Clinical practice guideline for prevention and treatment of postoperative gastrointestinal disorder with integrated traditional Chinese and Western medicine (2023 edition)_Chinese Journal of Evidence-Based Medicine

Authors：

XUE Jianjun ^1,2,3 , XU Ziqing ^2,3 , HOU Huaijing ^2,3 , WANG Qiang ⁴ , WEI Lili ^1,5 , ZHANG Jie ^2,3 , ZHAO Xiaohong ^2,3 , CHEN Liping ^2,3 , DING Fanfan ^2,3 , MA Li ^2,3 , ZHAO Yongqiang ² , WANG Yingbin ⁶ , MA Daqing ^7,8 , WANG Tianjun ⁹ , LIU Renyu ¹⁰ , Tong J Gan ¹¹ , Nicky Robinson ¹² , Yurasek Frank ¹³ , SU Fan ¹⁴ , CHI Yongliang ¹⁴ , YANG Dianhui ¹⁴ , LIU Shujuan ¹⁴ , CUI Suyang ¹⁵ , WEI Yousong ¹⁵ , CHEN Zhiqiang ¹⁶ , QIN You ¹⁶ , CAO Lixing ¹⁶ , CHEN Guiping ¹⁷ , SHU Kuanyong ¹⁸ , XIAO Zhongqing ¹⁸ , ZHANG Hui ¹⁹ , YU Jianbo ¹⁹ , HU Zhiqian ²⁰ , CHENG Huakun ²¹ , MA Wuhua ²² , LIU Guokai ²³ , WANG Xiuli ²⁴ , CAO Xinghua ²⁵ , GAO Ju ²⁶ , KONG Gaoyin ²⁷ , TAO Qing ²⁸ , WANG Baohua ²⁹ , WANG Junlu ³⁰ , LI Hong ³¹ , LYU Cuixia ³² ,  ZHANG Zhiming ² ,  LI Tianzuo ³³ ,  YANG Kehu ^1,34,35,36

1. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
2. Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, P. R. China;
3. Gansu Province Clinical Research Center of Integrative Anaesthesiology, Lanzhou 730050, P. R. China;
4. The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, P. R. China;
5. School of Economics and Management, Gansu University of Chinese Medicine, Lanzhou 730000, P. R. China;
6. Lanzhou University Second Hospital, Lanzhou 730030, P. R. 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 SW7 2AZ, UK;
8. The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310005, P. R. China;
9. London Academy of Chinese Acupuncture, London IG2 6QS, UK;
10. University of Pennsylvania, Commonwealth of Pennsylvania 19104, USA;
11. Department of Anesthesiology, Stony Brook University, Stony Brook, New York NY11794, USA;
12. London South Bank University, London SE1 3NQ, UK;
13. Acupuncture Services Cook County Health, Stroger Hospital, Chicago 60675, USA;
14. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, P. R. China;
15. Jiangsu Provincial Hospital of Chinese Medicine, Nanjing 210029, P. R. China;
16. Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510030, P. R. China;
17. Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou 310006, P. R. China;
18. Jiangxi Maternal and Child Health Hospital, Nanchang 330006, P. R. China;
19. Tianjin Hospital of ITCWM Nankai Hospital, Tianjin 300100, P. R. China;
20. Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, P. R. China;
21. Heilongjiang Provincial Hospital, Harbin 150036, P. R. China;
22. The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, P. R. China;
23. Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, P. R. China;
24. The Third Hospital of Hebei Medical University, Shijiazhuang 050051, P. R. China;
25. Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University, Urumqi 830000, P. R. China;
26. Northern Jiangsu People’s Hospital, Yangzhou 225001, P. R. China;
27. Hunan Provincial People’s Hospital, Changsha 410005, P. R. China;
28. The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230031, P. R. China;
29. Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun 130021, P. R. China;
30. The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, P. R. China;
31. The Second Affiliated Hospital of Army Medical University, Chongqing 400037, P. R. China;
32. School of Basic Medical Sciences of Shandong University of Traditional Chinese Medicine, Jinan 250013, P. R. China;
33. Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, P. R. China;
34. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P. R. China;
35. Gansu Provincial Center for Medical Guideline Industry Technology, Lanzhou 730000, P. R. China;
36. Chinese GRADE Centre, Lanzhou University, Lanzhou 730000, P. R. China;

Corresponding author：

ZHANG Zhiming, Email: zhangzhimingys@163.com; LI Tianzuo, Email: trmzltz@126.com; YANG Kehu, Email: yangkh-ebm@lzu.edu.cn

Keywords：

Integrated traditional Chinese and Western medicine; Postoperative gastrointestinal disorder; Guideline

DOI：

10.7507/1672-2531.202312185

Video：

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Abstract Full text Figures/Tables Video References Cited by

Postoperative gastrointestinal disorder (POGD) is a common complication after surgery under anesthesia. Strategies in combination with traditional Chinese medicine and Western medicine have shown some distinct effects but standardized clinical practice guidelines are 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 include disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.

Citation： XUE Jianjun, XU Ziqing, HOU Huaijing, WANG Qiang, WEI Lili, ZHANG Jie, ZHAO Xiaohong, CHEN Liping, DING Fanfan, MA Li, ZHAO Yongqiang, WANG Yingbin, MA Daqing, WANG Tianjun, LIU Renyu, Tong J Gan, Nicky Robinson, Yurasek Frank, SU Fan, CHI Yongliang, YANG Dianhui, LIU Shujuan, CUI Suyang, WEI Yousong, CHEN Zhiqiang, QIN You, CAO Lixing, CHEN Guiping, SHU Kuanyong, XIAO Zhongqing, ZHANG Hui, YU Jianbo, HU Zhiqian, CHENG Huakun, MA Wuhua, LIU Guokai, WANG Xiuli, CAO Xinghua, GAO Ju, KONG Gaoyin, TAO Qing, WANG Baohua, WANG Junlu, LI Hong, LYU Cuixia, ZHANG Zhiming, LI Tianzuo, YANG Kehu. Clinical practice guideline for prevention and treatment of postoperative gastrointestinal disorder with integrated traditional Chinese and Western medicine (2023 edition). Chinese Journal of Evidence-Based Medicine, 2024, 24(6): 637-651. doi: 10.7507/1672-2531.202312185 Copy

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Chinese Journal of Evidence-Based Medicine

Clinical practice guideline for prevention and treatment of postoperative gastrointestinal disorder with integrated traditional Chinese and Western medicine (2023 edition)

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