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

Surgical intervention is not routinely recommended for the management of ileus. However, patients of prolonged ileus (> 7 days) or signs of intestinal perforation (peritoneal signs) may require urgent surgical intervention to identify and alleviate complications of ileus.

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.