Ileus risk factors
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Common risk factors in the development of ileus include previous history of gastrointestinal surgery or other GI procedures, Electrolyte imbalance, Hypothyroidism, Medications (e.g. opiates), severe illness (Inflammation with peritonitis), Spinal cord injury (SCI), those with injury above thoracic vertebrae 5 (T5) will have hypomotility problems within the bowel, Diabetic ketoacidosis (DKA), and other causes of metabolic acidosis.
Risk Factors
Common Risk Factors
Common risk factors in the development of iuleus include:[1][2][3]
- Increasing age
- Electrolyte abnormalities
- Previous history of abdominal surgery
- Prolonged abdominal or pelvic surgery
- Laprotomy and lower GI procedures
- Delayed enteral nutrition
- Use of preoperative albumin
- Postoperative deep venous thrombosis
- Hypothyroidism
- Diabetic ketoacidosis
- Chronic use of opiates such as morphine
Less Common Risk Factors
Less common risk factors in the development of ileus include:
- Severe illness with sepsis
- Spinal cord injury (Thoracic cord)
- Obesity
- Any common complications arising from surgery can lead to increased risk of ileus. These include:
- Pneumonia
- Intra-abdominal abscess
- Peritonitis
- Bleeding disorder
- Excessive use of anesthesia for postoperative pain control
References
- ↑ Kitahata R, Nakajima S, Suzuki T, Plitman E, Mimura M, Uchida H (2016). "Relapse of ileus in patients with psychiatric disorders: A 2-year chart review". Gen Hosp Psychiatry. 38: 31–6. doi:10.1016/j.genhosppsych.2015.09.003. PMID 26589763.
- ↑ Gökçe AM, Özel L, İbişoğlu S, Ata P, Şahin G, Gücün M, Kara VM, Özdemir E, Titiz Mİ (2015). "A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis". Exp Clin Transplant. 13 (6): 588–92. doi:10.6002/ect.2014.0036. PMID 25343532.
- ↑ Kronberg U, Kiran RP, Soliman MS, Hammel JP, Galway U, Coffey JC, Fazio VW (2011). "A characterization of factors determining postoperative ileus after laparoscopic colectomy enables the generation of a novel predictive score". Ann. Surg. 253 (1): 78–81. doi:10.1097/SLA.0b013e3181fcb83e. PMID 21233608.