Ileus overview: Difference between revisions
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===Medical Therapy=== | ===Medical Therapy=== | ||
[[Nil per os]] (NPO or Nothing by Mouth) is mandatory in all cases. [[Nasogastric intubation|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). | [[Nil per os]] (NPO or Nothing by Mouth) is mandatory in all cases. [[Nasogastric intubation|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). | ||
===Surgery=== | |||
Surgery may be needed to relieve the [[obstruction]] if the tube does not relieve the symptoms, or if there are signs of tissue death. | |||
===Prevention=== | ===Prevention=== | ||
Prevention depends on the cause. Treating conditions, such as tumors and hernias, that can lead to obstruction may reduce your risk of getting an obstruction. Some causes of obstruction cannot be prevented. | Prevention depends on the cause. Treating conditions, such as tumors and hernias, that can lead to obstruction may reduce your risk of getting an obstruction. Some causes of obstruction cannot be prevented. | ||
Revision as of 16:15, 20 March 2013
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Ileus overview On the Web |
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American Roentgen Ray Society Images of Ileus overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Ileus is a disruption of the normal propulsive gastrointestinal motor activity from non-mechanical mechanisms.[1][2] Motility disorders that result from structural abnormalities are termed mechanical bowel obstruction. Some mechanical obstructions are misnomers, such as gallstone ileus and meconium ileus, and are not true examples of ileus by the classic definition. [3]
Treatment
Medical Therapy
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).
Surgery
Surgery may be needed to relieve the obstruction if the tube does not relieve the symptoms, or if there are signs of tissue death.
Prevention
Prevention depends on the cause. Treating conditions, such as tumors and hernias, that can lead to obstruction may reduce your risk of getting an obstruction. Some causes of obstruction cannot be prevented.
References
- ↑ Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. The biological basis of modern surgical practice. 17/e. Elsevier Saunders, 2004.
- ↑ Livingston EH, Passaro EP. Postoperative ileus. Dig Dis Sci 1990;35:121.
- ↑ Feldman M, Friedman LS, Brandt LJ, Sleisenger MH. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. Intestinal Obstruction and Ileus. 8/e. Elsevier Saunders, 2006.