Paralytic ileus

Question 1

What is ileus?

Answer 1

Condition affecting the small bowel, where the normal peristalsis that pushes the contents along the length of the intestines, temporarily stops

Question 2

What else is ileus sometimes called (2)?

Answer 2

• Paralytic ileus
• Adynamic ileus

Question 3

Name 2 causes of ileus

Answer 3

• Injury to the bowel
• Handling of the bowel during surgery
• Inflammation or infection of the bowel i.e. peritonitis, appendicitis, pancreatitis or pneumonia
• Electrolyte imbalance

Question 4

What is the commonest cause of ileus?

Answer 4

Following abdominal surgery

Question 5

1) The signs and symptoms of ileus are similar to what?
2) Name 2 of these

Answer 5

1) Bowel obstruction
2) Vomiting - green bilious vomiting, abdominal distention, diffuse abdominal pain, absolute constipation and lack of flatulence, absent bowel sounds

Question 6

Ileus will usually resolve with treatment of the underlying cause therefore management involves supportive care - name 2 aspects of this

Answer 6

• Nil by mouth or limited sips of water
• NG tube if vomiting
• IV fluids to prevent dehydration and correct the electrolyte imbalances
• Mobilisation to helps stimulate peristalsis
• Total parenteral nutrition (TPN) may be required whilst waiting for the bowel to regain function