Refers to the inhibition of propulsive intestinal motor activity in the absence of a mechanical obstruction

Aetiology

• Recent GI surgery (post-operative ileus) - most common cause
• Other causes include inflammation, medications, infection and diabetic ketoacidosis

Clinical features

Symptoms

• Failure to pass flatus/faeces
• Bloating
• Nausea and vomiting

Signs

• Abdominal distension
• Absent bowel sounds

Investigations

• AXR
• Bloods and CT (abdo and pelvis): to rule out more serious pathologies

Management

• ‘Drip and suck’ while awaiting restoration of peristalsis - NG tube feeding and IV fluids