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paralytic ileus

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3.5.4 - Ileus and Bowel Obstruction
from Section 3.5 - Acute Gastrointestinal Failure
- By Charles Rich, Liza Keating
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 214-215
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Summary

Key Learning Points
1. Ileus is the absence of bowel motility and is common in intensive care patients.
2. Ensure early surgical input to all cases of mechanical bowel obstruction.
3. In adults, large bowel obstruction is most commonly caused by cancer.
4. Resuscitation and correction of electrolyte disturbance are required in all cases.
5. Untreated bowel obstruction leads to dilation and increases the risks of perforation and ischaemia.