Postoperative Ileus

Question 1

patho

Answer 1

obstipation and intolerance of oral intake following surgery

Question 2

causes

Answer 2

electrolyte abnormalities
prolonged abdominal or pelvic surgery
sepsis
perioperative opioid use

Question 3

cxfx

Answer 3

oral intolerance, nausea and vomiting, obstipation, and lack of flatus.

Question 4

Physical exam shows

Answer 4

decreased or absent bowel sounds

Question 5

best initial test is

Answer 5

abdominal x-ray showing air-fluid levels,

Question 6

most accurate test is a

Answer 6

CT scan demonstrating a lack of a transition zone as seen in SBO.

Question 7

tx

Answer 7

supportive care, electrolyte replacement, and stopping the offending medications.