Ileus surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical intervention is not routinely recommended for the management of ileus. However, patients of | [[Surgery operation|Surgical]] intervention is not routinely recommended for the management of [[ileus]]. However, [[patient|patients]] with prolonged [[ileus]], [[radiology|radiologic]] or clinical findings indicating development of [[ileus]] [[Complication (medicine)|complication]], such as [[intestinal perforation]], strangulation or [[necrosis]] and worsening of clinical or [[laboratory]] conditions of [[patient|patients]] may require urgent [[Surgery|surgical]] intervention to identify and alleviate [[Complication (medicine)|complications]] of [[ileus]]. | ||
==Surgery== | ==Surgery== | ||
Surgical intervention is not routinely recommended for the management of ileus. However, | *[[Surgery|Surgical]] intervention is not routinely recommended for the management of [[ileus]]. However, the following may require urgent [[surgery|surgical]] intervention:<ref name="pmid19209273">{{cite journal |vauthors=Lubawski J, Saclarides T |title=Postoperative ileus: strategies for reduction |journal=Ther Clin Risk Manag |volume=4 |issue=5 |pages=913–7 |year=2008 |pmid=19209273 |pmc=2621410 |doi= |url=}}</ref> | ||
* | **Prolonged [[ileus]] | ||
* | **[[Medical sign|Signs]] of [[Gastrointestinal perforation|intestinal perforation]], [[peritonitis]] or strangulation (such as rigidity, [[Abdominal guarding|guarding]] and [[rebound tenderness]]) | ||
**Imaging findings that suggest [[Gastrointestinal perforation|intestinal perforation]], strangulation or [[necrosis]] | |||
**Deterioration of clinical or [[laboratory]] conditions of [[patient|patients]] | |||
*In contrast to older studies, new investigations show that there is no certain time period recommended for the conservative management. Although more than 72 hours of conservative management is related to higher rate of [[surgery|surgical]] intervention. <ref name="pmid28818187">{{cite journal| author=Vilz TO, Stoffels B, Strassburg C, Schild HH, Kalff JC| title=Ileus in Adults. | journal=Dtsch Arztebl Int | year= 2017 | volume= 114 | issue= 29-30 | pages= 508-518 | pmid=28818187 | doi=10.3238/arztebl.2017.0508 | pmc=5569564 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28818187 }} </ref> | |||
==References== | ==References== | ||
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{{WS}} | {{WS}} | ||
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[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
Latest revision as of 19:05, 13 October 2020
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Ileus surgery On the Web |
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American Roentgen Ray Society Images of Ileus surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Surgical intervention is not routinely recommended for the management of ileus. However, patients with prolonged ileus, radiologic or clinical findings indicating development of ileus complication, such as intestinal perforation, strangulation or necrosis and worsening of clinical or laboratory conditions of patients may require urgent surgical intervention to identify and alleviate complications of ileus.
Surgery
- Surgical intervention is not routinely recommended for the management of ileus. However, the following may require urgent surgical intervention:[1]
- Prolonged ileus
- Signs of intestinal perforation, peritonitis or strangulation (such as rigidity, guarding and rebound tenderness)
- Imaging findings that suggest intestinal perforation, strangulation or necrosis
- Deterioration of clinical or laboratory conditions of patients
- In contrast to older studies, new investigations show that there is no certain time period recommended for the conservative management. Although more than 72 hours of conservative management is related to higher rate of surgical intervention. [2]
References
- ↑ Lubawski J, Saclarides T (2008). "Postoperative ileus: strategies for reduction". Ther Clin Risk Manag. 4 (5): 913–7. PMC 2621410. PMID 19209273.
- ↑ 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.