Ileus

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...

Pediatric Meconium Ileus

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...