Ileus – Update 2022

Katharina Holzer; Ulrike Denzer

doi:10.1055/a-1355-0474

Gastroenterologie up2date, Table of Contents

Gastroenterologie up2date 2022; 18(01): 51-67
DOI: 10.1055/a-1355-0474

Darm/Anorektum

Ileus – Update 2022

Katharina Holzer

,

Ulrike Denzer

Abstract

All articles of this category

Unter einem Ileus versteht man eine Passagestörung des Dünn- oder Dickdarmes infolge eines Darmverschlusses oder einer Darmlähmung. Der Transport des Darminhaltes ist nicht mehr gewährleistet – es kommt zur Akkumulation von Flüssigkeit und Gasen mit erhöhtem intraluminalem Druck und Mikrozirkulationsstörungen der Wand. Dieser Beitrag erläutert die pathogenetisch unterschiedlichen Ileusformen, ihre Diagnostik und den aktuellen Stand der Therapie.

Schlüsselwörter

mechanischer Ileus - funktioneller Ileus - Diagnostik - konservative Therapie - operative Therapie

Full Text

References

Literatur
1 Götz M, Braun G, Jakobs R. et al. German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) position statement on endoscopic decompression in acute ileus. Z Gastroenterol 2017; 55: 1499-1508
2 Schwenter F, Poletti PA, Platon A. et al. Clinicoradiological score for predicting the risk of strangulated small bowel obstruction. Brit J Surg 2010; 97: 1119-1125
3 Ten Broek RPG, Krielen P, Di Saverio S. et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg 2018; 13: 24
4 Landwehr P. Radiologische Akutdiagnostik bei Darmobstruktion. Chirurg 2006; 77: 889-897
5 Schraufnagel D, Rajaee S, Millham FH. How many sunsets? Timing of surgery in adhesive small bowel obstruction: A study of the nationwide inpatient sample. J Trauma Acute Care Surg 2013; 74: 181-187
6 Branco BC, Barmparas G, Schnüriger B. et al. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. Brit J Surg 2010; 97: 470-478
7 Aquina CT, Becerra AZ, Probst CP. et al. Patients with adhesive small bowel obstruction should be primarily managed by a surgical team. Ann Surg 2016; 264: 437-447
8 Burge J, Abbas SM, Roadley G. et al. Randomized controlled trial of Gastrografin in adhesive small bowel obstruction. ANZJ Surgy 2005; 75: 672-674
9 Chen XL, Ji F, Lin Q. et al. A prospective randomized trial of transnasal ileus tube vs. nasogastric tube for adhesive small bowel obstruction. World J Gastroenterol 2012; 18: 1968-1974
10 Sajid MS, Khawaja Ah. Sains P. et al. A systematic review comparing laparoscopic vs. open adhesiolysis in patients with adhesional small bowel obstruction. Am J Surg 2016; 212: 138-150
11 Quah GS, Eslick GD, Cox MR. Laparoscopic versus open surgery for adhesional small bowel obstruction: a systematic review and meta-analysis of case-control studies. Surg Endosc 2019; 33: 3209-3217
12 Behman R, Nathens AB, Byrne JP. et al. Laparoscopic surgery for adhesive small bowel obstruction is associated with a higher risk of bowel injury: A population based analysis of 8584 patients. Ann Surg 2017; 266: 489-498
13 Yao S, Tanaka E, Matsui Y. et al. Does laparoscopic adhesiolysis decrease the risk of recurrent symptoms in small bowel obstruction? A propensity score-matched analysis. Surg Endosc 2017; 31: 5348-5355
14 Van Hooft JE, van Halsema EE, Vanbiervliet G. et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Gastrointest Endosc 2014; 80: 747-61.e1-75
15 Mamidanna R, Eid-Arimoku L, Almoudaris AM. et al. Poor 1-year survival in elderly patients undergoing nonelective colorectal resection. Dis Colon Rectum 2012; 55: 788-796
16 Hajibandeh S, Hajibandeh S, Saeed S. et al. Effect of hyaluronate-based bioresorbable membrane (Seprafilm) on outcomes of abdominal surgery: a meta-analysis and trial sequential analysis of randomised controlled trials. Updates Surg 2021;
17 Catena F, Ansaloni L, Di Saverio S. et al. P.O.P.A. study: prevention of postoperative abdominal adhesions by icodextrin 4 % solution after laparotomy for adhesive small bowel obstruction. A prospective randomized controlled trial. J Gastrointestinal Surg 2012; 16: 382-388
18 Ariès P, Huet O. Ileus in the critically ill: causes, treatment and prevention. Minerva Anestesiol 2020; 86: 974-983
19 Cullen JJ, Hemann LL, Ephgrave KS. et al. Endotoxin temporarily impairs canine jejunal absorption of water, electrolytes, and glucose. J Gastrointest Surg 1997; 1: 286-291
20 McClave SA, Taylor BE, Martindale RG. et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2016; 40: 159-211
21 Hay T, Bellomo R, Rechnitzer T. et al. Constipation, diarrhea, and prophylactic laxative bowel regimens in the critically ill: A systematic review and meta-analysis. J Crit Care 2019; 52: 242-250
22 Häuser W, Ziegler D, Viniol A. et al. S3-Leitlinie „Langzeitanwendung von Opioiden bei chronischen nicht-tumorbedingten Schmerzen (LONTS). 2. Aktualisierung 2020. Im Internet (Stand: 15.11.2021): http://www.awmf.org/leitlinien/detail/ll/145-003.html
23 Andresen V, Enck P, Frieling T. et al. S2 k guideline for chronic constipation: definition, pathophysiology, diagnosis and therapy. Z Gastroenterol 2013; 51: 651-672
24 Ahmed S, Sharman T. Intestinal Pseudo-Obstruction. July 2021. Treasure Island (FL): StatPearls Publishing; 2021. Im Internet (Stand: 15.11.2021): http://www.ncbi.nlm.nih.gov/books/NBK560669/
25 Lennon VA, Sas DF, Busk MF. et al. Enteric neuronal autoantibodies in pseudoobstruction with small-cell lung carcinoma. Gastroenterology 1991; 100: 137-142
26 Valle RG, Godoy FL. Neostigmine for acute colonic pseudo-obstruction: A meta-analysis. Ann Med Surg (Lond) 2014; 3: 60-64
27 Ross SW, Oommen B, Wormer BA. et al. Acute colonic pseudo-obstruction: defining the epidemiology, treatment, and adverse outcomes of Ogilvieʼs syndrome. Am Surg 2016; 82: 102-111
28 Harrison ME, Anderson MA, Appalaneni V. et al. The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. Gastrointest Endosc 2010; 71: 669-679
29 El Ouali S, Click B, Holubar SD. et al. Natural history, diagnosis and treatment approach to fibrostenosing Crohnʼs disease. United European Gastroenterol J 2020; 8: 263-270
30 Lambert LA, Wiseman J. Palliative management of peritoneal metastases. Ann Surg Oncol 2018; 25: 2165-2171