Ileus medical therapy: Difference between revisions

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{{MedCondContrAbs
{{MedCondContrAbs


|MedCond =Paralytic ileus|Hyoscyamine|Methscopolamine bromide|Oxycodone|Polyethylene glycol-electrolyte solution (PEG-ES)|}}
|MedCond =[[ileus|Paralytic ileus]]|Hyoscyamine|Methscopolamine bromide|Oxycodone|Polyethylene glycol-electrolyte solution (PEG-ES)|}}


==References==
==References==

Revision as of 16:46, 12 October 2020

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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

The majority of cases of ileus are resolved with correction of underlying electrolyte disorder and only require supportive care. Intravenous hydration is advised with appropriate rapid supplementation for electrolyte abnormalities. NSAIDs are used as baseline analgesic medications. In contrast, opiates and antimotility drugs (such as vagolytic agents) should be avoided generally, although opiates are sometimes used in case of severe intractable pain. Patients are put on NPO and nasogastric tube is advised to relieve recurrent vomiting or abdominal distention associated with pain. Prokinetic agents such as erythromycin are not routinely recommended.

Medical Therapy

Medical therapy for ileus includes correcting the underlying condition and supportive therapy.[1][2][3][4]

Contraindicated medications

Paralytic ileus is considered an absolute contraindication to the use of the following medications:

References

  1. Bruns BR, Kozar RA (2016). "Feeding the Postoperative Patient on Vasopressor Support: Feeding and Pressor Support". Nutr Clin Pract. 31 (1): 14–7. doi:10.1177/0884533615619932. PMID 26703957.
  2. Cali RL, Meade PG, Swanson MS, Freeman C (2000). "Effect of Morphine and incision length on bowel function after colectomy". Dis. Colon Rectum. 43 (2): 163–8. PMID 10696888.
  3. Wu Z, Boersema GS, Dereci A, Menon AG, Jeekel J, Lange JF (2015). "Clinical endpoint, early detection, and differential diagnosis of postoperative ileus: a systematic review of the literature". Eur Surg Res. 54 (3–4): 127–38. doi:10.1159/000369529. PMID 25503902.
  4. Lubawski J, Saclarides T (2008). "Postoperative ileus: strategies for reduction". Ther Clin Risk Manag. 4 (5): 913–7. PMC 2621410. PMID 19209273.
  5. Kehlet H, Williamson R, Büchler MW, Beart RW (2005). "A survey of perceptions and attitudes among European surgeons towards the clinical impact and management of postoperative ileus". Colorectal Dis. 7 (3): 245–50. doi:10.1111/j.1463-1318.2005.00763.x. PMID 15859962.
  6. Kehlet H, Büchler MW, Beart RW, Billingham RP, Williamson R (2006). "Care after colonic operation--is it evidence-based? Results from a multinational survey in Europe and the United States". J. Am. Coll. Surg. 202 (1): 45–54. doi:10.1016/j.jamcollsurg.2005.08.006. PMID 16377496.

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