Ileus

Question 1

What is ileus?

Answer 1

Condition affecting the small bowel where peristalsis temporarily stops

Question 2

What is a pseudo-obstruction?

Answer 2

Functional obstruction of the large bowel

Patient presents with intestinal obstruction, no cause is found

Question 3

What are the common causes of ileus?

Answer 3

Bowel injury

Handling bowel during surgery

Inflammation or infection in the bowel

Electrolyte imbalance

Question 4

What are the signs and symptoms of ileus?

Answer 4

Green bilious vomiting
Abdominal distention
Diffuse abdominal pain
Absolute constipation and lack of flatulence
Absent bowel sounds

Question 5

How is ileus managed?

Answer 5

Treat the underlying cause

Supportive care e.g.
NbM
NG tube
IV fluids
Mobilisation
TPN