Ileus medical therapy

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 medical therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Ileus medical therapy All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Ileus medical therapy
CDC on Ileus medical therapy
Ileus medical therapy in the news
Blogs on Ileus medical therapy
Directions to Hospitals Treating Ileus
Risk calculators and risk factors for Ileus medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Overview

Nil per os (NPO or Nothing by Mouth) is mandatory in all cases. Nasogastric suction and parenteral feeds may be required until passage is restored. There are several options in the case of paralytic ileus. Most treatment is supportive. If caused by medication, the offending agent is discontinued or reduced. Bowel movements may be stimulated by prescribing lactulose, erythromycin or in severe cases, (Ogilvie's syndrome) neostigmine. If possible the underlying cause is corrected (e.g. replace electrolytes).

Medical Therapy

Medical therapy for ileus includes correcting the underlying condition and supportive therapy.

• Patients of ileus from electrolyte abnormalities should be treated with appropriate supplementation.
• Antimotility drugs and other medications (narcotics) which may alter intestinal motility should be stopped.
• Nasogastric decompression can relieve recurrent vomiting or abdominal distention associated with pain.
• Prokinetic agents such as erythromycin are not routinely recommended.
• Patients should receive intravenous hydration.

Contraindicated medications

Paralytic ileus is considered an absolute contraindication to the use of the following medications:

• Hyoscyamine
• Methscopolamine bromide
• Oxycodone
• Polyethylene glycol-electrolyte solution (PEG-ES)