Ileus surgery

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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

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.