Ileus means that the intestines are not moving correctly and cannot push food through the digestive system. Surgery is a common cause of ileus, but medications, cystic fibrosis, other health issues, injuries, and infections can also cause the condition.

How is mechanical ileus treated?

The treatment of mechanical ileus Intravenous fluid administration should be started at once to replace volume deficits and correct any electrolyte or acid–base disturbances. Patients who are vomiting should undergo placement of a nasogastric tube for gastrointestinal decompression (11).

How do mechanical and paralytic ileus differ?

Mechanical bowel obstruction vs. paralytic ileusParalytic ileusFindings on imagingDiffusely dilated small and large bowel loops (i.e., uniform distribution of gas in the small bowel, colon, and rectum) Air within rectum No evidence of mechanical obstruction Absent peristalsis