Postoperative Paralytic Ileus - A Hidden Surgical Entity
Postoperative Paralytic Ileus - A Hidden Surgical Entity
DOI:
https://doi.org/10.70284/njirm.v8i6.1328Keywords:
paralytic ileus, postoperativeAbstract
Background: Postoperative paralytic ileus is a challenging problem for surgeons. The age-old complication requires scrutiny in the term of etio-pathogenesis, diagnosis and treatment to give benefit to patient. Aim: To study etiology & pathophysiologic mechanism, risk factors & associated complications, different techniques for rapid diagnosis and different management strategies for postoperative paralytic ileus. Method: The study is carried out on patients -admitted in municipal general hospital of Ahmadabad. Out of 417 patients studied during the period of August 2013 to September 2015, 27 patients developed paralytic ileus in surgical ward. Data were collected in the prescribed performa consisting details of patient’s history, clinical findings, pathological and radiological findings, operative findings, post operative course and complications, and outcome. Results: Observation and analysis of the data of present series was interesting and important aspects were compared with standard series. Septicemia and hypokalemia were the common preoperative predictors for development of paralytic ileus. Conclusion: preoperative predictors significantly determine the development and severity of postoperative paralytic ileus and hence preoperative and intraoperative measures to reduce ileus should be considered, whenever possible. [Sameer P NJIRM 2017; 8(6):30-35]
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