Ileus resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Ileus is defined as reduction in intestinal motility in absence of any mechanical obstruction within the intestine.[1] Reduction or cessation of intestinal peristalsis prevent effective transmission of intestinal content which leads to constipation and abdominal distension.[2]
Causes
Life Threatening Causes
Untreated ileus can lead to intestinal tissue ischemia, which elevates the risk of perforation and subsequently life threatening peritonitis.
Common Causes
- Reflectory ileus due to abdominal, pelvic or retroperitoneal surgeries[1]
- Medications[2][3] such as narcotics, anticholinergics, calcium channel blockers and antipsychotics
- General anaesthesia[1]
- Hypokalemia[3]
- Diabetes Mellitus[3]
- Intestinal hypoperfusion[3]
Diagnosis
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Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ 1.0 1.1 1.2 Luckey A, Livingston E, Taché Y (2003). "Mechanisms and treatment of postoperative ileus". Arch Surg. 138 (2): 206–14. doi:10.1001/archsurg.138.2.206. PMID 12578422.
- ↑ 2.0 2.1 Zeinali F, Stulberg JJ, Delaney CP (2009). "Pharmacological management of postoperative ileus". Can J Surg. 52 (2): 153–7. PMC 2663489. PMID 19399212.
- ↑ 3.0 3.1 3.2 3.3 Vilz TO, Stoffels B, Strassburg C, Schild HH, Kalff JC (2017). "Ileus in Adults". Dtsch Arztebl Int. 114 (29–30): 508–518. doi:10.3238/arztebl.2017.0508. PMC 5569564. PMID 28818187.