Mechanische Obstruktion – paralytischer Ileus – Ileuskrankheit

In Europa ist eine intestinale Passagestörung ursächlich für 10 – 20% aller notfallmäßigen Hospitalisationen. Im Allgemeinen handelt es sich hierbei um ein lebensbedrohliches Krankheitsbild, dessen adäquate Therapie aufgrund der Vielzahl von Ursachen und häufig sehr individuellen Beschwerden einen hohen Anspruch an Expertise und Interdisziplinarität der Behandelnden stellt. Dieser Artikel soll als Leitfaden für die klinische Praxis dienen.

Schlüsselwörter

Ileus - mechanischer Ileus - Briden - funktioneller Ileus - Ogilvie-Syndrom - Darmpassage

• Literatur

• 1 Barmparas G, Branco BC, Schnuriger B. et al. The incidence and risk factors of post-laparotomy adhesive small bowel obstruction. J Gastrointest Surg 2010; 14: 1619-1628 doi:10.1007/s11605-010-1189-8
• 2 ten Broek RP, Issa Y, van Santbrink EJ. et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ 2013; 347: f5588 doi:10.1136/bmj.f5588
• 3 Drozdz W, Budzynski P. Change in mechanical bowel obstruction demographic and etiological patterns during the past century: observations from one health care institution. Arch Surg 2012; 147: 175-180 doi:10.1001/archsurg.2011.970
• 4 Abbas S, Bissett IP, Parry BR. Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database Syst Rev 2007; (03) CD004651
• 5 Rhodes A, Evans LE, Alhazzani W. et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med 2017; 43: 304-377 doi:10.1007/s00134-017-4683-6
• 6 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 doi:10.1186/s13017-018-0185-2
• 7 Daneshmand S, Hedley CG, Stain SC. The utility and reliability of computed tomography scan in the diagnosis of small bowel obstruction. Am Surg 1999; 65: 922-926
• 8 Ceresoli M, Coccolini F, Catena F. et al. Water-soluble contrast agent in adhesive small bowel obstruction: a systematic review and meta-analysis of diagnostic and therapeutic value. Am J Surg 2016; 211: 1114-1125 doi:10.1016/j.amjsurg.2015.06.012
• 9 Paul-Ehrlich-Gesellschaft für Chemotherapie – PEG. S2k Leitlinie: Kalkulierte parenterale Initialtherapie bakterieller Erkrankungen bei Erwachsenen, aktualisiert 02.01.2019. AWMF-Registernummer 082-006. Im Internet: https://www.awmf.org/leitlinien/detail/ll/082-006.html Stand: 30.07.2019
• 10 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 doi:10.1097/sla.0000000000001861
• 11 Keenan JE, Turley RS, McCoy CC. et al. Trials of nonoperative management exceeding 3 days are associated with increased morbidity in patients undergoing surgery for uncomplicated adhesive small bowel obstruction. J Trauma Acute Care Surg 2014; 76: 1367-1372 doi:10.1097/ta.0000000000000246
• 12 Karamanos E, Dulchavsky S, Beale E. et al. Diabetes mellitus in patients presenting with adhesive small bowel obstruction: delaying surgical intervention results in worse outcomes. World J Surg 2016; 40: 863-869 doi:10.1007/s00268-015-3338-4
• 13 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 doi:10.1016/j.amjsurg.2016.01.030
• 14 Farinella E, Cirocchi R, La Mura F. et al. Feasibility of laparoscopy for small bowel obstruction. World J Emerg Surg 2009; 4: 3 doi:10.1186/1749-7922-4-3
• 15 Frago R, Ramirez E, Millan M. et al. Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg 2014; 207: 127-138 doi:10.1016/j.amjsurg.2013.07.027
• 16 Listle H, Gutt C. Conservative and surgical ileus treatment. Chirurg 2017; 88: 776 doi:10.1007/s00104-017-0487-z
• 17 Twine CP, Humphreys AK, Williams IM. Systematic review and meta-analysis of the retroperitoneal versus the transperitoneal approach to the abdominal aorta. Eur J Vasc Endovasc Surg 2013; 46: 36-47 doi:10.1016/j.ejvs.2013.03.018
• 18 Holte K, Andersen J, Jakobsen DH. et al. Cyclo-oxygenase 2 inhibitors and the risk of anastomotic leakage after fast-track colonic surgery. Br J Surg 2009; 96: 650-654 doi:10.1002/bjs.6598
• 19 Jain A, Vargas HD. Advances and challenges in the management of acute colonic pseudo-obstruction (ogilvie syndrome). Clin Colon Rectal Surg 2012; 25: 37-45 doi:10.1055/s-0032-1301758
• 20 Valle RG, Godoy FL. Neostigmine for acute colonic pseudo-obstruction: A meta-analysis. Ann Med Surg 2014; 3: 60-64 doi:10.1016/j.amsu.2014.04.002