Ileus history and symptoms: Difference between revisions
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==Overview== | ==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 [[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]]. | 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 [[mediation|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 pain|abdominal discomfort]], [[abdominal distension]], [[nausea]] and [[vomiting]], [[feeding]] intolerance, [[constipation]], [[flatulence]], and [[belching]]. Less common [[symptom|symptoms]] include [[wound dehiscence]] and [[impaired wound healing]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
===History=== | ===History=== | ||
Obtaining a history gives important information in making a [[diagnosis]] of ileus. It provides insight into the cause, precipitating factors, and associated [[Comorbidity|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:<ref name="pmid25917235">{{cite journal |vauthors=Daniels AH, Ritterman SA, Rubin LE |title=Paralytic ileus in the orthopaedic patient |journal=J Am Acad Orthop Surg |volume=23 |issue=6 |pages=365–72 |year=2015 |pmid=25917235 |doi=10.5435/JAAOS-D-14-00162 |url=}}</ref><ref name="pmid26589763">{{cite journal |vauthors=Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H |title=Relapse of ileus in patients with psychiatric disorders: A 2-year chart review |journal=Gen Hosp Psychiatry |volume=38 |issue= |pages=31–6 |year=2016 |pmid=26589763 |doi=10.1016/j.genhosppsych.2015.09.003 |url=}}</ref><ref name="pmid25343532">{{cite journal |vauthors=Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ |title=A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis |journal=Exp Clin Transplant |volume=13 |issue=6 |pages=588–92 |year=2015 |pmid=25343532 |doi=10.6002/ect.2014.0036 |url=}}</ref> | Obtaining a history gives important information in making a [[diagnosis]] of [[ileus]]. It provides insight into the cause, precipitating factors, and associated [[Comorbidity|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:<ref name="pmid25917235">{{cite journal |vauthors=Daniels AH, Ritterman SA, Rubin LE |title=Paralytic ileus in the orthopaedic patient |journal=J Am Acad Orthop Surg |volume=23 |issue=6 |pages=365–72 |year=2015 |pmid=25917235 |doi=10.5435/JAAOS-D-14-00162 |url=}}</ref><ref name="pmid26589763">{{cite journal |vauthors=Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H |title=Relapse of ileus in patients with psychiatric disorders: A 2-year chart review |journal=Gen Hosp Psychiatry |volume=38 |issue= |pages=31–6 |year=2016 |pmid=26589763 |doi=10.1016/j.genhosppsych.2015.09.003 |url=}}</ref><ref name="pmid25343532">{{cite journal |vauthors=Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ |title=A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis |journal=Exp Clin Transplant |volume=13 |issue=6 |pages=588–92 |year=2015 |pmid=25343532 |doi=10.6002/ect.2014.0036 |url=}}</ref> | ||
* [[Abdominal cramps]] and [[Fullness after a meal|fullness]] | * [[Abdominal cramps]] and [[Fullness after a meal|fullness]] | ||
* History of previous [[surgery]] | |||
* History of [[constipation]] | |||
* [[Bloating]] or [[flatulence]] | * [[Bloating]] or [[flatulence]] | ||
* [[Appetite]] changes | * [[Appetite]] changes | ||
* [[Nausea and | * [[Nausea and vomiting]] | ||
* Current medications | * Current [[mediation|medications]] | ||
* [[Bleeding disorders]] | * [[Coagulopathy|Bleeding disorders]] | ||
* Past [[medical history]] (such as [[cirrhosis]], [[pneumonia]], or [[renal failure]]) | * Past [[medical history]] (such as [[cirrhosis]], [[pneumonia]], or [[Renal insufficiency|renal failure]]) | ||
* Previous history of [[thyroid disease]] | * Previous history of [[thyroid disease]] | ||
* History of [[diabetes]] | * History of [[diabetes]] | ||
===Symptoms=== | ===Common Symptoms=== | ||
Common [[symptoms]] of ileus include:<ref name="pmid28439845">{{cite journal |vauthors=Rami Reddy SR, Cappell MS |title=A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction |journal=Curr Gastroenterol Rep |volume=19 |issue=6 |pages=28 |year=2017 |pmid=28439845 |doi=10.1007/s11894-017-0566-9 |url=}}</ref><ref name="pmid19399212">{{cite journal |vauthors=Zeinali F, Stulberg JJ, Delaney CP |title=Pharmacological management of postoperative ileus |journal=Can J Surg |volume=52 |issue=2 |pages=153–7 |year=2009 |pmid=19399212 |pmc=2663489 |doi= |url=}}</ref> | Common [[symptoms]] of [[ileus]] include:<ref name="pmid26843914">{{cite journal |vauthors=Nuño-Guzmán CM, Marín-Contreras ME, Figueroa-Sánchez M, Corona JL |title=Gallstone ileus, clinical presentation, diagnostic and treatment approach |journal=World J Gastrointest Surg |volume=8 |issue=1 |pages=65–76 |date=January 2016 |pmid=26843914 |pmc=4724589 |doi=10.4240/wjgs.v8.i1.65 |url=}}</ref><ref name="pmid28439845">{{cite journal |vauthors=Rami Reddy SR, Cappell MS |title=A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction |journal=Curr Gastroenterol Rep |volume=19 |issue=6 |pages=28 |year=2017 |pmid=28439845 |doi=10.1007/s11894-017-0566-9 |url=}}</ref><ref name="pmid19399212">{{cite journal |vauthors=Zeinali F, Stulberg JJ, Delaney CP |title=Pharmacological management of postoperative ileus |journal=Can J Surg |volume=52 |issue=2 |pages=153–7 |year=2009 |pmid=19399212 |pmc=2663489 |doi= |url=}}</ref><ref name="pmid26843914">{{cite journal |vauthors=Nuño-Guzmán CM, Marín-Contreras ME, Figueroa-Sánchez M, Corona JL |title=Gallstone ileus, clinical presentation, diagnostic and treatment approach |journal=World J Gastrointest Surg |volume=8 |issue=1 |pages=65–76 |date=January 2016 |pmid=26843914 |pmc=4724589 |doi=10.4240/wjgs.v8.i1.65 |url=}}</ref><ref name="pmid5412582">{{cite journal |vauthors=Fox PF |title=Planning the operation for cholecystoenteric fistula with gallstone ileus |journal=Surg. Clin. North Am. |volume=50 |issue=1 |pages=93–102 |date=February 1970 |pmid=5412582 |doi= |url=}}</ref><ref name="pmid17285212">{{cite journal |vauthors=Masannat Y, Masannat Y, Shatnawei A |title=Gallstone ileus: a review |journal=Mt. Sinai J. Med. |volume=73 |issue=8 |pages=1132–4 |date=December 2006 |pmid=17285212 |doi= |url=}}</ref><ref name="pmid24679427">{{cite journal |vauthors=Luu MB, Deziel DJ |title=Unusual complications of gallstones |journal=Surg. Clin. North Am. |volume=94 |issue=2 |pages=377–94 |date=April 2014 |pmid=24679427 |doi=10.1016/j.suc.2014.01.002 |url=}}</ref><ref name="pmid18992599">{{cite journal |vauthors=Zaliekas J, Munson JL |title=Complications of gallstones: the Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of "lost" gallstones |journal=Surg. Clin. North Am. |volume=88 |issue=6 |pages=1345–68, x |date=December 2008 |pmid=18992599 |doi=10.1016/j.suc.2008.07.011 |url=}}</ref> | ||
* Postprandial [[Abdominal pain|abdominal discomfort]] | * Postprandial [[Abdominal pain|abdominal discomfort]] | ||
* [[Abdominal distension]] | * [[Abdominal distension]] | ||
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* [[Flatulence]] | * [[Flatulence]] | ||
* [[Belching]] | * [[Belching]] | ||
Less common [[symptoms]] of ileus include: | |||
===Common Symptoms=== | |||
Less common [[symptoms]] of [[ileus]] include: | |||
*[[Wound dehiscence]] | *[[Wound dehiscence]] | ||
*[[Impaired wound healing]] (in postoperative ileus) | *[[Impaired wound healing]] (in [[ileus|postoperative ileus]]) | ||
==References== | ==References== | ||
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[[Category:Medicine]] | [[Category:Medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
Latest revision as of 15:13, 11 October 2020
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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.