hospitalization. Historically, strict diet protocols have been followed by patients who have undergone gastrointestinal and abdominal surgeries. Oral intake of food or water would be prohibited until there was a signal of returned bowel function. A patient's progression in diet would not commence unless a patient passed flatus or stool. Patients who undergo abdominal surgery may develop symptoms of nausea and vomiting, abdominal distention and delayed passage of flatus and stool. A slow progression in diet is followed to avoid an ileus. Research studies throughout the years have begun to challenge traditional care protocols. In newer protocols, such as Enhanced Recovery After Surgery (ERAS), patients are given diets earlier in their course in hopes of restoring bowel function. Much debate lies on whether bowel rest and early postoperative eating are equal methods in ileus prevention. The purpose of this systematic review was to answer the clinical question, Does early postoperative eating reduce the risk of an ileus in colorectal patients as compared with colorectal patients who wait for return of bowel function before initiating oral diets? Five final RCTs were selected in this systematic review utilizing PRISMA guidelines and CASP tool to ensure study integrity. Results of this review determined that early postoperative eating reduces the risk of an ileus in colorectal patients as compared with colorectal patients who wait for return of bowel function before starting oral diets. Postoperative patients can achieve optimal health and independence, if there is an understanding of the patient's basic needs and the factors that can cause an ileus. Through evidence-based practice, APRNs can provide support and guidance to nursing staff and patients in achieving effective care and improving patient outcomes.
Recommended Citation
Malkasian, Elza, "Can Bowel Rest and Early Postoperative Eating Be Equal Methods In Ileus Prevention? A Systematic Review" (2023). Master's Theses, Dissertations, Graduate Research and Major Papers Overview. 490.
https://digitalcommons.ric.edu/etd/490
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