Gastrointestinal Dysmotility: Clinical Consequences and Management of the Critically Ill Patient

被引：37

作者：

Chapman, Marianne J. ^{[1
,2
]}

Nguyen, Nam Q. ^{[3
,4
]}

Deane, Adam M. ^{[1
,2
]}

机构：

[1] Royal Adelaide Hosp, Dept Crit Care Serv, Adelaide, SA 5000, Australia

[2] Univ Adelaide, Discipline Acute Care Med, Sch Med, Adelaide, SA, Australia

[3] Royal Adelaide Hosp, Dept Gastroenterol & Hepatol, Adelaide, SA 5000, Australia

[4] Univ Adelaide, Discipline Med, Sch Med, Adelaide, SA, Australia

来源：

GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2011年 / 40卷 / 04期

基金：

英国医学研究理事会;

关键词：

Critical illness; Gastrointestinal motility; Gastric emptying; Nutrient absorption; Prokinetic; Enteral feeding; GUT ABSORPTIVE-CAPACITY; SMALL-BOWEL MOTILITY; MIGRATING MOTOR COMPLEX; FEED INTOLERANCE; GASTRODUODENAL MOTILITY; PARACETAMOL ABSORPTION; GASTRIC-MOTILITY; PYLORIC MOTILITY; CRITICAL ILLNESS; SMALL-INTESTINE;

D O I：

10.1016/j.gtc.2011.09.003

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Abnormal gastrointestinal motility is a common feature of critical illness and results in a number of clinical problems that can complicate the management of patients in the intensive care unit. In this review the authors outline and describe the abnormalities in motility, their clinical sequelae, and the priorities of management. Reduced lower gastroesophageal sphincter pressures can result in esophageal reflux, slow gastric emptying leads to reduced success of gastric feeding, and impaired small intestinal motility may be associated with reduced nutrient absorption. Targeted treatment includes the administration of prokinetic agents and the delivery of nutrition directly into the small intestine.

引用

页码：725 / +

页数：17

共 100 条

[1]

[Anonymous], JPEN J PARENTER ENTE

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