![]() ![]() ![]() Read it at Google Books - Find it at Amazon At one time what we now call ileus had been called the "iliack passion" because it was believed that the intestines were twisted 3. "Ileus" ultimately derives from είλειν ("to twist"), which also gave rise to the section of the bowel termed the "ileum". Improving gastric motility, boosting the nourishment status of the patient, and strengthening the stability of the interior environment are the main motives of therapy 11. when localized, there may be a sentinel loop.involvement of large bowel and lack of a transition point help distinguish it from small bowel obstruction.generalized, uniform, gaseous distension of the large and small bowel.Improving postoperative ileus is often determined clinically as much as radiographically, with the resumption of oral intake and flatus. Prolonged postoperative ileus (>72 hours) has been termed "paralytic" ileus by some and is concerning for small bowel obstruction, bowel perforation, peritonitis, and intra-abdominal abscess. Risk factors for postoperative ileus are: operative difficulty, operation more than 3 hours, bowel handling, drop in hematocrit levels, need of transfusion, increasing crystalloid administration, and lack of mobility after operation 12. These intervals, however, may be overestimations 5. ![]() Conventional recovery times have been reported as 4: Some degree of ileus is a normal and expected finding after abdominal surgery, including C-section 9. The cause of ileus is thought to be complex and multifactorial, involving bowel inflammation 6, inhibitory neural reflexes 7, and neurohormonal peptides 8. acute mesenteric ischemia: ileus limited to a vascular territory 10.intra-abdominal inflammation and peritonitis.myocardial infarction / congestive heart failure.abdominal trauma or surgery (see below).sepsis: especially gram-negative bacteria.Pathology EtiologyĪdynamic ileus can be caused by several conditions: Patients may be asymptomatic or present with symptoms similar to mechanical bowel obstruction such as nausea/vomiting, distension, and reduced or absent bowel movements. ![]()
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