[Hypoproteinemia causing postoperative "interstitial" paralytic ileus].
On the basis of recent pathophysiological data and clinical observations in three patients, this paper draws attention to the commonly neglected importance of postoperative hypoproteinemia as the cause of an edema of the intestinal wall with a consequent "interstitial" paralytic ileus. The characteristic features of this syndrome are its onset between the third and the eighth postoperative day; the absence of other known causes of intestinal hypomotility; the benign, but protracted course without treatment; and the therapeutic success achieved by the correction of a hypoproteinemic fluid overload with concentrated albumin and a diuretic. In addition, parenteral hyperalimentation and Rheomacrodex-Sorbit may be indicated, but the hypoproteinemia should at any rate be corrected.
D000368:Aged; D004044:Dietary Proteins / Q000378:metabolism / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D004487:Edema / Q000188:drug therapy / Q000378:metabolism; D005260:Female; D005769:Gastrointestinal Motility; D006801:Humans; D007019:Hypoproteinemia / Q000150:complications*; D007413:Intestinal Mucosa / Q000378:metabolism; D007415:Intestinal Obstruction / Q000209:etiology*; D007418:Intestinal Pseudo-Obstruction / Q000178:diet therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000178:diet therapy / Q000209:etiology*
D004044:Dietary Proteins; D004232:Diuretics
Hypoproteinämie als Ursache eines postoperativen "interstitiellen" paralytischen Ileus.