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Update 12/14/06

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Hi...

I just talked to (and little to and Bob). has an

ileus and is just miserable. I told them to ask for a consult from

gastroenterology, but from what I've heard and read, there's not much

that can be done beyond just sitting it out.

I've warned about this before. If you're having spine surgery that

involves an anterior approach, DO NOT eat or drink ANYTHING until

bowel sounds are heard. The literature shows that the sooner a

patient starts eating, the fewer complications such as infection

occur, so I think the surgeons are encouraging patients to eat. They

know that once the ileus is resolved, patients are really happy, so

they probably care about this issue a lot less than the patients do.

Regards,

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