2 Iatrogenic or Surgical Complications

Question 1

Adhesions

Answer 1

Fibrous bands of scar tissue that attach intestine to peritoneum - can cause constriction - MCC of SBO.

Ischemia – perforation.

Adhesions require immediate surgical intervention! Ileus does not.

Question 2

Ileus

What are other causes of ileus besides surgery?

Answer 2

Bowel paralysis with dilation. Ileus is normal for up to 3 days post-op.

Opiates, Hypokalemia, Sepsis

Question 3

Both adhesions and ileus can cause an inability to do what?

Answer 3

Inability to pass stool.

Question 4

Bowel sounds in the case of adhesions or ileus.

Answer 4

Hyperactive bowel sounds with Adhesions, Hypoactive with Ileus.