Open AccessPrevalence and Updated Management of Paralytic Ileus: A Simple Review
Author(s) -
Ali Mohammed A. Alahmari,
Abdullah Hassan F. Alsuayri,
Hdinan Mohammed J. Alsadi,
Basem Khaled G. Alshahrani,
Fahad Alyahya,
Saud Kashem Al Saadi,
Ayman Dhaifallah A. Alamri,
Hezam Shalan Alshahrani,
Faris Theyab M. Alamri,
Mohammed Ayed M. alshahrani,
Amal Abdullah Albalawi,
Muna Faisal Alnaim
Publication year - 2021
Publication title -
journal of pharmaceutical research international
Language(s) - English
Resource type - Journals
ISSN - 2456-9119
DOI - 10.9734/jpri/2021/v33i42b32425
Subject(s) - medicine , bowel obstruction , ileus , abdominal pain , surgery , abdomen
The study aims to summarize the updated evidence regards, epidemiology, causes, clinical manifestations, and management of paralytic ileus. Lower abdominal surgical procedure, particularly big open cuts and increased bowel operations, is linked with an increased hazard of bowel obstruction. Though, numerous risk issues have been revealed to upsurge the probability and resistance of intestinal obstruction, such as prolonged abdominal / pelvic surgery, lower gastrointestinal (GI) surgery, open surgery, retroperitoneal spine surgery, opioid use, cancer peritoneal, intra-abdominal inflammation (sepsis / peritonitis), delayed enteral nutrition or nasogastric (NG) tube placement, and hypokalemia. Signs of intestinal obstruction are tachycardia caused by any interruption of movement, absence of abdominal pain, abdominal distention and tenderness, shortness of breath, and hypovolemia. Bowel sounds disappear and flatulence is not discharged, leading to gastric stasis, which can cause hiccups, discomfort, and easy vomiting. Preventive measures include avoiding unnecessary exposure and over-processing of the intestine or traction of the mesentery. Treatment is conservative, as this condition is mostly self-limited. Pharmacologic Therapy have little place, but there are some exceptions of adequate values.