CLINIKAL STUDY OF PRIMARY ILEUS

Abstract

In the 15 years from 1969 to 1983, 229 patients with primary ileus not caused by previous laparotomy were treated in Okayama Saiseikai General Hospital. This was 25.7% of all operative cases of ileus. As for the primary disease, colon cancer was the most common. Sixty patients had histories of previous laparotomies, but in these cases, primary ileus occurred more than five years after the first operationd.
Among the patients, 61.6% were more than 60 years old, and primary diseases varied in the different age groups.
In 113 cases, the duration of illness was less than three days, but in ileus of the colon, many patients suffered from symptoms of subileus.
For the diagnosis. plain radiogram and barium enema are important, and we should diagnose carefully on the basis on anamnesis and synthesis of the radiographic findings.