Impact of computed tomography of the abdomen on clinical outcomes in patients with acute right lower quadrant pain: a meta-analysis.

Can J Surg. 2011 Feb;54(1):43-53

Authors: Krajewski S, Brown J, Phang PT, Raval M, Brown CJ

Clinical evaluation alone is still considered adequate by many clinicians who treat patients with appendicitis. The impact of computed tomography (CT) on clinical outcomes remains unclear, and there is no consensus regarding the appropriate use of CT in these patients. We sought to evaluate the impact of abdominal CT on the clinical outcomes of patients presenting with suspected appendicitis.

PMID: 21251432 [PubMed - indexed for MEDLINE]

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Pharmacological management of postoperative ileus.

Can J Surg. 2009 Apr;52(2):153-7

Authors: Zeinali F, Stulberg JJ, Delaney CP

The duration of postoperative ileus following abdominal surgery is quite variable, and prolonged postoperative ileus is an iatrogenic phenomenon with important influence on patient morbidity, hospital costs and length of stay in hospital. Adequate treatment for prolonged postoperative ileus is important to improve patient morbidity and clinical efficiency. Both clinical and pharmacological management strategies have improved rapidly over the last decade, and appropriate and timely management using multimodal techniques should be used for optimal care. In this review, we define postoperative ileus, describe the pathogenesis and briefly discuss clinical management before detailing potential pharmacologic management options.

PMID: 19399212 [PubMed - indexed for MEDLINE]

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