Treatment of Ileus

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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...

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Laparoscopic Treatment of Gallstone Ileus

Gallstone ileus is a rare complication of cholelithiasis that has high morbidity and mortality. An intestinal obstruction can be caused by migration of a large gallstone through a biliary enteric fistula or by impaction within the intestinal tract. In this study, we present the case of an 81-year-old woman with a mechanical bowel obstruction by a gallstone that was treated by laparoscopy.

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Colonoscopic treatment of gallstone ileus.

A 91−year−old nursing−home resident with dementia was admitted as an emer− gency with a 1−week history of lethargy, anorexia, constipation and abdominal distension. She was dehydrated and was assessed as having a Glasgow Coma Scale score of 9/15, which improved with fluid resuscitation. Her abdomen was distend− ed and tympanic, with obstructive bowel sounds. There were no palpable masses. She h...

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Postoperative Ileus: Pathophysiology and Treatment

Postoperative ileus (POI) is a temporary impairment of gastrointestinal (GI) motility occurring universally after major abdominal surgery (Holte & Kehlet, 2002). For the majority of affected surgical patients, POI is transient, lasting approximately 3 to 5 days (Hotokezaka, et al., 1997). The adverse effects of POI are composed of not only physiologic effects such as reduced bowel function, exa...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1891

ISSN: 0003-4932

DOI: 10.1097/00000658-189101000-00055