Intestinal obstruction, paralytic ileus and pseudo-obstruction

EBM Guidelines
Jan 29, 2020 • Latest change Jun 9, 2020
Jyrki Mäkelä

Table of contents

Extract

  • Identify and treat acute mechanical intestinal obstruction immediately. The treatment of imminent strangulation is particularly urgent (see also acute abdomen Acute abdomen in the adult1.
  • In paralytic ileus start conservative treatment as soon as possible.
  • Treat pseudo-obstruction of the colon by removing air or with neostigmine + glycopyrronium medication.

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Search terms

Abdomen, Acute, Abdominal Pain, Colic, Colonic Pseudo-Obstruction, Constipation, Dehydration, Fluid Therapy, Gastroenterology, Ileus, Intestinal Obstruction, Intestinal Pseudo-Obstruction, K56*, K91.3, Megacolon, Neostigmine, Surgery, Vomiting, bowel sounds, intubation, gastrointestinal, mechanical ileus, obstructive ileus, rectal tube, strangulation