• Postoperative ileus after an open cholecystectomy. (medscape.com)
  • Although ileus has numerous causes, the postoperative state is the most common setting for the development of ileus. (medscape.com)
  • Ileus that persists for more than 3 days following surgery is termed postoperative adynamic ileus, paralytic ileus, or functional ileus. (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)
  • In postoperative ileus, however, gas may accumulate more in the colon than in the small bowel. (msdmanuals.com)
  • Inflammatory markers such as interleukins 1 and 6 (IL-1, IL-6) and tumor necrosis factor alpha (TNF-a) could help identify early the presence of protracted postoperative ileus. (medscape.com)
  • Age, previous abdominal surgery, and chronic preoperative use of narcotics were independently correlated with postoperative ileus. (medscape.com)
  • Findings from a systematic review indicate that CT scanning with Gastrografin may have the best specificity and sensitivity for differentiating between postoperative ileus and other conditions, whereas clinical findings and x-ray studies were of limited value in the differential diagnosis. (medscape.com)
  • Livingston EH, Passaro EP Jr. Postoperative ileus. (medscape.com)
  • Holte K, Kehlet H. Postoperative ileus: a preventable event. (medscape.com)
  • Reducing the burden of postoperative ileus: evaluating and implementing an evidence-based strategy. (medscape.com)
  • Iyer S, Saunders WB, Stemkowski S. Economic burden of postoperative ileus associated with colectomy in the United States. (medscape.com)
  • Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part I. Am J Gastroenterol . (medscape.com)
  • Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II. (medscape.com)
  • Delayed feeding was defined as oral intake after 24 hours post-surgery and only after signs of postoperative ileus resolution. (cochrane.org)
  • Imodium must be discontinued promptly when ileus, constipation or abdominal distension develop. (medicines.org.uk)
  • Constipation, paralytic ileus. (druglib.com)
  • It could occur due to conditions like paralytic ileus, slow-transit constipation, and megacolon (Hirschprung s, Chagas). (medindia.net)
  • Paralytic ileus, a condition where the motility of the intestines is inhibited, results in pseudo obstruction and constipation. (medindia.net)
  • The German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) recommends obtaining CT scanning before considering endoscopic intervention to differentiate between mechanical obstruction and paralytic ileus/intestinal pseudo-obstruction. (medscape.com)
  • In post-operative settings, paralytic ileus is known to last for up to three days. (nursestudy.net)
  • Had a post operative paralytic ileus at home, the worst pain I've ever experienced. (cancer.org)
  • [ 1 ] Physiologic ileus spontaneously resolves within 2-3 days, after sigmoid motility returns to normal. (medscape.com)
  • Mechanical paralytic ileus occurs when there is obstruction in the lumen of the bowel, impeding passage of its contents. (nursestudy.net)
  • Ileus occurs from hypomotility of the gastrointestinal tract in the absence of mechanical bowel obstruction. (medscape.com)
  • Known or suspected GI obstruction, including paralytic ileus. (renalandurologynews.com)
  • Functional ileus, on the other hand, is related to the reduced contraction of the smooth muscles of the bowel wall. (nursestudy.net)
  • it draws water from the bowel wall in to the lumen - this reduces the bowel wall edema and may help in resolution of the ileus. (medscape.com)
  • The term comes from how ileus causes the bowel to significantly slow or stop but without any physical blockage. (doctorshealthpress.com)
  • Do not use if you suffer or have suffered from prostatic enlargement, paralytic ileus, pyloric stenosis, glaucoma and myasthenia gravis. (superdrug.com)
  • Indeed, ileus is an expected consequence of abdominal surgery, with the most common being elective colorectal resection. (medscape.com)
  • Is gum chewing useful for ileus after elective colorectal surgery? (medscape.com)
  • Four out of five cases of paralytic ileus occur in the small intestines. (nursestudy.net)
  • Paralytic ileus can occur at any age and equally in both men and women. (nursestudy.net)
  • [ 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)
  • The longest duration of ileus is noted to occur after colon and rectal surgery. (medscape.com)
  • Paralytic ileus may occur with anticholinergics. (empr.com)
  • Imodium must not be used when inhibition of peristalsis is to be avoided due to the possible risk of significant sequelae including ileus, megacolon and toxic megacolon. (medicines.org.uk)
  • Full-blown dissemination is the severest form of dissemination and hyperinfection, referring to patients with paralytic ileus and pneumonia caused by enteric organisms, as well as either sepsis or meningitis caused by enteric organisms. (cdc.gov)
  • There has been concern that early oral intake would result in vomiting and severe paralytic ileus with subsequent aspiration pneumonia, wound dehiscence, and anastomotic leakage. (cochrane.org)
  • The concurrent use of anticholinergics with narcotics may produce paralytic ileus. (globalrph.com)
  • Although the exact pathogenesis of ileus remains multifactorial and complex, the clinical picture appears to be transiently impaired propulsion of intestinal contents. (medscape.com)
  • Ileus can result from numerous sources including gastroenteritis, potassium deficiency, complications of abdominal surgery, mesenteric ischemia, abdominal infections like appendicitis, or certain narcotics. (doctorshealthpress.com)
  • Patients with ileus are immobilized, have discomfort and pain, and are at increased risk for pulmonary complications. (medscape.com)
  • [ 6 ] In 1990, Livingston and Passaro estimated that ileus costs $750 million annually ($1500 per patient) in the United States. (medscape.com)
  • In general, paralytic ileus can have functional or mechanical causes. (nursestudy.net)
  • Multidetector CT (MDCT) scanning has the potential to be an effective and reliable tool in the early identification of chronic gallstone perforation and ileus. (medscape.com)
  • Paralytic ileus is the paralysis or occlusion of the intestines, inhibiting peristalsis or the forward pushing of intestinal contents. (nursestudy.net)
  • This form of paralytic ileus is related to having abdominal or retroperitoneal surgery or lesions. (nursestudy.net)
  • The surgical stress response leads to systemic generation of endocrine and inflammatory mediators that also promote the development of ileus. (medscape.com)
  • Ileus is a temporary arrest of intestinal peristalsis. (msdmanuals.com)
  • Treatment of ileus involves continuous nasogastric suction, nothing by mouth, IV fluids and electrolytes, a minimal amount of sedatives, and avoidance of opioids and anticholinergic medications. (msdmanuals.com)
  • In some cases of paralytic ileus, treatment may not be needed. (nursestudy.net)
  • Gastrointestinal symptoms are the most common manifestation of paralytic ileus. (nursestudy.net)
  • Ileus Management International (IMAGINE): protocol for a multicentre, observational study of ileus after colorectal surgery. (medscape.com)
  • [ 3 , 4 ] Laparoscopic colon resection has been associated with shorter periods of ileus than open colon and rectal resection. (medscape.com)