Ileus surgery: Difference between revisions
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{{Ileus}} | {{Ileus}} | ||
{{CMG}} | {{CMG}};{{AE}}{{Akshun}} | ||
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Surgical intervention is not routinely recommended for the management of ileus. However, patients of prolonged ileus or signs of intestinal perforation may require urgent surgical intervention. | Surgical intervention is not routinely recommended for the management of ileus. However, patients of prolonged ileus or signs of intestinal perforation may require urgent surgical intervention. | ||
*Ileus persisting for more than one week generally suggests an underlying mechanical obstruction and may require laparotomy to relieve symptoms. | *Ileus persisting for more than one week generally suggests an underlying mechanical obstruction and may require laparotomy to relieve symptoms. | ||
*Peritoneal signs such as rigidity, guarding and rebound suggest intestinal perforation and should be evaluated with emergent surgical intervention. | *Peritoneal signs such as rigidity, guarding and rebound tenderness suggest intestinal perforation and should be evaluated with emergent surgical intervention. | ||
==References== | ==References== |
Revision as of 00:25, 1 February 2018
Ileus Microchapters |
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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]
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Overview
Surgery may be needed to relieve the obstruction if the tube does not relieve the symptoms, or if there are signs of tissue death.
Surgery
Surgical intervention is not routinely recommended for the management of ileus. However, patients of prolonged ileus or signs of intestinal perforation may require urgent surgical intervention.
- Ileus persisting for more than one week generally suggests an underlying mechanical obstruction and may require laparotomy to relieve symptoms.
- Peritoneal signs such as rigidity, guarding and rebound tenderness suggest intestinal perforation and should be evaluated with emergent surgical intervention.