Postoperative Ileus Questions & Answers

Updated: Nov 07, 2018
  • Author: Burt Cagir, MD, FACS; Chief Editor: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS  more...
  • Print
Questions & Answers

Overview

What is postoperative ileus?

What causes postoperative ileus and what is the typical duration?

What are the clinical consequences of postoperative ileus?

How does postoperative ileus affect healthcare costs?

What is the pathogenesis of postoperative ileus?

What is the role of endocrine and inflammatory mediators in the pathophysiology of postoperative ileus?

What is the most common etiology of postoperative ileus?

What causes adynamic postoperative ileus?

What is the prevalence of postoperative ileus?

Presentation

What are symptoms of postoperative ileus?

Which physical findings are characteristic of postoperative ileus?

DDX

What are the most common differentials for postoperative ileus?

How is pseudo-obstruction differentiated from postoperative ileus?

How is pseudo-obstruction treated?

How is mechanical obstruction differentiated from postoperative ileus?

How do the signs and symptoms of pseudo-obstruction, mechanical obstructions and postoperative ileus compare?

Workup

What is the role of lab testing in the workup of postoperative ileus?

What is the role of imaging studies in the evaluation of postoperative ileus?

Treatment

What are the treatment options for postoperative ileus?

What is the role of medication in the treatment of postoperative ileus?

What is the clinical endpoint for postoperative ileus?

What are surgical options for the treatment of postoperative ileus?

What are the benefits of using a laparoscopic approach for surgical treatment of postoperative ileus?

What are the risk factors for encapsulating peritoneal sclerosis in postoperative ileus?

Which dietary restrictions are required during treatment of postoperative ileus?

What is the role of ambulation in the treatment of postoperative ileus?

How is postoperative ileus prevented?

Medications

Which medications are used in the treatment and prevention of postoperative ileus?

Which medications in the drug class Opioid Antagonist, Selective are used in the treatment of Postoperative Ileus?