Ileus surgery

Ileus Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Ileus from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Ileus surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Ileus surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Ileus surgery
CDC on Ileus surgery
Ileus surgery in the news
Blogs on Ileus surgery
Directions to Hospitals Treating Ileus
Risk calculators and risk factors for Ileus surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

Surgical intervention is not routinely recommended for the management of ileus. However, patients with prolonged ileus, radiologic or clinical findings indicating development of ileus complication, such as intestinal perforation, strangulation or necrosis and worsening of clinical or laboratory conditions of patients may require urgent surgical intervention to identify and alleviate complications of ileus.

Surgery

• Surgical intervention is not routinely recommended for the management of ileus. However, the following may require urgent surgical intervention:
  • Prolonged ileus
  • Signs of intestinal perforation, peritonitis or strangulation (such as rigidity, guarding and rebound tenderness)
  • Imaging findings that suggest intestinal perforation, strangulation or necrosis
  • Deterioration of clinical or laboratory conditions of patients
• In contrast to older studies, new investigations show that there is no certain time period recommended for the conservative management. Although more than 72 hours of conservative management is related to higher rate of surgical intervention.

References

​​