[Gastrointestinal motility in critically ill patients]

Med Klin Intensivmed Notfmed. 2018 Jun;113(5):433-442. doi: 10.1007/s00063-018-0446-6. Epub 2018 May 25.
[Article in German]

Abstract

Up to 80% of all critically ill patients develop gastrointestinal dysfunction, predominantly gastrointestinal motility disorder. In critically ill patients, gastrointestinal dysfunction or gastrointestinal failure is associated with increased morbidity and mortality. Correct diagnosis and early start of treatment are essential and can influence the outcome. Therapeutic options are normal potassium and magnesium levels, restrictive fluid balance, improved gastrointestinal microcirculation, individual sedoanalgetic concepts and early enteral nutrition. In addition, numerous target-oriented medical therapeutic options are available.

Keywords: Functional gastrointestinal disorders; Gastrointestinal transit; Intensive care; Lower gastrointestinal tract; Upper gastrointestinal tract.

MeSH terms

  • Critical Illness*
  • Enteral Nutrition
  • Gastrointestinal Diseases*
  • Gastrointestinal Motility*
  • Humans