Critical illness leads to a variety of gastrointestinal motility problems (largely due to the constellation of immobility, medications, and metabolic abnormalities). Although these topics don't generally attract much interest, maintaining adequate bowel motility is essential to avoid iatrogenic harm.
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The chapter on gastroparesis is located 👉 here.
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The chapter on ileus is located 👉 here.
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The chapter on colonic pseudo-obstruction is located 👉 here.
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very nice discussion on this tricky problem. Thanks Josh
Josh, excellent as usual. For colonic pseudo-obstruction, 2 options:
Anant
Great chapter! Thanks guys. Are you all planning on doing a SBO chapter as well?
Hi guys, relatively junior trainee (2nd year out of graduation) in a British ICU. I’m just wondering how you differentiate between ileus and gastroparesis when the waters a bit muddy. I’ve seen a few people with vomiting/failure to absorb and equivocal XRs with risk factors for both and I’m not very confident at differentiating between gastroparesis and ileus in these cases. Any tricks/pearls of wisdom?
Thanks 🙂