Ileus - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:09:22Z

Prepared the page for translation

← Older revision		Revision as of 23:09, 4 January 2026
Line 1:		Line 1:
			<languages/>
			<translate>

	==Background==		==Background==

	*Failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus.		*Failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus.
	*Thought to be caused by a disruption in either the neural and/or neuro-hormonal reflexes that normally regulate bowel motility.		*Thought to be caused by a disruption in either the neural and/or neuro-hormonal reflexes that normally regulate bowel motility.
	*Multiple causes possible - likely an inflammatory condition		*Multiple causes possible - likely an inflammatory condition
	**[[Opioid]]-induced		**[[Special:MyLanguage/Opioid\|Opioid]]-induced
	**Post-operative (irritation +/- opioids)		**Post-operative (irritation +/- opioids)
	**Electrolyte imbalance ([[hypokalemia]], [[hypomagnesemia]])		**Electrolyte imbalance ([[Special:MyLanguage/hypokalemia\|hypokalemia]], [[Special:MyLanguage/hypomagnesemia\|hypomagnesemia]])
	**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])		**Colonic pseudo-obstruction (aka [[Special:MyLanguage/Ogilvie's syndrome\|Ogilvie's syndrome]])
	**Gallstone ileus, [[pancreatitis]]		**Gallstone ileus, [[Special:MyLanguage/pancreatitis\|pancreatitis]]
	*[[Peritonitis]] (e.g. from infection, malignancy, trauma)		*[[Special:MyLanguage/Peritonitis\|Peritonitis]] (e.g. from infection, malignancy, trauma)
	*[[Clostridium difficile]] colitis		*[[Special:MyLanguage/Clostridium difficile\|Clostridium difficile]] colitis
	**[[Burns]], [[acute radiation syndrome]]		**[[Special:MyLanguage/Burns\|Burns]], [[Special:MyLanguage/acute radiation syndrome\|acute radiation syndrome]]
	**Spastic ileus (rare: porphyria or lead poisoning)		**Spastic ileus (rare: porphyria or lead poisoning)


	==Clinical Features==		==Clinical Features==
	*[[Abdominal pain]]/distension
	*[[Nausea/vomiting]], inability to tolerate PO/enteral feeding		*[[Special:MyLanguage/Abdominal pain\|Abdominal pain]]/distension
	*[[Constipation]]		*[[Special:MyLanguage/Nausea/vomiting\|Nausea/vomiting]], inability to tolerate PO/enteral feeding
			*[[Special:MyLanguage/Constipation\|Constipation]]
	*Absent or hypoactive bowel sounds		*Absent or hypoactive bowel sounds
	*Can produce intestinal ischemia, intestinal perforation, abdominal compartment syndrome		*Can produce intestinal ischemia, intestinal perforation, abdominal compartment syndrome


	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Small bowel obstruction]]
	*See [[constipation]], [[abdominal pain]]		*[[Special:MyLanguage/Small bowel obstruction\|Small bowel obstruction]]
			*See [[Special:MyLanguage/constipation\|constipation]], [[Special:MyLanguage/abdominal pain\|abdominal pain]]


	==Evaluation==		==Evaluation==

	*BMP, Mg		*BMP, Mg
	*[[Abdominal X-ray]]: air fluid levels, air in bowel, distended bowel		*[[Special:MyLanguage/Abdominal X-ray\|Abdominal X-ray]]: air fluid levels, air in bowel, distended bowel
	*Evaluate for underlying causes		*Evaluate for underlying causes
	*If concern for [[SBO]], CT abdomen		*If concern for [[Special:MyLanguage/SBO\|SBO]], CT abdomen


	==Management==		==Management==

	*Treat underlying causes		*Treat underlying causes
	*Avoid excessive [[IVF\|IV fluids]] (bowel edema worsens ileus)		*Avoid excessive [[Special:MyLanguage/IVF\|IV fluids]] (bowel edema worsens ileus)
	*Avoid [[opioids]]		*Avoid [[Special:MyLanguage/opioids\|opioids]]
	*Pro-motility agents		*Pro-motility agents
	**[[Metoclopramide]], [[erythromycin]]		**[[Special:MyLanguage/Metoclopramide\|Metoclopramide]], [[Special:MyLanguage/erythromycin\|erythromycin]]
	*Opioid antagonist: methylnaltrexone		*Opioid antagonist: methylnaltrexone
	*[[Ogilvie's syndrome]]: [[Neostigmine]] 2mg IV		*[[Special:MyLanguage/Ogilvie's syndrome\|Ogilvie's syndrome]]: [[Special:MyLanguage/Neostigmine\|Neostigmine]] 2mg IV


	==Disposition==		==Disposition==
Line 43:		Line 56:

	==See Also==		==See Also==
	*[[Small bowel obstruction]]
	*[[Toxic megacolon]]		*[[Special:MyLanguage/Small bowel obstruction\|Small bowel obstruction]]
			*[[Special:MyLanguage/Toxic megacolon\|Toxic megacolon]]



Line 51:		Line 66:

	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
			</translate>

ClaireLewis at 21:31, 29 September 2019

2019-09-29T21:31:46Z

← Older revision		Revision as of 21:31, 29 September 2019
Line 5:		Line 5:
	**[[Opioid]]-induced		**[[Opioid]]-induced
	**Post-operative (irritation +/- opioids)		**Post-operative (irritation +/- opioids)
	**Electrolyte imbalance ([[hypokalemia]], hypomagnesemia)		**Electrolyte imbalance ([[hypokalemia]], [[hypomagnesemia]])
	**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])		**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])
	**Gallstone ileus, [[pancreatitis]]		**Gallstone ileus, [[pancreatitis]]

ClaireLewis at 21:31, 29 September 2019

2019-09-29T21:31:33Z

← Older revision		Revision as of 21:31, 29 September 2019
Line 8:		Line 8:
	**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])		**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])
	**Gallstone ileus, [[pancreatitis]]		**Gallstone ileus, [[pancreatitis]]
	*Peritonitis (e.g. from infection, malignancy, trauma)		*[[Peritonitis]] (e.g. from infection, malignancy, trauma)
	*[[Clostridium difficile]] colitis		*[[Clostridium difficile]] colitis
	**[[Burns]], [[acute radiation syndrome]]		**[[Burns]], [[acute radiation syndrome]]
Line 14:		Line 14:

	==Clinical Features==		==Clinical Features==
	*Abdominal pain/distension		*[[Abdominal pain]]/distension
	*Nausea/vomiting, inability to tolerate PO/enteral feeding		*[[Nausea/vomiting]], inability to tolerate PO/enteral feeding
	*Constipation		*[[Constipation]]
	*Absent or hypoactive bowel sounds		*Absent or hypoactive bowel sounds
	*Can produce intestinal ischemia, intestinal perforation, abdominal compartment syndrome		*Can produce intestinal ischemia, intestinal perforation, abdominal compartment syndrome
Line 22:		Line 22:
	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Small bowel obstruction]]		*[[Small bowel obstruction]]
			*See [[constipation]], [[abdominal pain]]

	==Evaluation==		==Evaluation==
	*BMP, Mg		*BMP, Mg
	*Abdominal x-ray: air fluid levels, air in bowel, distended bowel		*[[Abdominal X-ray]]: air fluid levels, air in bowel, distended bowel
	*Evaluate for underlying causes		*Evaluate for underlying causes
	*If concern for [[SBO]], CT abdomen		*If concern for [[SBO]], CT abdomen
Line 31:		Line 32:
	==Management==		==Management==
	*Treat underlying causes		*Treat underlying causes
	*Avoid excessive IV fluids (bowel edema worsens ileus)		*Avoid excessive [[IVF\|IV fluids]] (bowel edema worsens ileus)
	*Avoid opioids		*Avoid [[opioids]]
	*Pro-motility agents		*Pro-motility agents
	**[[Metoclopramide]], [[erythromycin]]		**[[Metoclopramide]], [[erythromycin]]
	*Opioid antagonist: methylnaltrexone		*Opioid antagonist: methylnaltrexone
	*Ogilvie's: Neostigmine 2mg IV		*[[Ogilvie's syndrome]]: [[Neostigmine]] 2mg IV

	==Disposition==		==Disposition==

ClaireLewis at 15:21, 5 September 2016

2016-09-05T15:21:46Z

← Older revision		Revision as of 15:21, 5 September 2016
Line 9:		Line 9:
	**Gallstone ileus, [[pancreatitis]]		**Gallstone ileus, [[pancreatitis]]
	*Peritonitis (e.g. from infection, malignancy, trauma)		*Peritonitis (e.g. from infection, malignancy, trauma)
			*[[Clostridium difficile]] colitis
	**[[Burns]], [[acute radiation syndrome]]		**[[Burns]], [[acute radiation syndrome]]
	**Spastic ileus (rare: porphyria or lead poisoning)		**Spastic ileus (rare: porphyria or lead poisoning)
Line 14:		Line 15:
	==Clinical Features==		==Clinical Features==
	*Abdominal pain/distension		*Abdominal pain/distension
	*Nausea/vomiting		*Nausea/vomiting, inability to tolerate PO/enteral feeding
	*Constipation		*Constipation
			*Absent or hypoactive bowel sounds
			*Can produce intestinal ischemia, intestinal perforation, abdominal compartment syndrome

	==Differential Diagnosis==		==Differential Diagnosis==
			*[[Small bowel obstruction]]

	==Evaluation==		==Evaluation==
			*BMP, Mg
			*Abdominal x-ray: air fluid levels, air in bowel, distended bowel
			*Evaluate for underlying causes
			*If concern for [[SBO]], CT abdomen

	==Management==		==Management==
			*Treat underlying causes
			*Avoid excessive IV fluids (bowel edema worsens ileus)
			*Avoid opioids
			*Pro-motility agents
			**[[Metoclopramide]], [[erythromycin]]
			*Opioid antagonist: methylnaltrexone
			*Ogilvie's: Neostigmine 2mg IV

	==Disposition==		==Disposition==
Line 30:		Line 42:

	==See Also==		==See Also==
			*[[Small bowel obstruction]]
			*[[Toxic megacolon]]

ClaireLewis: /* Background */

2016-09-05T15:09:13Z

Background

← Older revision		Revision as of 15:09, 5 September 2016
Line 2:		Line 2:
	*Failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus.		*Failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus.
	*Thought to be caused by a disruption in either the neural and/or neuro-hormonal reflexes that normally regulate bowel motility.		*Thought to be caused by a disruption in either the neural and/or neuro-hormonal reflexes that normally regulate bowel motility.
	*Multiple causes possible - likely an inflammatory condition.		*Multiple causes possible - likely an inflammatory condition
			**[[Opioid]]-induced
			**Post-operative (irritation +/- opioids)
			**Electrolyte imbalance ([[hypokalemia]], hypomagnesemia)
			**Colonic pseudo-obstruction (aka [[Ogilvie's syndrome]])
			**Gallstone ileus, [[pancreatitis]]
			*Peritonitis (e.g. from infection, malignancy, trauma)
			**[[Burns]], [[acute radiation syndrome]]
			**Spastic ileus (rare: porphyria or lead poisoning)

	==Clinical Features==		==Clinical Features==

Mholtz at 01:25, 5 September 2016

2016-09-05T01:25:14Z

← Older revision		Revision as of 01:25, 5 September 2016
Line 30:		Line 30:
	<references/>		<references/>

	[Category:GI]		[[Category:GI]]

Mholtz: Formatting

2016-09-05T01:24:46Z

Formatting

← Older revision		Revision as of 01:24, 5 September 2016
Line 1:		Line 1:
	==Background==		==Background==
			*Failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus.
			*Thought to be caused by a disruption in either the neural and/or neuro-hormonal reflexes that normally regulate bowel motility.
			*Multiple causes possible - likely an inflammatory condition.

	~~Ileus is a failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus. Patient with ileus typically present with abdominal~~ pain~~, nausea~~/vomiting~~, constipation, abdominal distension. Ileus is thought to be caused by a disruption in either the neural and~~/~~or neurohormonal reflexes that normally regulate bowel motility. This can occur due to any number of insults to the gastrointestinal tract, usually an inflammatory process.~~		==Clinical Features==
			*Abdominal pain/distension
			*Nausea/vomiting
			*Constipation

			==Differential Diagnosis==


			==Evaluation==


			==Management==


			==Disposition==


			==See Also==


			==External Links==


			==References==
			<references/>

			[Category:GI]

AnthonyLucero: added a background page

2016-09-03T02:57:19Z

added a background page

New page

==Background==

Ileus is a failure or insufficiency in the peristalsis movement of the gastrointestinal tract which normally moves GI contents from mouth to anus. Patient with ileus typically present with abdominal pain, nausea/vomiting, constipation, abdominal distension. Ileus is thought to be caused by a disruption in either the neural and/or neurohormonal reflexes that normally regulate bowel motility. This can occur due to any number of insults to the gastrointestinal tract, usually an inflammatory process.