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Review
. 2020 Sep;24(Suppl 4):S179-S182.
doi: 10.5005/jp-journals-10071-23614.

Gastrointestinal Motility Disorders in Critically Ill

Deepak Govil  1 , Divya Pal  2
Affiliations
Review

Gastrointestinal Motility Disorders in Critically Ill

Deepak Govil et al. Indian J Crit Care Med. 2020 Sep.

Abstract

Gastrointestinal (GI) motility disorders are a common problem in the intensive care unit (ICU) and are associated with increased morbidity, complications like feeding intolerance, malnutrition, bacterial translocation, sepsis, multiple organ failure, prolonged hospital stay and increased risk of mortality. Several risk factors in intensive care setting that contribute to GI dysmotility include mechanical ventilation, vasopressor support, use of opioids, etc. Degree of GI motility dysfunction correlates with severity of critical illness. So, it is important to identify the dysfunction early so that targeted therapy could be prescribed to prevent worsening of clinical outcomes. How to cite this article: Govil D, Pal D. Gastrointestinal Motility Disorders in Critically Ill. Indian J Crit Care Med 2020;24(Suppl 4):S179-S182.

Keywords: Gastroparesis; Ileus; Intensive care; Motility disorder; Pseudo-obstruction.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

References

    1. Aderinto-Adike AO, Quigley EMM. Gastrointestinal motility problems in critical care: a clinical perspective. J Dig Dis. 2014;15(7):335–344. doi: 10.1111/1751-2980.12147. DOI: - DOI - PubMed
    1. Retief I. The management of motility disorders in critical illness. S Afr J Clin Nutr. 2011;24(3):S15–S18. doi: 10.1080/16070658.2011.11734374. DOI: - DOI
    1. Fruhwald S, Kainz J. Effect of ICU interventions on gastrointestinal motility. Curr Opin Crit Care. 2010;16(2):159–164. doi: 10.1097/MCC.0b013e3283356679. DOI: - DOI - PubMed
    1. Ukleja A. Altered GI motility in critically ill patients: current understanding of pathophysiology, clinical impact, and diagnostic approach. Nutr Clin Pract. 2010;25(1):16–25. doi: 10.1177/0884533609357568. DOI: - DOI - PubMed
    1. Nind G, Chen WH, Protheroe R, Iwakiri K, Fraser R, Young R, et al. Mechanisms of gastroesophageal reflux in critically ill mechanically ventilated patients. Gastroenterology. 2005;128(3):600–606. doi: 10.1053/j.gastro.2004.12.034. DOI: - DOI - PubMed

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