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Results for “Intestinal Pseudo-Obstruction”

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[Postoperative ileus. Measurement of the changes in intragastric pressure immediately after abdominal operations (practical deductions)].

During the post-operative period, there is no intestinal paralysis, but simply a transient disorder of motility, the duration and intensity of which are different in the stomach, small intestine and colon. The asynchronism between regularisation of motor activity of the small intestine, which is almost immediate, and that of the colon, which occurs later, is responsible for the clinical picture usually noted. In the light of these new findings, the author analyses the various factors liable to modify the course of post-operative and attempts to suggest appropriate management of the immediate post-operative period.

Abdomen↗

Vasculitis in a patient receiving naproxen.

A case is described of a 44-years-old woman who developed cutaneous vasculitis, nephritis and paralytic ileus after three years' treatment with naproxen. All these features were thought to be attributable to a naproxen induced vasculitis and all resolved spontaneously after the drug was stopped.

Adult↗

[Influence of alpha and beta blocking agents on recovery of intestinal transit and postoperative complications in aged patients].

Following the recovery of intestinal peristaltic movements in medium and advanced age patients in whom major surgery had been performed, after an adequate preparation with and blocking agents, as compared with the control group, a shortening was noted, of the intestinal paresis period in both age groups. The early recovery of intestinal transit had positive effects on the postoperative evolution of the patients, especially in the aged ones, and allowed for an early resumption of oral alimentation, reducing abdominal meteorization, as well as the number and the severity of local and general complications.

Adrenergic alpha-Antagonists↗

[Anesthesia for primary excision and grafting in the severely burned patient (author's transl)].

Through a retrospective study of 81 anaesthesias for primary excision with immediate grafting (performed within the first 72 hours after burning), the authors, using in most of the cases an anaesthetic procedure including neuroleptanalgesia and nitrous oxyde, with controlled ventilation, tried to determine: --the incidence of such a type of anaesthesia on the patient condition, --the period during which anaesthetic risk is the least. Studies of hemodynamic, respiratory and thermic changes, related with anaesthesia, and a study of coagulation changes, related with surgical procedure, have been performed. It appears that neuroleptanalgesia is a method available for primary excision with immediate grafting and that the elective period for anaesthesia and surgical procedure is situated within 12 hours after burning.

Adolescent↗

[Paralytic ileus].

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Diagnosis, Differential↗

Role of intestinal microflora in colonic pseudoobstruction complicating jejunoileal bypass.

A double-blind crossover study using placebo and antibiotics effective against either aerobic or anaerobic organisms has been performed to elucidate the role of intestinal microflora in the pathogenesis of colonic pseudo-obstruction, which is now established as an important complication of jejunoileal bypass. Using strict Virginia Polytechnic Institute (VPI) technique, quantitative bacterial studies of the intestinal flora in the region of bypassed bowel have been correlated with symptoms of abdominal pain and distension. It has been shown that antibiotics effective against obligate anaerobes rapidly relieve the symptoms of pseudo-obstruction and this coincides with the disappearance of these organisms from this region of bowel. Symptoms rapidly recur when anaerobic organisms repopulate the bowel. It is concluded that obligate anaerobes may play a role in the pathogenesis of this complication.

Bacteria↗