Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Death due to Postoperative Ileus after Total Knee Arthroplasty

슬관절 전 치환술 후 장폐색으로 인한 사망

  • Kim, Hee-June (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • Choi, Young-Seo (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • Jung, Chul-Hee (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital) ;
  • Kyung, Hee-Soo (Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
  • 김희준 (경북대학교 의과대학 정형외과학교실) ;
  • 최영서 (경북대학교 의과대학 정형외과학교실) ;
  • 정철희 (경북대학교 의과대학 정형외과학교실) ;
  • 경희수 (경북대학교 의과대학 정형외과학교실)
  • Received : 2020.06.10
  • Accepted : 2020.07.14
  • Published : 2021.08.30
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Abstract

The incidence of postoperative ileus (POI) after colonic and abdominal surgery is high. On the other hand, the reported incidence after lower extremity reconstruction ranges from 0.3% to 4.0%. This paper reports an 81-year-old woman who expired due to POI at six days after primary total knee arthroplasty. The risk factors, diagnosis, preventive methods, and treatment of POI were also investigated through literature reviews.

수술 후 장폐색(postoperative ileus, POI)은 복부나 대장 수술 후에 발생빈도가 높지만 하지 수술 후에는 드문 것으로 알려져 있다. 저자들은 슬관절 인공관절 전치환술 이후 4일째부터 증상이 시작된 POI로 사망한 81세 환자를 경험하였고, 이에 대한 위험 요인과 진단, 예방법 및 치료에 대해 문헌 고찰하여 보고하고자 한다.

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References

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