Gas in gallbladder—gallstone ileus?

Rigler triad in gallstone ileus.

E690 CMAJ, October 1, 2013, 185(14) © 2013 Canadian Medical Association or its licensors A90-year-old man was admitted with acute-onset, pressing retrosternal pain and diffuse abdominal discomfort. Electrocardiography and cardiac troponin levels ruled out an acute coronary syndrome. Plain radiography of the abdomen (Figure 1A) showed multiple air–fluid levels and air in the biliary tree (pneumo...

Neuroimmune mechanisms in postoperative ileus.

Postoperative ileus (POI) is a common clinical condition arising after almost every abdominal surgical procedure, leading to increased patient morbidity and prolonged hospitalisation. Recent advances in insight into the underlying pathophysiology have identified intestinal inflammation triggered by handling of the intestine as the main mechanism. Not only does the local inflammatory process com...

Pediatric Meconium Ileus

Alvimopan for postoperative ileus

Purpose. The efficacy, safety, pharmacology, pharmacokinetics, drug–drug interactions, and administration of alvimopan for postoperative ileus are reviewed. Summary. Alvimopan is a selective mopioid receptor antagonist with no central nervous system activity. When orally administered after partial smallor largebowel resection in patients with primary anastomosis, alvimopan shortened the return ...

Treatment of Paralytic Ileus

junction or parasympathetic nerves and help the peristalsis to return. Those who support Robb's (1932) views of paralytic ileus have advocated spinal ansesthesia or splanchnic amesthesia if possible. The other group of surgeons does not rely on this conservative line of treatment and has advocated operative drainage of the distended gut, viz enterostomy. In their opinion the distension of the g...