1. Expert Perspectives on Postoperative Ileus

2. Case Presentation

3. Traditional Etiology of POI

4. Historical Definition of Ileus

5. Contemporary Definitions of POI

6. Definitions and Incidence of POI NSQIP

7. ASER-POQI Consensus on POGD The I-FEED Scoring System

8. Enhanced Recovery A New Care Paradigm

9. Perioperative Stress

10. Enhanced Recovery Limits Perioperative Stress

11. Traditional vs Enhanced Recovery in CRS

12. Consensus Statements Concerning Prevention and Treatment of POGD

13. Duke Enhanced Recovery Key Elements

14. Differentiating Compliance vs Outcome

15. DREaMS

16. ASER-POQI Assessment of DREAMS Outcomes

17. Alvimopan for Prevention of POGD

18. Alvimopan Mechanism of Action

19. Opioid Avoidance for Prevention of POGD

20. POQI Treatment Algorithm for Achieving Optimal Analgesia After CSR

21. Review of Case

22. Optimizing Fluid Administration for Prevention of POGD

23. DOS Fluid Volumes and Outcomes

24. The MGH Perspective on Intraoperative Fluid Management and Postoperative Outcomes

25. The Impact of Liberal vs Restrictive Fluids on 1-Year Survival and Disability

26. PONV Prevention and Early Postoperative Feeding for Prevention of POGD

27. Enhanced Recovery Elements for Prevention of POGD

28. Assessment of Postoperative GI Function

29. Management of Postoperative GI Function

30. Duke Enhanced Recovery Key Elements Used in This Patient

31. Summary

32. Abbreviations

33. Abbreviations (cont)