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Gastrointestinal motility problems in critical care: A clinical perspective
Author(s) -
AderintoAdike Abimbola O,
Quigley Eamonn M M
Publication year - 2014
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/1751-2980.12147
Subject(s) - medicine , gastroparesis , intensive care medicine , intensive care , ileus , sepsis , mechanical ventilation , anticholinergic , intensive care unit , anesthesia , gastric emptying , stomach
Advances in surgery, anesthesia and intensive care have led to a dramatic increase in the number of patients who spend time in our intensive care units ( ICU ). Gastrointestinal ( GI ) motility disorders are common complications in the intensive care setting and are predictors of increased mortality and length of the stay in the ICU . Several risk factors for developing GI motility problems in the ICU setting have been identified and include sepsis, being on mechanical ventilation and the use of vasopressors, opioids or anticholinergic medications. Our focus is on the most common clinical manifestations of GI motor dysfunction in the ICU patient: gastroesophageal reflux, gastroparesis, ileus and acute pseudo‐obstruction of the colon.