Gambaran Karakteristik Ileus Obstruksi
DOI:
https://doi.org/10.31004/innovative.v5i1.17340Abstract
Ileus or Ileus or intestinal obstruction is a condition where the normal flow of intestinal contents is disrupted, either partially or totally, resulting in the inability of the intestinal contents to pass through the gastrointestinal tract. The main causes of small bowel obstruction include incarcerated hernia, adhesions (intestinal adhesions), intussusception, ascariasis, volvulus, tumors, and gallstones that enter the ileus. Intestinal obstruction can be classified into two main categories: acute and chronic. In this case, obstructive ileus typically focuses on disturbances in the flow of intestinal contents caused by these various conditions. Management of Obstructive Ileus Patients. Initial Management The assessment of airway, breathing, and circulation (ABC) is the primary focus of initial management in patients with obstructive ileus. Supportive management includes bowel rest, intravenous (IV) fluid therapy, and, if necessary, nasogastric (NG) decompression. Patient Care fluid and electrolyte monitoring is crucial, as dehydration and electrolyte imbalances are common in patients with obstructive ileus. Surgical intervention may be necessary if obstruction does not improve with conservative management or if complications like intestinal perforation occur. Findings from the Literature Review (2020-2024). In the literature review conducted, 11 articles related to the characteristics of obstructive ileus patients were found. These articles discuss various factors related to the condition, as well as the characteristics of patients with obstructive ileus, including age, etiology, and other risk factors. Mortality in Obstructive Ileus. Mortality in patients with obstructive ileus is influenced by several factors, including, Age: Younger or older patients have lower tolerance to the disease and surgical procedures, which may increase the risk of death.. Etiology: The cause of the obstruction plays an important role. For instance, small bowel obstructions tend to have a better prognosis compared to colon obstructions. Location and Duration of Obstruction, Obstructions in the colon generally have a higher mortality rate than those in the small bowel. Additionally, obstructions that last longer increase the risk of complications that can lead to death.
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Copyright (c) 2025 Zulfikar A Pratama, Muhammad Asdar , Hasliyawati Hasan

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