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Results for “Intestinal Pseudo-Obstruction”

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At least 19 recordsLinked to original sources
PubMed1978

Idiopathic chronic intestinal pseudo-obstruction. Use of central venous nutrition.

Patients with idiopathic chronic intestinal pseudo-obstruction suffer from malnutrition because of inability to maintain adequate oral intake without the development of obstructive symptoms. We have successfully used central venous nutrition in two patients with this syndrome, both on a short-term and long-term home-maintenance basis. Hyperalimentation can provide adequate nutrition in patients with intestinal pseudo-obstruction until normal bowel function returns or until definitive therapy for this chronic disease is found.

Child↗
PubMed1978

[Gastrointestinal complications of acute pancreatitis (author's transl)].

Gastrointestinal complications, such as ileus, bleeding, stenosis and fistula formation, were retrospectively analysed on 180 patients with acute pancreatitis. Paralytic ileus occurred in only a quarter of patients with acute oedematous pancreatitis and only one had bleeding from a gastric ulcer. Complications occurred in the early but also postacute stage in patients with the haemorrhagic-necrotizing form. Even with early and delayed operation and adequate treatment of most complications, renewed gastrointestinal complications were not uncommon and required re-operations.

Acute Disease↗
PubMed1979

The absence of protein--sparing effects utilizing crystalline amino acids in stressed patients.

The protein-sparing effects of the peripheral infusion of crystalline amino acids (PAA) was studied metabolically in selected surgical patients subjected to various degrees of stress. Twenty-one patients (sixteen cancer patients receiving chemotherapy and/or radiotherapy, three with major abdominal traumatic injuries and four with paralytic ileus) were infused with 2 1/24 hours of a solution of 4.2% Travasol amino acids with only 5% glucose as a source of nonprotein calories. One-half of the cancer patients were also allowed ad libitum oral intake of a regular hospital diet or Vivonex-HN. The nutritional status was evaluated by measuring changes in body weight, serum albumin levels and nitrogen balance. Body weight decreased in only the trauma patients. When these solutions were the sole source of nutrients all patients were in negative nitrogen balance and had significant decreases in their serum albumin levels. Serum albumin levels were preserved only when extra sources of calories were provided. The infusion of the crystalline amino acids without adequate levels of nonprotein energy did not conserve protein in these stressed patients.

Abdominal Injuries↗
PubMed1975

Fatal paralytic ileus complicating phenothiazine therapy.

The occurrence of fatal paralytic ileus with peritonitis in a patient receiving phenothiazines and an antiparkinsonian agent is described. Although sporadic reports of this complication have appeared, it has not been emphasized in the literature. Only by being alert to this problem can one hope to achieve earlier diagnosis and begin prompt and appropriate treatment.

Adult↗
PubMed1977

[The pathogenesis of postoperative abdominal wound dehiscence. Part I: Clinical investigations to determine patient groups at risk (author's transl)].

Between 1955 and 1974 a total of 27 404 patients were laparotomied at the University Surgical Clinic in Munich. Abdominal wound dehiscence occurred during the postoperative phase in 324 patients. In comparison with the clinical findings of undisturbed healing in the total number of patients, some predisposing factors could be established which were statistically confirmed for the first time: age over 60, males, malignant primary disease, long operation time, low preoperative hemoglobin concentration, high blood loss and bigger blood transfusions. With the help of these risk criteria, endangered patients can be detected pre-or intra-operatively.

Abdominal Muscles↗
PubMed1975

[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↗