Prevalence and Updated Management of Paralytic Ileus: A Simple Review
Ali Mohammed A. Alahmari
*
Bisha University, Saudi Arabia.
Abdullah Hassan F. Alsuayri
Bisha University, Saudi Arabia.
Hdinan Mohammed J. Alsadi
Bisha University, Saudi Arabia.
Basem Khaled G. Alshahrani
Bisha University, Saudi Arabia.
Fahad Mohammed Abdullah Alyahya
Bisha University, Saudi Arabia.
Saud Kashem Al Saadi
Bisha University, Saudi Arabia.
Ayman Dhaifallah A. Alamri
Bisha University, Saudi Arabia.
Hezam Shalan Alshahrani
Bisha University, Saudi Arabia.
Faris Theyab M. Alamri
Bisha University, Saudi Arabia.
Mohammed Ayed M. alshahrani
Bisha University, Saudi Arabia.
Amal Abdullah Albalawi
Tabuk University, Saudi Arabia.
Muna Faisal Alnaim
King Faisal University, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
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.
Keywords: Prevalence, updated management, paralytic ileus, lower abdominal surgery