Ileus history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Obtaining a history gives important information in making a diagnosis of ileus. The areas of focus should be on onset, duration, and progression of symptoms with special focus on past medical history and current medications. Previous history of surgery, constipation, hypothyroidism, diabetes and renal failure may predispose an individual to developing ileus. Common symptoms of ileus include postprandial abdominal pain, abdominal discomfort, abdominal distension, nausea and vomiting, feeding intolerance, constipation, flatulence, and belching. Less common symptoms include wound dehiscence and impaired wound healing.
History and Symptoms
History
Obtaining a history gives important information in making a diagnosis of ileus. It provides insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:[1][2][3]
- Abdominal cramps and fullness
- History of previous surgery
- History of constipation
- Bloating or flatulence
- Appetite changes
- Nausea and vomiting
- Current medications
- Bleeding disorders
- Past medical history (such as cirrhosis, pneumonia, or renal failure)
- Previous history of thyroid disease
- History of diabetes
Common Symptoms
Common symptoms of ileus include:[4][5][6][4][7][8][9][10]
- Postprandial abdominal discomfort
- Abdominal distension
- Nausea and vomiting
- Feeding intolerance
- Constipation
- Flatulence
- Belching
Common Symptoms
Less common symptoms of ileus include:
References
- ↑ Daniels AH, Ritterman SA, Rubin LE (2015). "Paralytic ileus in the orthopaedic patient". J Am Acad Orthop Surg. 23 (6): 365–72. doi:10.5435/JAAOS-D-14-00162. PMID 25917235.
- ↑ Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H (2016). "Relapse of ileus in patients with psychiatric disorders: A 2-year chart review". Gen Hosp Psychiatry. 38: 31–6. doi:10.1016/j.genhosppsych.2015.09.003. PMID 26589763.
- ↑ Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ (2015). "A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis". Exp Clin Transplant. 13 (6): 588–92. doi:10.6002/ect.2014.0036. PMID 25343532.
- ↑ 4.0 4.1 Nuño-Guzmán CM, Marín-Contreras ME, Figueroa-Sánchez M, Corona JL (January 2016). "Gallstone ileus, clinical presentation, diagnostic and treatment approach". World J Gastrointest Surg. 8 (1): 65–76. doi:10.4240/wjgs.v8.i1.65. PMC 4724589. PMID 26843914.
- ↑ Rami Reddy SR, Cappell MS (2017). "A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction". Curr Gastroenterol Rep. 19 (6): 28. doi:10.1007/s11894-017-0566-9. PMID 28439845.
- ↑ Zeinali F, Stulberg JJ, Delaney CP (2009). "Pharmacological management of postoperative ileus". Can J Surg. 52 (2): 153–7. PMC 2663489. PMID 19399212.
- ↑ Fox PF (February 1970). "Planning the operation for cholecystoenteric fistula with gallstone ileus". Surg. Clin. North Am. 50 (1): 93–102. PMID 5412582.
- ↑ Masannat Y, Masannat Y, Shatnawei A (December 2006). "Gallstone ileus: a review". Mt. Sinai J. Med. 73 (8): 1132–4. PMID 17285212.
- ↑ Luu MB, Deziel DJ (April 2014). "Unusual complications of gallstones". Surg. Clin. North Am. 94 (2): 377–94. doi:10.1016/j.suc.2014.01.002. PMID 24679427.
- ↑ Zaliekas J, Munson JL (December 2008). "Complications of gallstones: the Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of "lost" gallstones". Surg. Clin. North Am. 88 (6): 1345–68, x. doi:10.1016/j.suc.2008.07.011. PMID 18992599.