Editing Ileus (section)

== Treatment ==

* Correct underlying abnormality
* NGT indications
** Moderate/severe vomiting
** Significant abdominal distension
* IVF and bowel rest
** Sips of clear fluids
** Once distension resolves and bowel sounds return, start free fluids
** When the patient is able to take in adequate oral fluids, restart normal diet
* Analgaesia - minimise opioids, regular paracetamol, regular NSAIDs if possible
* Nutritional support
* CT with oral contrast on day 5 post-op if persisting symptoms
* No resolution by two weeks is an indication for re-operation, although likely to be tough due to adhesions

=== Unproven treatments ===

* Gastrografin - may decrease time to stool, but not tolerance of oral diet or resolution of nausea/vomiting

[[Category:Small bowel]]
[[Category:Intern education]]