Adynamic ileus and amitriptyline.

Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults.

BACKGROUND Postoperative adynamic bowel atony interferes with recovery following abdominal surgery. Prokinetic pharmacologic drugs are widely used to accelerate postoperative recovery. OBJECTIVES To evaluate the benefits and harms of systemic acting prokinetic drugs to treat postoperative adynamic ileus in patients undergoing abdominal surgery. SEARCH STRATEGY Trials were identified by comp...

Adynamic ileus and acute colonic pseudo-obstruction occurring after cesarean section in patients with massive peripartum hemorrhage.

The clinical histories (including radiographs) of 4 patients who suffered from significant adynamic ileus or acute colonic pseudo-obstruction after cesarean section are presented. The main manifestations were vomiting, severe colicky pain, and abdominal distension. These can occur immediately after or within 2 days of the operation. Based on our experience, the risk factors for the development ...

Adynamic bone disease—bone and beyond

Disturbances of bone and mineral metabolism are a hallmark of chronic kidney disease (CKD). Renal osteodystrophy (ROD) is the traditional term for bone lesions in conjunction with CKD and is now considered a part of the ‘chronic kidney disease—mineral and bone disorder’ (CKD-MBD) [1]. ROD comprises various subtypes with substantial differences in aetiology and fundamental differences in treatme...

Intestinal Obstruction and Ileus

Sigmoid and caecal volvulus: Describes rotation of the gut on its mesenteric axis. The sigmoid colon is the most common site of volvulus and accounts for 5% of large bowel obstruction. It is usually seen in the elderly or those with psychiatric illness. It is the most common cause of intestinal obstruction in Africa and Asia, where the incidence is 10 times higher than in Europe or North Americ...

Intestinal Obstruction and Ileus