Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery
Background Studies in emergency surgical patients have shown that raised intra-abdominal pressure may adversely affect organ function. The major aim of the present study was to establish the incidence of intra-abdominal hypertension (IAH) in patients undergoing major elective abdominal surgery. A se...
Gespeichert in:
| Veröffentlicht in: | World journal of surgery 2009-11, Vol.33 (11), p.2372-2377 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2377 |
|---|---|
| container_issue | 11 |
| container_start_page | 2372 |
| container_title | World journal of surgery |
| container_volume | 33 |
| creator | Scollay, John M. de Beaux, Ishrat Parks, Rowan W. |
| description | Background
Studies in emergency surgical patients have shown that raised intra-abdominal pressure may adversely affect organ function. The major aim of the present study was to establish the incidence of intra-abdominal hypertension (IAH) in patients undergoing major elective abdominal surgery. A secondary aim was to determine if the development of IAH was associated with poorer outcome.
Methods
Patients undergoing major elective general surgical procedures were recruited to a prospective study in which intra-abdominal pressure was measured for 72 h postoperatively. Outcome data were collected on all patients.
Results
A total of 42 patients with a median age of 63.5 years were studied. Five patients (12%) developed IAH, but this did not lead to a significant increase in the incidence of major organ dysfunction. There was no significant difference in the median length of hospital stay. However the development of IAH was associated with delayed return to oral diet (
p
|
| doi_str_mv | 10.1007/s00268-009-0191-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733851188</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733851188</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4506-44ed7fbcc81f6cae22a4608d4c147019d6c889f7418b219812aa797b795d2793</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhoMo7rj6A7xII4in1qokk4_j7rKjKysuzILeQjqdXnrIdMZk2mX-vRm6cUAQT6nD81aqniLkNcIHBJAfMwAVqgbQNaDGmj0hC-SM1pRR9pQsgAleamRn5EXOGwCUAsRzcoZaaCYYLsiPuxTzzrt9_8tX6_3YHqrYVTfDPtn6omnjth9sqO6Sz3lMvlrFEOJjPzxUX-0mpuo6zNETux7Tg0-Hl-RZZ0P2r-b3nNyvru-vPte33z7dXF3c1o4vQdSc-1Z2jXMKO-Gsp9RyAarlDrksS7XCKaU7yVE1FLVCaq3UspF62VKp2Tl5P7Xdpfhz9Hlvtn12PgQ7-DhmIxlTS0SlCvn2L3ITx1QmzqY01rKIgwLhBLmiJSffmV3qtzYdDII5OjeTc1Ocm6Nzw0rmzdx4bLa-PSVmyQV4NwM2Oxu6ZAfX5z8cpaBEuUvh9MQ99sEf_v-z-f5lfbkCLvCYpVM2l9hQDnDa7t-T_wYkTajM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219971430</pqid></control><display><type>article</type><title>Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Scollay, John M. ; de Beaux, Ishrat ; Parks, Rowan W.</creator><creatorcontrib>Scollay, John M. ; de Beaux, Ishrat ; Parks, Rowan W.</creatorcontrib><description>Background
Studies in emergency surgical patients have shown that raised intra-abdominal pressure may adversely affect organ function. The major aim of the present study was to establish the incidence of intra-abdominal hypertension (IAH) in patients undergoing major elective abdominal surgery. A secondary aim was to determine if the development of IAH was associated with poorer outcome.
Methods
Patients undergoing major elective general surgical procedures were recruited to a prospective study in which intra-abdominal pressure was measured for 72 h postoperatively. Outcome data were collected on all patients.
Results
A total of 42 patients with a median age of 63.5 years were studied. Five patients (12%) developed IAH, but this did not lead to a significant increase in the incidence of major organ dysfunction. There was no significant difference in the median length of hospital stay. However the development of IAH was associated with delayed return to oral diet (
p
< 0.05).
Conclusions
Intra-abdominal hyhpertension occurs in 12% of patients following major elective abdominal surgery and leads to a significantly delayed return to oral diet, but not to an increased length of hospital stay or increased incidence of major organ dysfunction.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-009-0191-3</identifier><identifier>PMID: 19693631</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdomen - physiopathology ; Abdomen - surgery ; Abdominal Aortic Aneurysm ; Abdominal Compartment Syndrome ; Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiac Surgery ; Compartment Syndromes - etiology ; Compartment Syndromes - physiopathology ; Critical Care Area ; Elective Surgical Procedures - adverse effects ; Female ; General aspects ; General Surgery ; Humans ; Incidence ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Operative Severity Score ; Oral Diet ; Pressure ; Prospective Studies ; Surgery ; Thoracic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>World journal of surgery, 2009-11, Vol.33 (11), p.2372-2377</ispartof><rights>Société Internationale de Chirurgie 2009</rights><rights>2009 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4506-44ed7fbcc81f6cae22a4608d4c147019d6c889f7418b219812aa797b795d2793</citedby><cites>FETCH-LOGICAL-c4506-44ed7fbcc81f6cae22a4608d4c147019d6c889f7418b219812aa797b795d2793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-009-0191-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-009-0191-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22086606$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19693631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scollay, John M.</creatorcontrib><creatorcontrib>de Beaux, Ishrat</creatorcontrib><creatorcontrib>Parks, Rowan W.</creatorcontrib><title>Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Studies in emergency surgical patients have shown that raised intra-abdominal pressure may adversely affect organ function. The major aim of the present study was to establish the incidence of intra-abdominal hypertension (IAH) in patients undergoing major elective abdominal surgery. A secondary aim was to determine if the development of IAH was associated with poorer outcome.
Methods
Patients undergoing major elective general surgical procedures were recruited to a prospective study in which intra-abdominal pressure was measured for 72 h postoperatively. Outcome data were collected on all patients.
Results
A total of 42 patients with a median age of 63.5 years were studied. Five patients (12%) developed IAH, but this did not lead to a significant increase in the incidence of major organ dysfunction. There was no significant difference in the median length of hospital stay. However the development of IAH was associated with delayed return to oral diet (
p
< 0.05).
Conclusions
Intra-abdominal hyhpertension occurs in 12% of patients following major elective abdominal surgery and leads to a significantly delayed return to oral diet, but not to an increased length of hospital stay or increased incidence of major organ dysfunction.</description><subject>Abdomen - physiopathology</subject><subject>Abdomen - surgery</subject><subject>Abdominal Aortic Aneurysm</subject><subject>Abdominal Compartment Syndrome</subject><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgery</subject><subject>Compartment Syndromes - etiology</subject><subject>Compartment Syndromes - physiopathology</subject><subject>Critical Care Area</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Female</subject><subject>General aspects</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Severity Score</subject><subject>Oral Diet</subject><subject>Pressure</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU2LFDEQhoMo7rj6A7xII4in1qokk4_j7rKjKysuzILeQjqdXnrIdMZk2mX-vRm6cUAQT6nD81aqniLkNcIHBJAfMwAVqgbQNaDGmj0hC-SM1pRR9pQsgAleamRn5EXOGwCUAsRzcoZaaCYYLsiPuxTzzrt9_8tX6_3YHqrYVTfDPtn6omnjth9sqO6Sz3lMvlrFEOJjPzxUX-0mpuo6zNETux7Tg0-Hl-RZZ0P2r-b3nNyvru-vPte33z7dXF3c1o4vQdSc-1Z2jXMKO-Gsp9RyAarlDrksS7XCKaU7yVE1FLVCaq3UspF62VKp2Tl5P7Xdpfhz9Hlvtn12PgQ7-DhmIxlTS0SlCvn2L3ITx1QmzqY01rKIgwLhBLmiJSffmV3qtzYdDII5OjeTc1Ocm6Nzw0rmzdx4bLa-PSVmyQV4NwM2Oxu6ZAfX5z8cpaBEuUvh9MQ99sEf_v-z-f5lfbkCLvCYpVM2l9hQDnDa7t-T_wYkTajM</recordid><startdate>200911</startdate><enddate>200911</enddate><creator>Scollay, John M.</creator><creator>de Beaux, Ishrat</creator><creator>Parks, Rowan W.</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200911</creationdate><title>Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery</title><author>Scollay, John M. ; de Beaux, Ishrat ; Parks, Rowan W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4506-44ed7fbcc81f6cae22a4608d4c147019d6c889f7418b219812aa797b795d2793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdomen - physiopathology</topic><topic>Abdomen - surgery</topic><topic>Abdominal Aortic Aneurysm</topic><topic>Abdominal Compartment Syndrome</topic><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgery</topic><topic>Compartment Syndromes - etiology</topic><topic>Compartment Syndromes - physiopathology</topic><topic>Critical Care Area</topic><topic>Elective Surgical Procedures - adverse effects</topic><topic>Female</topic><topic>General aspects</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Severity Score</topic><topic>Oral Diet</topic><topic>Pressure</topic><topic>Prospective Studies</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scollay, John M.</creatorcontrib><creatorcontrib>de Beaux, Ishrat</creatorcontrib><creatorcontrib>Parks, Rowan W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scollay, John M.</au><au>de Beaux, Ishrat</au><au>Parks, Rowan W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2009-11</date><risdate>2009</risdate><volume>33</volume><issue>11</issue><spage>2372</spage><epage>2377</epage><pages>2372-2377</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Studies in emergency surgical patients have shown that raised intra-abdominal pressure may adversely affect organ function. The major aim of the present study was to establish the incidence of intra-abdominal hypertension (IAH) in patients undergoing major elective abdominal surgery. A secondary aim was to determine if the development of IAH was associated with poorer outcome.
Methods
Patients undergoing major elective general surgical procedures were recruited to a prospective study in which intra-abdominal pressure was measured for 72 h postoperatively. Outcome data were collected on all patients.
Results
A total of 42 patients with a median age of 63.5 years were studied. Five patients (12%) developed IAH, but this did not lead to a significant increase in the incidence of major organ dysfunction. There was no significant difference in the median length of hospital stay. However the development of IAH was associated with delayed return to oral diet (
p
< 0.05).
Conclusions
Intra-abdominal hyhpertension occurs in 12% of patients following major elective abdominal surgery and leads to a significantly delayed return to oral diet, but not to an increased length of hospital stay or increased incidence of major organ dysfunction.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19693631</pmid><doi>10.1007/s00268-009-0191-3</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-2313 |
| ispartof | World journal of surgery, 2009-11, Vol.33 (11), p.2372-2377 |
| issn | 0364-2313 1432-2323 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733851188 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdomen - physiopathology Abdomen - surgery Abdominal Aortic Aneurysm Abdominal Compartment Syndrome Abdominal Surgery Adult Aged Aged, 80 and over Biological and medical sciences Cardiac Surgery Compartment Syndromes - etiology Compartment Syndromes - physiopathology Critical Care Area Elective Surgical Procedures - adverse effects Female General aspects General Surgery Humans Incidence Male Medical sciences Medicine Medicine & Public Health Middle Aged Operative Severity Score Oral Diet Pressure Prospective Studies Surgery Thoracic Surgery Treatment Outcome Vascular Surgery |
| title | Prospective Study of Intra-Abdominal Pressure Following Major Elective Abdominal Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T01%3A03%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prospective%20Study%20of%20Intra-Abdominal%20Pressure%20Following%20Major%20Elective%20Abdominal%20Surgery&rft.jtitle=World%20journal%20of%20surgery&rft.au=Scollay,%20John%20M.&rft.date=2009-11&rft.volume=33&rft.issue=11&rft.spage=2372&rft.epage=2377&rft.pages=2372-2377&rft.issn=0364-2313&rft.eissn=1432-2323&rft.coden=WJSUDI&rft_id=info:doi/10.1007/s00268-009-0191-3&rft_dat=%3Cproquest_cross%3E733851188%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=219971430&rft_id=info:pmid/19693631&rfr_iscdi=true |