Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

Jianjun Xue^{1

2

3}, Ziqing Xu^{2

3}, Qiang Wang⁴, Huaijing Hou^{2

3}, Lili Wei^{1

5}, Jie Zhang^{2

3}, Xiaohong Zhao^{2

3}, Liping Chen^{2

3}, Fanfan Ding^{2

3}, Li Ma^{2

3}, Yongqiang Zhao², Yingbin Wang⁶, Daqing Ma^{7

8}, Tianjun Wang⁹, Renyu Liu¹⁰, Tong J Gan¹¹, Nicky Robinson¹², Yurasek Frank¹³, Fan Su¹⁴, Yongliang Chi¹⁴, Dianhui Yang¹⁴, Shujuan Liu¹⁴, Suyang Cui¹⁵, Yousong Wei¹⁵, Zhiqiang Chen¹⁶, You Qin¹⁶, Lixing Cao¹⁶, Guiping Chen¹⁷, Kuanyong Shu¹⁸, Zhongqing Xiao¹⁸, Hui Zhang¹⁹, Jianbo Yu¹⁹, Zhiqian Hu²⁰, Huakun Cheng²¹, Wuhua Ma²², Guokai Liu²³, Xiuli Wang²⁴, Xinghua Cao²⁵, Ju Gao²⁶, Gaoyin Kong²⁷, Qing Tao²⁸, Baohua Wang²⁹, Junlu Wang³⁰, Hong Li³¹, Cuixia Lyu³², Zhiming Zhang², Tianzuo Li³³, Kehu Yang^{1

34

35

36}

Affiliations

¹ Center for Evidence-Based Medicine, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
² Gansu Province Clinical Research Center of Integrative Anaesthesiology, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, China.
³ Anesthesiology and Pain Medicine Center, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, China.
⁴ Department of Anesthesiology, Xi'an, China.
⁵ School of Economics and Management, Gansu University of Chinese Medicine, Lanzhou, China.
⁶ Department of Anesthesiology, Lanzhou, China.
⁷ Division of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK.
⁸ National Clinical Research Center for Child Health, The Children's Hospital， Zhejiang University School of Medicine, Hangzhou, China.
⁹ Acupuncture Clinic/ Brain Centre, London, UK.
¹⁰ Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹¹ Department of Anesthesiology, Stony Brook University, Stony Brook, New York, USA.
¹² Institute of Health and Social Care, London, UK.
¹³ Pain Clinic， Acupuncture Services Cook County Health, Stroger Hospital, Chicago, Illinois, USA.
¹⁴ Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
¹⁵ Jiangsu Provincial Hospital of Chinese Medicine, Nanjing, China.
¹⁶ Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
¹⁷ Department of Gastrointestinal Surgery, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou, China.
¹⁸ Jiangxi Maternal and Child Health Hospital, Nanchang, China.
¹⁹ Tianjin Hospital of ITCWM Nankai Hospital, Tianjin, China.
²⁰ Department of Anorectal Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai, China.
²¹ Department of Neurosurgery, Heilongjiang Provincial Hospital, Harbin, China.
²² Department of Anesthesiology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
²³ Department of Anesthesiology, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, China.
²⁴ Department of Anesthesiology, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
²⁵ Department of Anesthesiology, Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University, Urumqi, China.
²⁶ Department of Anesthesiology, Northern Jiangsu People's Hospital, Yangzhou, China.
²⁷ Department of Anesthesiology, Hunan Provincial People's Hospital, Changsha, China.
²⁸ The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, China.
²⁹ Department of Anesthesiology, Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
³⁰ Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
³¹ Department of Anesthesiology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
³² College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
³³ Department of Anesthesiology, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China.
³⁴ Centre for Evidence-Based Social Science/Center for Health Technology Assessment, School of Public Health, Lanzhou University, Lanzhou, China.
³⁵ Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China.
³⁶ Chinese GRADE Centre, Lanzhou University, Lanzhou, China.

PMID: 38530771
DOI: 10.1111/jebm.12587

Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

Jianjun Xue et al. J Evid Based Med. 2024 Mar.

. 2024 Mar;17(1):207-223.

doi: 10.1111/jebm.12587. Epub 2024 Mar 26.

Authors

Affiliations

¹ Center for Evidence-Based Medicine, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
² Gansu Province Clinical Research Center of Integrative Anaesthesiology, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, China.
³ Anesthesiology and Pain Medicine Center, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, China.
⁴ Department of Anesthesiology, Xi'an, China.
⁵ School of Economics and Management, Gansu University of Chinese Medicine, Lanzhou, China.
⁶ Department of Anesthesiology, Lanzhou, China.
⁷ Division of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK.
⁸ National Clinical Research Center for Child Health, The Children's Hospital， Zhejiang University School of Medicine, Hangzhou, China.
⁹ Acupuncture Clinic/ Brain Centre, London, UK.
¹⁰ Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹¹ Department of Anesthesiology, Stony Brook University, Stony Brook, New York, USA.
¹² Institute of Health and Social Care, London, UK.
¹³ Pain Clinic， Acupuncture Services Cook County Health, Stroger Hospital, Chicago, Illinois, USA.
¹⁴ Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
¹⁵ Jiangsu Provincial Hospital of Chinese Medicine, Nanjing, China.
¹⁶ Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
¹⁷ Department of Gastrointestinal Surgery, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou, China.
¹⁸ Jiangxi Maternal and Child Health Hospital, Nanchang, China.
¹⁹ Tianjin Hospital of ITCWM Nankai Hospital, Tianjin, China.
²⁰ Department of Anorectal Surgery, Changzheng Hospital Affiliated to Second Military Medical University, Shanghai, China.
²¹ Department of Neurosurgery, Heilongjiang Provincial Hospital, Harbin, China.
²² Department of Anesthesiology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
²³ Department of Anesthesiology, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, China.
²⁴ Department of Anesthesiology, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
²⁵ Department of Anesthesiology, Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University, Urumqi, China.
²⁶ Department of Anesthesiology, Northern Jiangsu People's Hospital, Yangzhou, China.
²⁷ Department of Anesthesiology, Hunan Provincial People's Hospital, Changsha, China.
²⁸ The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, China.
²⁹ Department of Anesthesiology, Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
³⁰ Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
³¹ Department of Anesthesiology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
³² College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
³³ Department of Anesthesiology, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China.
³⁴ Centre for Evidence-Based Social Science/Center for Health Technology Assessment, School of Public Health, Lanzhou University, Lanzhou, China.
³⁵ Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China.
³⁶ Chinese GRADE Centre, Lanzhou University, Lanzhou, China.

PMID: 38530771
DOI: 10.1111/jebm.12587

Abstract

Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine (CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University, was established to develop evidence-based guidelines. Clinical questions (7 background and 12 clinical questions) were identified through literature reviews and expert consensus meetings. Based on systematic reviews/meta-analyses, evidence quality was analyzed and the advantages and disadvantages of interventional measures were weighed with input from patients' preferences. Finally, 20 recommendations were developed through the Delphi-based consensus meetings. These recommendations included disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.

Keywords: Integrated Traditional Chinese and Western Medicine; guideline; postoperative gastrointestinal disorder.

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References

REFERENCES

1. Bragg D, El‐Sharkawy AM, Psaltis E, et al. Postoperative ileus: recent developments in pathophysiology and management. Clin Nutr. 2015(34):367–376.
1. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2020;131(02):411–448.
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1. Li WJ, Gao C, An LX, et al. Perioperative transcutaneous electrical acupoint stimulation for improving postoperative gastrointestinal function: a randomized controlled trial. J Integr Med. 2021;19(3):211–218.
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Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

Affiliations

Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

Authors

Affiliations

Abstract

References

REFERENCES

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources