Epub Oct Ann Med Surg Lond. Cirocchi R, Farinella E, Trastulli S, et al ; Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: a systematic review and meta-analysis.
Surg Oncol. Epub Nov Rare Tumors. Saunders MD ; Acute colonic pseudo-obstruction. Can J Surg. Rev Invest Clin. I have tried to get my parents to help me but only Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. This article is for Medical Professionals. Epidemiology Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. Are you protected against flu? Further reading and references. Join the discussion on the forums. Health Tools Feeling unwell? Kliegman RM, et al. Ileus, adhesions, intussusception, and closed-loop obstructions.
In: Nelson Textbook of Pediatrics. Intestinal pseudo-obstruction. Catena F, et al. Bowel obstruction: A narrative review for all physicians. World Journal of Emergency Surgery. Mayo Clinic; Song LM, et al. Rajan E expert opinion. If medication is the cause, your doctor may be able to prescribe another medication to stimulate gastrointestinal motility intestine movement.
One medication they may prescribe is metoclopramide Reglan. If possible, discontinuing the medications that caused the ileus can also help. Treatment without surgery is possible during the early stages of a paralytic ileus.
You may still require a hospital stay to get the proper fluids intravenously until the issue is fully resolved. In addition to intravenous fluid hydration, your doctor may use nasogastric decompression. During this procedure, a tube is inserted into your nasal cavity to reach your stomach.
The tube suctions out the extra air and material that you may otherwise vomit. Most surgery-related ileus will resolve within 2 to 4 days after surgery. However, some people do require surgery if the condition does not improve. Your intestines are very long, so you can live without a portion of them. While it may affect the digestive process, most people do live a healthy life with part of their intestine removed.
In some instances, your doctor may have to remove your entire intestine. In this case, your doctor will create a special pouch called an ostomy. This bag allows stool to drain from your remaining gastrointestinal tract. Your doctor will usually first listen to a description of your symptoms. Your doctor may then conduct a physical exam, looking at your abdomen for signs of swelling or tightness.
Your doctor will also listen with a stethoscope to your abdomen for typical bowel sounds. Imaging studies are usually ordered after a thorough physical exam. These can indicate where an ileus is located by showing a buildup of gas, an enlarged intestine, or even an obstruction. Your doctor may use these to identify areas where your bowel content seems to be concentrated. In some instances, your doctor may use a diagnostic procedure known as an air or barium enema.
During this procedure, the doctor inserts air or barium sulfate, a radiopaque substance, through your rectum into your colon. While the doctor does this, a technician takes X-rays of your abdomen. The air or barium shows up on the X-ray to help the technician view any potential obstruction. According to research, ileus is the second most common reason for hospital readmission in the first 30 days after surgery.
Surgical procedures on the abdomen that involve handling the intestines commonly cause a stoppage of intestinal movement for a period of time. This allows the surgeon to access your intestines. Sometimes normal peristalsis can be slow to return. Other causes include drugs, especially opioid analgesics and anticholinergic drugs see Anticholinergic: What Does It Mean? Anticholinergic: What Does It Mean? Drugs, the most common medical intervention, are an important part of medical care for older people.
Without drugs, many older people would function less well or die at an earlier age. Ileus may also be caused by an infection inside the abdomen, such as appendicitis Appendicitis Appendicitis is inflammation and infection of the appendix.
Often a blockage inside the appendix causes the appendix to become inflamed and infected. Abdominal pain, nausea, and fever are common Infection may or may not develop. Diverticulitis usually affects the large intestine colon. Left lower abdominal Kidney failure is the inability of the kidneys to adequately filter metabolic waste products from the blood. Facial expressions become dull, the voice This blockage causes unstable angina or heart attack myocardial infarction , depending on the location and amount A low potassium level has many causes but usually results from vomiting, diarrhea, adrenal gland disorders, or use of diuretics.
0コメント