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Postoperative Paralytic Ileus - A Hidden Surgical Entity

Sameer G. Parikh*, Nilesh J Patel*, Kush Bhatt**.

Abstract
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 patientís 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]

Key words: paralytic ileus, postoperative


 
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How to Cite this Article
Pubmed Style

Parikh SG, Patel NJ, Bhatt K. Postoperative Paralytic Ileus - A Hidden Surgical Entity. NJIRM. 2017; 8(6): 30-35.


Web Style

Parikh SG, Patel NJ, Bhatt K. Postoperative Paralytic Ileus - A Hidden Surgical Entity. http://www.njirm.com/?mno=287073 [Access: April 26, 2018].


AMA (American Medical Association) Style

Parikh SG, Patel NJ, Bhatt K. Postoperative Paralytic Ileus - A Hidden Surgical Entity. NJIRM. 2017; 8(6): 30-35.



Vancouver/ICMJE Style

Parikh SG, Patel NJ, Bhatt K. Postoperative Paralytic Ileus - A Hidden Surgical Entity. NJIRM. (2017), [cited April 26, 2018]; 8(6): 30-35.



Harvard Style

Parikh, S. G., Patel, N. J. & Bhatt, K. (2017) Postoperative Paralytic Ileus - A Hidden Surgical Entity. NJIRM, 8 (6), 30-35.



Turabian Style

Parikh, Sameer G., Nilesh J Patel, and Kush Bhatt. 2017. Postoperative Paralytic Ileus - A Hidden Surgical Entity. National Journal of Integrated Research in Medicine, 8 (6), 30-35.



Chicago Style

Parikh, Sameer G., Nilesh J Patel, and Kush Bhatt. "Postoperative Paralytic Ileus - A Hidden Surgical Entity." National Journal of Integrated Research in Medicine 8 (2017), 30-35.



MLA (The Modern Language Association) Style

Parikh, Sameer G., Nilesh J Patel, and Kush Bhatt. "Postoperative Paralytic Ileus - A Hidden Surgical Entity." National Journal of Integrated Research in Medicine 8.6 (2017), 30-35. Print.



APA (American Psychological Association) Style

Parikh, S. G., Patel, N. J. & Bhatt, K. (2017) Postoperative Paralytic Ileus - A Hidden Surgical Entity. National Journal of Integrated Research in Medicine, 8 (6), 30-35.



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