Details

Autor(en) / Beteiligte

• Hurt, Alien V.
• Ochsner, J.Lockwood
• Schiller, William R.

Titel

Prolonged ileus after severe pelvic fracture

Ist Teil von

• The American journal of surgery, 1983-01, Vol.146 (6), p.755-757

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

1983

Link zum Volltext

Quelle

Elsevier Journal Backfiles on ScienceDirect (DFG Nationallizenzen)

Beschreibungen/Notizen

• The data derived from 105 severe pelvic fractures have provided guidelines for managing paralytic ileus associated with fracture. Fracture types I, II, IV, and double type III can be treated expectantly with a high degree of confidence that ileus will resolve within 2 days. Type III diametric fractures can be managed similarly for 5 days with a 70 percent (14 of 20 patients in this study) likelihood that ileus will resolve. However, should ileus in patients with diametric fractures continue longer than 5 days, parenteral nutrition should be started, since ileus will persist for an average of 2 weeks. A direct correlation between type of pelvic fracture, amount of retroperitoneal blood, loss and duration of ileus has been documented.