Gut dysmotility in the ICU: diagnosis and therapeutic options
Mark P Plummer, Annika Reintam Blaser, Adam M Deane
Current Opinion in Critical Care | LIPPINCOTT WILLIAMS & WILKINS | Published : 2019
PURPOSE OF REVIEW: To provide a comprehensive update of diagnosis and treatment of gastrointestinal dysmotility in the critically ill, with a focus on work published in the last 5 years. RECENT FINDINGS: Symptoms and clinical features consistent with upper and/or lower gastrointestinal dysmotility occur frequently. Although features of gastrointestinal dysmotility are strongly associated with adverse outcomes, these associations may be because of unmeasured confounders. The use of ultrasonography to identify upper gastrointestinal dysmotility appears promising. Both nonpharmacological and pharmacological approaches to treat gastrointestinal dysmotility have recently been evaluated. These app..View full abstract
A.R.B. has received honoraria from Fresenius Kabi and Nestle and her institution, University of Tartu, received a study grant from Fresenius Kabi. A.M.D. or his institution has received honoraria or project grant funding from Baxter, Fresenius Kabi, GSK, Medtronic, and Takeda.