Olgular Işığında İleusun Güncel Cerrahi Tedavisi

Abstract

More than 200 million operations are performed worldwide each year. Most of these patients have comorbid features such as advanced age (1). Postoperative ileus is an annoying condition that usually develops after abdominal surgeries. The incidence of postoperative ileus after colorectal surgery is more common than other surgeries. Incidence rtes vary between 10% and 30% of the incidence of postoperative ileus have been reported (2,3). Various risk factors have been identified for the development of ileus. These risk factors are; It can be summarized as advanced age, open surgical approaches, the difficulty of the operation, operation time intestines, decrease in hematocrit or need for blood transfusion /crystalloid and late mobilization. In most cases, more than one of these risk factors is observed. Ileus pathophysiology; it was defined by Vater et al as impared motility and intestinal wall edema (4). Although some publications argue that mechanical ileus can be treated conservatively within 12 hours by rejecting the rule of thumb (5), what we have experienced in these two cases is that the conservative approach is not sufficient in the treatment of such cases. And perhaps to insistence on conservative treatment may cause irreversible damage to the general condition of the patient. We aimed in this study to examine current surgical treatments in two ileus cases with a complex picture. Keywords: Ileus, abdominal surgery, treatment of ileus