Journal
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
Volume 40, Issue 4, Pages 725-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.gtc.2011.09.003
Keywords
Critical illness; Gastrointestinal motility; Gastric emptying; Nutrient absorption; Prokinetic; Enteral feeding
Categories
Funding
- National Health and Medical Research Council
- Australian College of Anaesthesia
- New Zealand College of Anaesthesia
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Abnormal gastrointestinal motility is a common feature of critical illness and results in a number of clinical problems that can complicate the management of patients in the intensive care unit. In this review the authors outline and describe the abnormalities in motility, their clinical sequelae, and the priorities of management. Reduced lower gastroesophageal sphincter pressures can result in esophageal reflux, slow gastric emptying leads to reduced success of gastric feeding, and impaired small intestinal motility may be associated with reduced nutrient absorption. Targeted treatment includes the administration of prokinetic agents and the delivery of nutrition directly into the small intestine.
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