Ileus natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==Natural History== | ||
*If left untreated, patients with ileus may progress to develop abdominal pain, abdominal distention, nausea and vomiting with postprandial discomfort. | *If left untreated, patients with ileus may progress to develop abdominal pain, abdominal distention, nausea and vomiting with postprandial discomfort. | ||
*Depending upon the | *Depending upon the duration and cause of ileus (surgery or drugs), 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 | *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 motility, malabsorption with sepsis and intestinal perforation. | ||
*Patients with sepsis and intestinal perforation require urgent medical attention and intervention. If untreated, severe ileus may be fatal. | *Patients with sepsis and intestinal perforation require urgent medical attention and intervention. If untreated, severe ileus may be fatal. | ||
Revision as of 18:19, 1 February 2018
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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
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 duration and cause of ileus (surgery or drugs), 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 motility, malabsorption 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 imbalance
- Malabsorbtion
- Dehydration
- Intestinal perforation
- Ascites
- Sepsis
- Jaundice
- Pulmonary complications
Prognosis
- Depending on the duration of the postoperative ileus at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as good.
- Most cases of postoperative ileus resolve spontaneously and do not require any further treatment.
- In general, correction of electrolyte abnormalities and hydration leads to rapid reversal of symptoms associated with ileus.
- Prolonged postoperative ileus (> 7 days) requires close monitoring and evaluation for underlying mechanical obstruction.