A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
A type of ILEUS, a functional not mechanical obstruction of the INTESTINES. This syndrome is caused by a large number of disorders involving the smooth muscles (MUSCLE, SMOOTH) or the NERVOUS SYSTEM.
The thick green-to-black mucilaginous material found in the intestines of a full-term fetus. It consists of secretions of the INTESTINAL GLANDS; BILE PIGMENTS; FATTY ACIDS; AMNIOTIC FLUID; and intrauterine debris. It constitutes the first stools passed by a newborn.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
The motor activity of the GASTROINTESTINAL TRACT.
Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.
Pathological development in the JEJUNUM region of the SMALL INTESTINE.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Passage of food (sometimes in the form of a test meal) through the gastrointestinal tract as measured in minutes or hours. The rate of passage through the intestine is an indicator of small bowel function.
Incision into the side of the abdomen between the ribs and pelvis.
Surgery performed on the digestive system or its parts.

Tyrphostin AG 126 inhibits development of postoperative ileus induced by surgical manipulation of murine colon. (1/151)

Manipulation of the bowel during abdominal surgery leads to a period of ileus, which is most severely manifested after procedures that directly involve the colon. Ileus is associated with the increased expression of proinflammatory cytokines and chemokines, a leukocytic infiltration into the muscularis, and the release of mediators from resident and infiltrating leukocytes that directly inhibit intestinal smooth muscle contractility. Phosphorylation of tyrosine residues on regulatory proteins by protein tyrosine kinases (PTKs) occurs at multiple steps in the signaling cascades that regulate the expression of proinflammatory genes. The purpose of this study was to determine whether inhibition of PTK activity will attenuate the inflammatory response associated with colonic ileus and lead to improved function. Using a rodent model of colonic postoperative ileus, we demonstrate that a single bolus injection of the PTK inhibitor tyrphostin AG 126 (15 mg/kg sc) before surgery significantly attenuates the surgically induced impairment of colonic contractility both in vivo and in vitro. Improvement in function was associated with a reduction in magnitude of inflammatory cell infiltrate and with a decrease in transcription of genes encoding proinflammatory mediators IL-1beta and monocyte chemoattractant protein (MCP)-1, inducible nitric oxide synthase, and cyclooxygenase-2. Furthermore, tyrphostin AG 126 pretreatment significantly inhibited activation of multifactorial transcription factor NF-kappaB, which could form the basis for reduction in proinflammatory mediator expression. These data demonstrate for the first time that inhibition of PTK activity may represent a novel approach for management of ileus in the clinical setting.  (+info)

Bouveret's syndrome complicated by a distal gallstone ileus. (2/151)

AIM: Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred as Bouveret's syndrome. Endoscopic lithotomy is the first-step treatment, however, surgery is indicated in case of failure or complication during this procedure. METHODS: We report herein an 84-year-old woman presenting with features of gastric outlet obstruction due to impacted gallstone. She underwent an endoscopic retrieval which was unsuccessful and was further complicated by distal gallstone ileus. Physical examination was irrelevant. RESULTS: Endoscopy revealed multiple erosions around the cardia, a large stone in the second part of the duodenum causing complete obstruction, and wide ulceration in the duodenal wall where the stone was impacted. Several attempts of endoscopic extraction by using foreign body forceps failed and surgical intervention was mandatory. Preoperative ultrasound evidenced pneumobilia whilst computerized tomography showed a large stone, 5 cm x 4 cm x 3 cm, logging at the proximal jejunum and another one, 2.5 cm x 2 cm x 2 cm, in the duodenal bulb causing a closed-loop syndrome. She underwent laparotomy and the jejunal stone was removed by enterotomy. Another stone reported as located in the duodenum preoperatively was found to be present in the gallbladder by intraoperative ultrasound. Therefore, cholecystoduodenal fistula was broken down, the stone was retrieved and cholecystectomy with duodenal repair was carried out. She was discharged after an uneventful postoperative course. CONCLUSION: As the simplest and the least morbid procedure, endoscopic stone retrieval should be attempted in the treatment of patients with Bouveret's syndrome. When it fails, surgical lithotomy consisting of simple enterotomy may solve the problem. Although cholecystectomy and cholecystoduodenal fistula breakdown is unnecessary in every case, conditions may urge the surgeon to perform such operations even though they carry high morbidity and mortality.  (+info)

Induced nitric oxide promotes intestinal inflammation following hemorrhagic shock. (3/151)

In hemorrhagic shock (HS), increased cytokine production contributes to tissue inflammation and injury through the recruitment of neutrophils [polymorphonuclear cells (PMN)]. HS stimulates the early expression of inducible nitric oxide synthase (iNOS) that modulates proinflammatory activation after hemorrhage. Experiments were performed to determine the contribution of iNOS to gut inflammation and dysmotility after HS. Rats subjected to HS (mean arterial pressure 40 mmHg for 2.5 h followed by resuscitation and death at 4 h) demonstrated histological signs of mucosal injury, impairment of intestinal smooth muscle contractility, extravasation of PMN, and increased gut mRNA levels of ICAM-1, IL-6, and granulocyte colony-stimulating factor (G-CSF). In addition, DNA binding activity of NF-kappaB and Stat3, an IL-6 signaling intermediate, was significantly increased. In shocked rats treated with the selective iNOS inhibitor l-N(6)-(1-iminoethyl)lysine at the time of resuscitation, histological signs of intestinal injury and PMN infiltration were reduced and muscle contractility was almost completely restored. Selective iNOS inhibition in shocked animals reduced the binding activity of NF-kappaB and Stat3 and reduced mRNA levels of ICAM-1, IL-6, and G-CSF. The results of studies using iNOS knockout mice subjected to HS were similar. We propose that early upregulation of iNOS contributes to the inflammatory response in the gut wall and participates in the activation of signaling cascades and cytokine expression that regulate intestinal injury, PMN recruitment, and impaired gut motility.  (+info)

A comparison of two surgical strategies for the emergency treatment of gallstone ileus. (4/151)

INTRODUCTION: Debate currently exists regarding the appropriate surgical strategy for emergency treatment of gallstone ileus. This relates to the need for definitive biliary tract surgery after relief of mechanical obstruction. Our study reviews treatment by enterolithotomy alone and enterolithotomy combined with definitive biliary tract surgery and fistula closure to determine if there is advantage of one treatment option over the other. METHODS: The clinical, operative and follow-up data on 19 consecutive patients treated by emergency surgery for gallstone ileus from January 1992 to December 2000 was retrospectively reviewed. RESULTS: There were 15 women and four men, with a mean age of 74.6 (range 62-91) years. Pre-operative diagnosis was made in only nine of 19 patients. Enterolithotomy alone (E group) was performed in seven patients and enterolithotomy with cholecystectomy and fistula closure (E+C group) in 12 patients. In the E group, more patients had significant co-morbidity as identified by poorer American Society of Anesthesiologists (ASA) status, poorer pre-operative status (shock at presentation) than in the E+C group. Operative time was significantly shorter in the E group. However, there were no significant differences in morbidity, and both groups had zero mortality. CONCLUSION: Both procedures can be carried out safely and with zero mortality. Relief of obstruction remains the mainstay of treatment. The better surgical option in our series is enterolithotomy alone. It is safe in both low and high-risk patients, and requires a shorter operating time as it is technically less demanding. In the longer term, the remnant fistula also does not appear to lead to further complications.  (+info)

A prospective randomized study of laparoscopy and minilaparotomy in the management of benign adnexal masses. (5/151)

BACKGROUND: Recent prospective and randomized studies have demonstrated that laparoscopy is better than laparotomy in the treatment of benign adnexal masses. The aim of this study is to analyse the perioperative outcomes of laparoscopy and minilaparotomy in these patients, in a prospective and randomized manner. METHODS: Between January 2003 and August 2003, 100 consecutive women with a diagnosis of presumed benign adnexal mass and requiring surgical treatment were randomly assigned to minilaparotomy and laparoscopy. Randomization was centralized and computer-based. RESULTS: All operative procedures were performed without conversion to laparotomy. In the group of patients submitted to minilaparotomy, a shorter operating time than patients submitted to operative laparoscopy (mean+/-SD: 71.9+/-31.8 versus 87.0+/-44.8 min; P<0.05) was found. On the other hand, there were significant differences in terms of postoperative ileus (1.1+/-0.4 days in laparoscopy and 1.4+/-0.6 in minilaparotomy P<0.023), without affecting the day of discharge. No intraoperative or early complications were registered in either group. CONCLUSIONS: Taking into account that laparoscopy has to be considered the first choice for benign adnexal surgery, our data suggest that minilaparotomy could offer the gynaecology surgeon a valid alternative in the minimally invasive surgery field, especially in specific settings.  (+info)

Mechanisms of polymicrobial sepsis-induced ileus. (6/151)

Sepsis frequently occurs after hemorrhage, trauma, burn, or abdominal surgery and is a leading cause of morbidity and mortality in severely ill patients. We performed experiments to delineate intestinal molecular and functional motility consequences of polymicrobial sepsis in the clinically relevant cecal ligation and puncture (CLP) sepsis model. CLP was performed on male Sprague-Dawley rats. Gastrointestinal transit, colonic in vivo pressure recordings, and in vitro muscle contractions were recorded. Histochemistry was performed for macrophages, monocytes, and neutrophils. Inflammatory gene expressions were quantified by real-time RT-PCR. CLP delayed gastrointestinal transit, decreased colonic pressures, and suppressed in vivo circular muscle contractility of the jejunum and colon over a 4-day period. A leukocytic infiltrate of monocytes and neutrophils developed over 24 h. Real-time RT-PCR demonstrated a significant temporal elevation in IL-6, IL-1beta, monocyte chemoattractant protein-1, and inducible nitric oxide synthase, with higher expression levels of IL-6 and inducible nitric oxide synthase in colonic extracts compared with small intestine. Polymicrobial CLP sepsis induces a complex inflammatory response within the intestinal muscularis with the recruitment of leukocytes and elaboration of mediators that inhibit intestinal muscle function. Differences were elucidated between endotoxin and CLP models of sepsis, as well as a heterogeneous regional response of the gastrointestinal tract to CLP. Thus the intestine is not only a source of bacteremia but also an important target of bacterial products with major functional consequences to intestinal motility and the generation of cytokines, which participate in the development of multiple organ failure.  (+info)

Churg-Strauss syndrome (allergic granulomatous angiitis) associated with T lymphoblastic lymphoma. (7/151)

We report a rare case of Churg-Strauss syndrome in a 37-year-old man, presented as ileus intestinal and associated with Tlymphoblastic lymphoma, that was located in the retroperitoneal space and infiltrated the suprarenal gland. The T lymphoblasts, with the immunohistochemical method, disclosed positivity for CD3 and CD8, while they were negative for Pan B and CD20.  (+info)

Alvimopan, a novel, peripherally acting mu opioid antagonist: results of a multicenter, randomized, double-blind, placebo-controlled, phase III trial of major abdominal surgery and postoperative ileus. (8/151)

OBJECTIVE: To demonstrate that alvimopan (6 or 12 mg) accelerates recovery of gastrointestinal (GI) function in patients undergoing laparotomy for bowel resection or radical hysterectomy. SUMMARY BACKGROUND DATA: Postoperative ileus (POI) following laparotomy may increase morbidity and extend hospitalization. Opioids can contribute to the duration of POI. Alvimopan is a novel opioid receptor antagonist in development for the management of POI. METHODS: A total of 510 patients scheduled for bowel resection or radical hysterectomy were randomized (1:1:1) to receive alvimopan 6 mg, alvimopan 12 mg, or placebo orally > or =2 hours before surgery, then twice a day (b.i.d.) until hospital discharge or for up to 7 days. The primary efficacy end point was a composite of time to recovery of upper and lower GI function. An associated secondary end point was time to hospital discharge order written. RESULTS: The modified intent-to-treat population included 469 patients (451 bowel resection and 18 radical hysterectomy patients). Time to recovery of GI function was accelerated for the alvimopan 6 mg (hazard ratio [HR] = 1.28; P < 0.05) and 12 mg (HR = 1.54; P < 0.001) groups with a mean difference of 15 and 22 hours, respectively, compared with placebo. The time to hospital discharge order written was also accelerated in the alvimopan 12 mg group (HR = 1.42; P = 0.003) with a mean difference of 20 hours compared with placebo. The incidence of adverse events was similar among treatment groups. CONCLUSIONS: Alvimopan accelerated GI recovery and time to hospital discharge order written compared with placebo in patients undergoing laparotomy and was well tolerated.  (+info)

The word 'ileus' comes from the Greek word 'íleos', which means 'intestine'.

There are several types of intestinal obstruction, including:

1. Mechanical bowel obstruction: This type of obstruction is caused by a physical blockage in the intestine, such as adhesions or hernias.
2. Non-mechanical bowel obstruction: This type of obstruction is caused by a decrease in the diameter of the intestine, such as from inflammation or scarring.
3. Paralytic ileus: This type of obstruction is caused by a delay in the movement of food through the intestine, usually due to nerve damage or medication side effects.
4. Intestinal ischemia: This type of obstruction is caused by a decrease in blood flow to the intestine, which can lead to tissue damage and death.

Intestinal obstructions can be diagnosed through a variety of tests, including:

1. Abdominal X-rays: These can help identify any physical blockages in the intestine.
2. CT scans: These can provide more detailed images of the intestine and help identify any blockages or other issues.
3. Endoscopy: This involves inserting a flexible tube with a camera into the mouth and down into the intestine to visualize the inside of the intestine.
4. Biopsy: This involves removing a small sample of tissue from the intestine for examination under a microscope.

Treatment for intestinal obstructions depends on the underlying cause and severity of the blockage. Some common treatments include:

1. Fluid and electrolyte replacement: This can help restore hydration and electrolyte balance in the body.
2. Nasojejunal tube placement: A small tube may be inserted through the nose and into the jejunum to allow fluids and medications to pass through the blockage.
3. Surgery: In some cases, surgery may be necessary to remove the blockage or repair any damage to the intestine.
4. Medication: Depending on the underlying cause of the obstruction, medications such as antibiotics or anti-inflammatory drugs may be prescribed to help resolve the issue.

Preventing intestinal obstructions is often challenging, but some strategies can help reduce the risk. These include:

1. Avoiding foods that can cause blockages, such as nuts or seeds.
2. Eating a balanced diet and avoiding constipation.
3. Drinking plenty of fluids to stay hydrated.
4. Managing underlying medical conditions, such as inflammatory bowel disease or diabetes.
5. Avoiding medications that can cause constipation or other digestive problems.

The condition can be caused by various factors, including:

1. Neurological disorders: Conditions such as Parkinson's disease, multiple sclerosis, and spinal cord injuries can damage the nerves that control intestinal movement, leading to pseudo-obstruction.
2. Medications: Certain medications, such as anticholinergics and opioids, can slow down intestinal motility and cause pseudo-obstruction.
3. Inflammatory bowel disease: Inflammatory conditions such as Crohn's disease and ulcerative colitis can damage the muscles in the intestinal wall, leading to pseudo-obstruction.
4. Surgery: Intestinal surgery can sometimes result in adhesions or scar tissue that can cause pseudo-obstruction.
5. Infections: Infections such as appendicitis and diverticulitis can inflame the intestines and disrupt their function, leading to pseudo-obstruction.
6. Cancer: Cancer of the intestine or surrounding tissues can obstruct the flow of food through the intestines and cause pseudo-obstruction.

Treatment for intestinal pseudo-obstruction typically involves supportive care, such as fluids, electrolytes, and oxygen, as well as medications to manage symptoms. In severe cases, surgery may be necessary to remove any blockages or adhesions that are causing the condition.

1. Crohn's disease: A chronic inflammatory condition that can affect any part of the gastrointestinal tract, but most commonly affects the ileum.
2. Ulcerative colitis: A chronic inflammatory condition that affects the large intestine and rectum, but can also affect the ileum.
3. Ileal tumors: Such as carcinoid tumors, lymphoma, and sarcomas.
4. Ileal polyps: Growths of abnormal tissue in the ileum that can cause bleeding, obstruction, or cancer.
5. Inflammatory bowel disease (IBD): A group of chronic conditions, including Crohn's disease and ulcerative colitis, that cause inflammation in the digestive tract.
6. Ileal strictures: Narrowing of the ileum that can cause obstruction and blockage of food passage.
7. Ileal dilatation: Expansion of the ileum beyond its normal size, which can cause abdominal pain and discomfort.
8. Ileal ischemia: Reduced blood flow to the ileum, which can cause damage and inflammation.
9. Ileal infections: Such as bacterial or viral infections that can cause inflammation and damage to the ileum.
10. Ileal varices: Enlarged veins in the ileum that can cause bleeding and other complications.

These are some of the common ileal diseases, but there may be others depending on the individual case and specific symptoms. It is important to seek medical attention if you experience any persistent or severe abdominal symptoms to get an accurate diagnosis and appropriate treatment.

Gallstones can be made of cholesterol, bilirubin, or other substances found in bile. They can cause a variety of symptoms, including:

* Abdominal pain (often in the upper right abdomen)
* Nausea and vomiting
* Fever
* Yellowing of the skin and eyes (jaundice)
* Tea-colored urine
* Pale or clay-colored stools

Gallstones can be classified into several types based on their composition, size, and location. The most common types are:

* Cholesterol gallstones: These are the most common type of gallstone and are usually yellow or green in color. They are made of cholesterol and other substances found in bile.
* Pigment gallstones: These stones are made of bilirubin, a yellow pigment found in bile. They are often smaller than cholesterol gallstones and may be more difficult to detect.
* Mixed gallstones: These stones are a combination of cholesterol and pigment gallstones.

Gallstones can cause a variety of complications, including:

* Gallbladder inflammation (cholecystitis)
* Infection of the bile ducts (choledochalitis)
* Pancreatitis (inflammation of the pancreas)
* Blockage of the common bile duct, which can cause jaundice and infection.

Treatment for gallstones usually involves surgery to remove the gallbladder, although in some cases, medications may be used to dissolve small stones. In severe cases, emergency surgery may be necessary to treat complications such as inflammation or infection.

Here are some examples of jejunal diseases:

1. Crohn's disease: This is a chronic inflammatory bowel disease that can affect any part of the gastrointestinal tract, including the jejunum. It causes inflammation and damage to the lining of the intestine, leading to symptoms such as diarrhea, abdominal pain, and fatigue.
2. Ulcerative colitis: This is a chronic condition that causes inflammation and sores in the lining of the colon and rectum, but can also affect the jejunum. Symptoms include diarrhea, abdominal pain, and bloody stools.
3. Jejunoileal bypass surgery: This is a type of bariatric surgery that involves rerouting the small intestine to reduce the amount of food that can be absorbed. While it can lead to weight loss, it can also cause nutrient deficiencies and other complications.
4. Jejunal tumors: These are growths that can occur in the jejunum, which can be benign or malignant. Symptoms include abdominal pain, bloating, and obstruction of the intestine.
5. Jejunal strictures: These are narrowing of the jejunum that can cause obstruction of food passage and lead to symptoms such as abdominal pain, nausea, and vomiting.
6. Jejunal inflammatory fibrosis: This is a condition where the jejunum becomes inflamed and scarred, leading to thickening of the intestinal walls and narrowing of the intestine. Symptoms include abdominal pain, diarrhea, and malabsorption.
7. Jejunal enteropathy: This is a condition where the jejunum becomes damaged, leading to symptoms such as diarrhea, abdominal pain, and weight loss. It can be caused by a variety of factors, including infection, inflammation, and autoimmune disorders.
8. Jejunal ulcers: These are open sores that can occur in the lining of the jejunum, often as a result of infection or inflammation. Symptoms include abdominal pain, nausea, and vomiting.
9. Jejunal ischemia: This is a condition where the blood supply to the jejunum is reduced, leading to damage to the intestinal tissue. Symptoms include abdominal pain, diarrhea, and rectal bleeding.
10. Jejunal cancer: This is a rare type of cancer that can occur in the jejunum. Symptoms include abdominal pain, weight loss, and rectal bleeding.

These are just a few examples of the many different conditions that can affect the jejunum. If you suspect that you or someone you know may have a condition affecting the jejunum, it is important to seek medical attention as soon as possible for proper diagnosis and treatment.

1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.

It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.

Paralytic ileus is a common side effect of some types of surgery, commonly called postsurgical ileus. It can also result from ... "gallstone ileus" and "meconium ileus", although now technically misnomers, are still accepted as correct owing to their long- ... Intestinal obstruction Ileus at eMedicine Merck Manual Professional: Ileus (Articles with short description, Short description ... Ileus is a disruption of the normal propulsive ability of the intestine. It can be caused by lack of peristalsis or by ...
First described by Thomas Bartholin in 1654, the name "gallstone ileus" is a misnomer because an ileus is, by definition, a non ... Gallstone ileus is a rare form of small bowel obstruction caused by an impaction of a gallstone within the lumen of the small ... Since gallstone ileus constitutes a form of mechanical small bowel obstruction, it can be a surgical emergency and requires ... "Gallstone Ileus". Radiopaedia. Retrieved 17 December 2013. Williams, N.; O'Connell, P. R., eds. (2013). Bailey & Love's Short ...
While post-operative ileus is typically self-limited, prolonged post-operative ileus occurs when patients develop nausea, ... Ileus, which refers to functional obstruction or aperistalsis of the intestine, is a physiologic response to abdominal surgery ... Various measures are taken in the immediate post-operative period to minimize prolonged post-operative ileus. A nasogastric ... Livingston, E. H.; Passaro, E. P. (January 1990). "Postoperative ileus". Digestive Diseases and Sciences. 35 (1): 121-132. doi: ...
Anticholinergic: Paralytic ileus; hyperpyrexia; urinary retention, delayed micturition, dilatation of the urinary tract; ...
The meconium sometimes becomes thickened and congested in the intestines, a condition known as meconium ileus. Meconium ileus ... of one series of cases of meconium ileus did not have cystic fibrosis. The presence of meconium ileus is not related to the ... Meconium ileus has a significant risk of intestinal perforation. In a barium enema, meconium plug syndrome shows a normal or ... Meconium ileus should be distinguished from meconium plug syndrome, in which a tenacious mass of mucus prevents the meconium ...
"Intestinal obstruction and Ileus". MedlinePlus. Retrieved July 10, 2021. Zbar AP, Wexner SD (2010). Coloproctology. New York: ... Ileus Pseudo-obstruction or Ogilvie's syndrome Intra-abdominal sepsis Pneumonia or other systemic illness Some causes of bowel ... gallstones in gallstone ileus, swallowed objects such as expandable water toys) Intestinal atresia After abdominal surgery, the ...
"Spastic ileus , definition of spastic ileus by Medical dictionary". The Free Dictionary. Archived from the original on 9 ...
He died of ileus. His parents were farmer Abram Evert Kolho and Eulalia Riihimäki. Olympic shooters Voitto and Yrjö Kolho were ...
She bore to Apollo a son, whom Apollo named Ileus, after the city of his birth, Ilion (Troy). Ileus was very dear to Apollo. ... Together they had a son named Ileus, whom Apollo loved dearly. Apollo sided with the Trojans during the Trojan War waged by the ...
Miyamoto T, Shibata T, Matsuura S, Kagesawa M, Ishizawa Y, Tamiya K (1996). "Eosinophilic gastroenteritis with ileus and ...
van Beuren, F. T. Jr., and Smith, Beverly C., The Status of Enterostomy in the Treatment of Acute Ileus, Archives of Surgery, ... van Beuren, Frederic T. Jr., M.D., Acute Ileus, Annals of Surgery, October 1935, Volume 102, number 4 [3] van Beuren, Frederick ... Enterostomy in Acute Ileus, The Time Element, A Preliminary Report, American Journal of Surgery, New Series, vol. i, p. 284, ... The Relation Between Intestinal Damage and Delayed Operation in Acute Mechanical Ileus, Annals of Surgery, November 1920, ...
Karl Landsteiner first describes Meconium ileus. Fritz Schaudinn and Erich Hoffmann discovered the bacterium that was ...
Gallstone ileus Shahzad, Salman; Younus, Tahira; Khan, Eitzaz Ud Din (June 2, 2021). "Anesthetic management for endoscopic ...
Wittmann DH, Eggert A. Pathogenesis of gallstone ileus. Chirurg 48:678-680, 1977. Wittmann DH, Eckardt K, Randel G. The risk of ... Diagnostic and therapeutic problems with gallstone ileus. Act Chir 11:247-602, 1976. Wittmann DH, Eggert A. A new method to ...
Ileus is a blockage of the intestines. Coeliac disease is a common form of malabsorption, affecting up to 1% of people of ... Different types of surgery and treatment managing life-threatening complications such as ileus and volvulus, intestinal stasis ...
... is a combination of findings on an abdominal radiograph of people with gallstone ileus, a condition where a ... Most patients with gallstone ileus are asymptomatic. Due to the fistula formation between the small intestine and gallbladder, ...
Shehu, BB; Ismail, NJ; Ameh, EA (12 April 2006). "Acute ileus following ventriculoperitoneal shunt: case report". East African ...
"Albendazole for the Treatment of Anisakiasis Ileus". Clinical Infectious Diseases. 41 (12): 1825-1826. doi:10.1086/498309. PMID ...
... caused colonic ileus, ureteral obstruction and hypertension]" [A case report. Endometriosis caused colonic ileus ...
Fitzgerald JE, Fitzgerald LA, Maxwell-Armstrong CA, Brooks AJ (May 2009). "Recurrent gallstone ileus: time to change our ... potentially causing an obstruction termed gallstone ileus. Other complications can include ascending cholangitis, which occurs ...
Of these, bowel obstruction is most common, followed by ileus and perforation. Bowel obstruction and ileus typically occur when ... Chuang JH, Chan HM, Huang YS, Hsieh JS, Huang TJ (August 1993). "Enterolith ileus as a complication of duodenal diverticulosis ... Yang HK, Fondacaro PF (December 1992). "Enterolith ileus: a rare complication of duodenal diverticula". The American Journal of ... Steenvoorde P, Schaardenburgh P, Viersma JH (2003). "Enterolith ileus as a complication of jejunal diverticulosis: two case ...
Bick, Marjorie, Wood, Ian J (1941). "The Biochemical Changes In Paralytic Ileus And Intestinal Obstruction". Medical Journal of ...
... or there is evidence of intestinal blockage or ileus. ORT might also be contraindicated in people who are in hemodynamic shock ...
Postoperative ileus, which is common after abdominal surgery, is possible. In "gas bloat syndrome", fundoplication can alter ...
The lack of bowel sounds is indicative of ileus, intestinal obstruction, or some other serious pathology. The scientific name ... Flatulence Ileus Migrating motor complex Toothman, Jessika (30 April 2008). "Causes of Stomach Growling". HowStuffWorks. ...
She was suffering from paralytic ileus and a lung infection. She left an estate estimated at £250,000,000, which was passed on ...
Atresia Bowel obstruction Ileus Pediatric surgery Alastair John Ward Millar, John R. Gosche, Kokila Lakhoo (2011). "Chapter 63 ... Ileal atresia can also result as a complication of meconium ileus.[citation needed] A third of infants with intestinal atresia ...
Gastrointestinal obstruction and ileus are less common but serious adverse effects. Use in pregnancy and breastfeeding is ...
A nasogastric tube may be inserted if an ileus is present.[citation needed] Antibiotics are sometimes given in moderate to ...
Gut - absent bowel sounds, ileus "CG34 Hypertension - quick reference guide" (PDF). National Institute for Health and Clinical ...
Although the exact pathogenesis of ileus remains multifactorial and complex, the clinical picture appears to be transiently ... Ileus occurs from hypomotility of the gastrointestinal tract in the absence of mechanical bowel obstruction. ... Ileus that persists for more than 3 days following surgery is termed postoperative adynamic ileus, paralytic ileus, or ... Although ileus has numerous causes, the postoperative state is the most common setting for the development of ileus. Indeed, ...
Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal; Colonic ileus; Small bowel ... Ileus, a condition in which the bowel does not work correctly, but there is no structural problem causing it ... Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. ... In a newborn, paralytic ileus that destroys the bowel wall (necrotizing enterocolitis) is a life-threatening condition. It may ...
... dc.contributor.author. Jarbou, S.M.. ... Six patients [‎5 women and 1 man, with a median age of 71 years]‎ were operated on for gallstone ileus in the 10-year period ... Gallstone ileus in the Jordanian Royal Medical Services in a 10-year period. EN. ...
De Winter BY, Boeckxstaens GE, De Man JG, et al. Effect of adrenergic and nitrergic blockade on experimental ileus in rats. Br ... Autonomic adrenergic pathways have been shown to be involved in the pathogenesis of postoperative ileus6,7,47 as administration ... Althausen PL, Gupta MC, Benson DR, et al. The use of neostigmine to treat postoperative ileus in orthopedic spinal patients. J ... Schwarz NT, Kalff JC, Turler A, et al. Prostanoid production via COX-2 as a causative mechanism of rodent postoperative ileus. ...
Ileus. Obstruction of the intestines.. IM. Intramuscularly.. Immediately Dangerous to Life or Health. As defined by NIOSH, an ...
... ileus; tachycardia; hypertension; and elevated temperature (,101ºF). The onset of incapacitation is dose-dependent. It might ...
Ileus. 34 (7.5). 17 (11.2). 17 (5.6). 2.12 (1.05‒4.29). 0.035. Bowel perforation. 14 (3.0). 11 (7.2). 3 (1.0). 7.83 (2.15‒28.50 ...
Gallstone ileus in the Jordanian Royal Medical Services in a 10-year period  Al Hammouri, F.A.; Jarbou, S.M. (‏2000)‏ Six ... patients [‏5 women and 1 man, with a median age of 71 years]‏ were operated on for gallstone ileus in the 10-year period 1988- ...
Ileus. *Influenza (Flu). *Interstitial Lung Disease. *Intestinal Obstruction. *Low Blood Oxygen Level ...
Bouverets syndrome is a rare variant of gallstone ileus caused by gastric outlet obstruction that arises from gallstones ... Bouverets Syndrome: A Rare Form of Gallstone Ileus Caused by Large Renal Cysts. ... Bouverets Syndrome: A Rare Form of Gallstone Ileus Caused by Large Renal Cysts. ...
Septic shock usually causes ileus, and the use of narcotics and sedatives delays the institution of enteral feeding. This ...
Clozapine-induced paralytic ileus. Castillo-García IM, Maestro G, Puerta S, Ostos F, Nava P, Losada I. Castillo-García IM, et ...
Keywords: Hypokalemia, ileus, motility, potassium. How to cite this article:. Brigode WM, Jones C, Vazquez DE, Evans DC. ... while newer studies do not support hypokalemia as a cause of ileus. Current treatment of ileus supports focusing on reversal of ... Treatment of Postoperative Ileus. Being dogmatic, the treatment of POI varies institution to institution and physician to ... The study did not comment on whether this trough potassium is a cause or an effect of ileus. Also, the hypokalemia was not ...
Paralytic ileus (du Toit, Muller et al. 1981). *Pyrexia (Tareg et al. 2001) ...
Ileus Ileus, Meconium use Meconium Ileus Ileus, Paralytic use Intestinal Pseudo-Obstruction ...
Gastrointestinal: Esophagitis, ileus, hematemesis, pancreatitis, rectal discomfort Hepatic: Alkaline phosphatase increases, ...
Postoperative gastrointestinal dysmotility (ileus). Recovers abdominal distention and increase water content of fecal pellets. ...
... ileus, intussusceptions, meconium retention, gastro-duodenal ulcers, parasitism). ...
... ileus; tachycardia; hypertension; and elevated temperature (,101ºF). The onset of incapacitation is dose-dependent. It might ...
Ileus, Israel turkey meningoencephalitis, Kadam, RSSE, and yellow fever; 16 with antigens Apoi, Banzi, Edge Hill, Japanese enc ...
Influence of intravenous opioid dose on postoperative ileus. Ann Pharmacother 2011;45:916-23.. * Cited Here ... 2 This is confirmed by other data that show that opioid-sparing analgesic techniques reduce postoperative ileus.11 ...
... ileus, transient ischemia, infarction, necrosis); Cardiac complications and subsequent attendant problems (e.g. arrhythmia, ... ileus, transient ischemia, infarction, necrosis); cardiac complications and subsequent attendant problems (eg, arrhythmia, ...
Chapelle, S. L., and Bove, G. M. (2013). Visceral massage reduces postoperative ileus in a rat model. J. Bodywork Mov. Ther. 17 ...
GU or GI obstruction (eg, pyloroduodenal stenosis, achalasia). Paralytic ileus. Intestinal atony of the elderly or debilitated ...
Ileus (adynamic) (bowel) (colon) (inhibitory) (intestine) (neurogenic) (paralytic) 560.1. *. meconium 777.1*. due to cystic ...
a stomach or bowel obstruction (including paralytic ileus).. Tell your doctor if you have ever had:. *breathing problems, sleep ...
Primary intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo- ...
  • Ileus that persists for more than 3 days following surgery is termed postoperative adynamic ileus, paralytic ileus, or functional ileus. (medscape.com)
  • Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. (medlineplus.gov)
  • In a newborn, paralytic ileus that destroys the bowel wall (necrotizing enterocolitis) is a life-threatening condition. (medlineplus.gov)
  • Frequently, it has been listed as a cause for paralytic ileus, and correcting electrolyte anomalies is one of the first steps in treatment of a patient with nonfunctioning bowels. (ijam-web.org)
  • Modern citations for the treatment of potassium deficiency specific to postsurgical patients with paralytic ileus refer to the 1971 article by Lowman of 18 patients. (ijam-web.org)
  • [2] These patients had prolonged paralytic ileus after various abdominal surgeries. (ijam-web.org)
  • a stomach or bowel obstruction (including paralytic ileus). (everydayhealth.com)
  • Postoperative ileus after an open cholecystectomy. (medscape.com)
  • The clinical consequences of postoperative ileus can be profound. (medscape.com)
  • Iyer et al assessed healthcare utilization and costs in colectomy surgery patients who developed postoperative ileus versus those who did not. (medscape.com)
  • [ 7 ] The authors concluded that postoperative ileus in colectomy patients is a significant predictor of hospital resource utilization. (medscape.com)
  • The main focus of this article is postoperative ileus. (medscape.com)
  • Postoperative ileus may be mediated via activation of inhibitory spinal reflex arcs. (medscape.com)
  • Cyclooxygenase 2 (COX-2) and prostaglandins (PGs) participate in the pathogenesis of inflammatory postoperative ileus. (bmj.com)
  • We sought to determine whether the emerging neuronal modulator COX-2 plays a significant role in primary afferent activation during postoperative ileus using spinal Fos expression as a marker. (bmj.com)
  • This activation of primary afferents may subsequently initiate inhibitory motor reflexes to the gut, contributing to postoperative ileus. (bmj.com)
  • Postoperative ileus remains an almost universal consequence of abdominal surgery leading to significant morbidity and patient discomfort, which prolongs hospitalisation and thus adds markedly to healthcare costs. (bmj.com)
  • Mast cells trigger epithelial barrier dysfunction, bacterial translocation and postoperative ileus in a mouse model. (bvsalud.org)
  • Abdominal surgery involving bowel manipulation commonly results in inflammation of the bowel wall, which leads to impaired intestinal motility and postoperative ileus (POI). (bvsalud.org)
  • Because most patients with curable colorectal cancer will require surgery, they will be at risk for developing postoperative ileus, which is defined as lack of bowel function, an inability to take in food or water, and nausea and/or vomiting after surgery. (ascopost.com)
  • The exact mechanisms of postoperative ileus are yet to be elucidated but are likely multifactorial. (ascopost.com)
  • 4,5 The most commonly cited factors leading to the development of postoperative ileus are disorganized electrical activity, sympathetic inhibitory neural reflexes, release of proinflammatory mediators, excessive intravascular volume, and use of opioid analgesia. (ascopost.com)
  • A variety of perioperative strategies may help to prevent the development of and/or reduce the duration of postoperative ileus. (ascopost.com)
  • Acupuncture has also been investigated to help address postoperative ileus. (ascopost.com)
  • Four acupuncture clinical trials for the prevention of postoperative ileus have been published, two of which demonstrated significant benefits. (ascopost.com)
  • These data suggest acupuncture may be a possible treatment option to consider for patients who develop postoperative ileus. (ascopost.com)
  • Ileus occurs from hypomotility of the gastrointestinal tract in the absence of mechanical bowel obstruction. (medscape.com)
  • Hypokalaemia is a recognized cause of hypomotility of the bowel and can lead to adynamic ileus. (who.int)
  • Although the exact pathogenesis of ileus remains multifactorial and complex, the clinical picture appears to be transiently impaired propulsion of intestinal contents. (medscape.com)
  • Population, intervention, comparator, and outcomes questions: Does low serum potassium cause intestinal ileus, and will correction of this deficit correct the intestinal paralysis? (ijam-web.org)
  • Common teaching is to replace electrolytes according to strict guidelines after intestinal surgery, often due to the claim that hypokalemia is a cause of ileus. (ijam-web.org)
  • El íleo puede ser clasificado en postoperatorio, inflamatorio, metabólico, neurogénico e inducido por fármacos.Afección caracterizada por ausencia del PERISTALTISMO intestinal o MOTILIDAD INTESTINAL sin obstrucción mecánica. (bvsalud.org)
  • We report the first case of Chilaiditi syndrome caused by adynamic ileus result-ing from hypokalaemia induced by renal tubular acidosis. (who.int)
  • Immunoreactive trypsin levels in neonates with meconium ileus. (qxmd.com)
  • Fifteen percentage of CF neonates present with meconium ileus (MI). (qxmd.com)
  • [ 1 ] Physiologic ileus spontaneously resolves within 2-3 days, after sigmoid motility returns to normal. (medscape.com)
  • Indeed, ileus is an expected consequence of abdominal surgery, with the most common being elective colorectal resection. (medscape.com)
  • The exact pathogenesis of ileus remains unclear. (medscape.com)
  • [ 2 ] Frequently, ileus occurs after major abdominal operations, but it may also occur after retroperitoneal and extra-abdominal surgery, as well as general anesthesia alone. (medscape.com)
  • Spinal anesthesia, abdominal sympathectomy, and nerve-cutting techniques have been demonstrated to either prevent or attenuate the development of ileus. (medscape.com)
  • The surgical stress response leads to systemic generation of endocrine and inflammatory mediators that also promote the development of ileus. (medscape.com)
  • 5, 8- 10 The resulting inflammatory response has been shown to be proportional to the degree of gut ileus, as demonstrated by a decrease in gastrointestinal transit and suppression of in vitro circular smooth muscle contractility. (bmj.com)
  • Current treatment of ileus supports focusing on reversal of the effect of opiates on the gut, while electrolyte therapeutic goals are directed to prevent complications outside of the gastrointestinal (GI) tract. (ijam-web.org)
  • Patients with ileus are immobilized, have discomfort and pain, and are at increased risk for pulmonary complications. (medscape.com)
  • Six patients [‎5 women and 1 man, with a median age of 71 years]‎ were operated on for gallstone ileus in the 10-year period 1988-98. (who.int)
  • The authors report that a "major cause of death was construction ileus due to severe peritoneal adhesion. (cdc.gov)
  • In this case, the cause of ileus was severe hypokalaemia resulting from type-1 renal tubular acidosis. (who.int)
  • The longest duration of ileus is noted to occur after colon and rectal surgery. (medscape.com)
  • Overall, ileus increases the cost of medical care because it prolongs hospital stays. (medscape.com)
  • Patients: Patients with hypokalemia and ileus. (ijam-web.org)
  • Finally, he recognizes that hypokalemia is not the only factor contributing to ileus in these patients. (ijam-web.org)
  • This article addresses the evidence linking hypokalemia and ileus to improve medical knowledge and enable physicians to put this evidence into practice. (ijam-web.org)
  • Hypercalcemia may lead to an ileus, myocardial depression, hyporeflexia, and an altered mental status. (medscape.com)
  • Six patients [‎5 women and 1 man, with a median age of 71 years]‎ were operated on for gallstone ileus in the 10-year period 1988-98. (who.int)
  • Intestinal obstruction secundary to gallstone ileus: case report. (nih.gov)
  • Laparoscopic management of cholecysto-duodenal fistula after spontaneous resolution of intestinal obstruction component of gallstone Ileus case report and literature review. (nih.gov)
  • Gallstone Ileus: A Rare Complication of Cholecystolithiasis. (nih.gov)
  • An Unusual Cause of Large-Bowel Obstruction: Cholecystocolonic Fistula and Gallstone Ileus. (nih.gov)
  • Gallstone ileus. (nih.gov)
  • The common differentials for ileus are pseudo-obstruction , also referred to as Ogilvie syndrome, and mechanical bowel obstruction. (medscape.com)
  • Several texts and articles tend to use ileus synonymously with pseudo-obstruction or refer to "colonic ileus. (medscape.com)
  • Pseudo-obstruction is clearly limited to the colon alone, whereas ileus involves both the small bowel and colon. (medscape.com)
  • The following table summarizes the differences between ileus, pseudo-obstruction, and mechanical obstruction. (medscape.com)
  • Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. (medlineplus.gov)
  • Meconium ileus (MI) is often the first manifestation of cystic fibrosis (CF) and occurs in approximately 20% of patients with diagnosed CF. (medscape.com)
  • The prognosis for infants presenting with both simple and complicated meconium ileus has improved with the advancement of both nonoperative and operative treatments, along with good nutritional support and better treatment of bacterial infections. (medscape.com)
  • Radiography is the preferred examination for evaluating cases of meconium ileus, meconium peritonitis, meconium ileus-equivalent syndrome, and meconium plug syndrome. (medscape.com)
  • By convention, 4 gastrointestinal conditions include the term meconium in their names: meconium ileus, meconium peritonitis, meconium ileus-equivalent syndrome, and meconium plug syndrome . (medscape.com)
  • Meconium ileus (MI) is defined as an intestinal obstruction caused by impaction of inspissated meconium in the terminal ileum. (medscape.com)
  • Results were robust to extreme value imputation and exclusion of infants with meconium ileus. (cdc.gov)
  • As with ileus, it occurs in the absence of a definable mechanical pathology. (medscape.com)
  • We report the first case of Chilaiditi syndrome caused by adynamic ileus result-ing from hypokalaemia induced by renal tubular acidosis. (who.int)