Ileus natural history, complications and prognosis: Difference between revisions
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*Depending upon the underlying cause of ileus, these symptoms may range in severity from mild to severe. | *Depending upon the underlying cause of ileus, these symptoms may range in severity from mild to severe. | ||
*In postoperative ileus, some patients may have reversal of symptoms within 1-2 days of surgery. | *In postoperative ileus, some patients may have reversal of symptoms within 1-2 days of surgery. | ||
*In patients where reversal of symptoms are not observed within 1-2 days of surgery, they may progress to develop more severe symptoms of ileus such as complete inhibition of intestinal transit, malabsorbtion with sepsis and intestinal perforation. | *In patients where reversal of symptoms are not observed within 1-2 days of surgery, they may progress to develop more severe symptoms of ileus such as complete inhibition of intestinal transit, malabsorbtion with sepsis and intestinal perforation. | ||
*Patients with sepsis and intestinal perforation require urgent medical attention and intervention. If untreated, severe ileus may be fatal. | |||
==Complications== | ==Complications== | ||
Revision as of 02:05, 31 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Natural History
- If left untreated, patients with ileus may progress to develop abdominal pain, abdominal distention, nausea and vomiting with postprandial discomfort.
- Depending upon the underlying cause of ileus, these symptoms may range in severity from mild to severe.
- In postoperative ileus, some patients may have reversal of symptoms within 1-2 days of surgery.
- In patients where reversal of symptoms are not observed within 1-2 days of surgery, they may progress to develop more severe symptoms of ileus such as complete inhibition of intestinal transit, malabsorbtion with sepsis and intestinal perforation.
- Patients with sepsis and intestinal perforation require urgent medical attention and intervention. If untreated, severe ileus may be fatal.
Complications
Complications may include or may lead to:
- Electrolyte imbalances (hyponatremia, hyperkalemia)
- Malabsorbtion
- Dehydration
- Intestinal perforation
- Ascites
- Sepsis
- Jaundice
- Pulmonary complications
Prognosis
The outcome depends on the cause of the blockage. Most of the time the cause is easily treated.