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No Guts, No Recovery: A Rational Approach to Postoperative Gastrointestinal Dysfunction

Nathan, Naveen MD

doi: 10.1213/ANE.0000000000002930
Infographics: Infographic

Northwestern University Feinberg School of Medicine (

The Infographic is composed by Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The author declares no conflicts of interest.

Recognizing that the return to normal gastrointestinal function and motility is a primary focus of recovery after major colorectal surgery, a group of international experts convened to (1) more clearly define postoperative gastrointestinal dysfunction and stratify its severity, (2) review the literature to assess effective preventive strategies, and (3) make consensus recommendations in the management of postoperative gastrointestinal dysfunction. The infographic depicted summarizes these aims. The reader is encouraged to review the article cited for more extensive analysis and discussion.

CRS indicates colorectal surgery; NGTs, nasogastric tubes; PONV, postoperative nausea and vomiting.

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1. Hedrick TL, McEvoy MD, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on postoperative gastrointestinal dysfunction within an enhanced recovery pathway for elective colorectal surgery. Anesth Analg. 2018;126:1896–1909.
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