Ileus

Ileus affects the stomach more frequently than the rest of the gastrointestinal tract. Abdominal surgery, drugs (particularly opiates), gut dysfunction as a component of multi-organ dysfunction, hypoperfusion and prolonged starvation may all contribute to gastric ileus. Early and continued use of the bowel for feeding appears to maintain forward propulsive action. Management consists of treating the cause where possible, the use of motility stimulants such as metoclopramide or erythromycin and, in resistant cases, bypassing the stomach with a nasoduodenal/nasojejunal tube or a jejunostomy.

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