Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010, 154(3):261-264 | DOI: 10.5507/bp.2010.040

ILEUS STATES – CONDITIONS CONNECTING PSYCHIATRISTS AND SURGEONS?

Jan Luznya,b, Sylva Valihrachovab, Jaroslav Novakc, Tomas Zapletalc, Emanuel Donekb, Olubunmi Arogunmatid
a Department of Social Medicine and Health Policy, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
b Mental Hospital Kromeriz, Czech Republic
c Department of Surgery, Hospital in Kromeriz
d Brunel University,Graduate School , West London, United Kingdom

Background: Ileus states are serious conditions that may lead to pathophysiological changes which in turn can result in perforation of bowel, peritonitis, sepsis or death. Our paper discusses paralytic ileus states, which can be caused by psychopharmaceutics with anticholinergic side effects.

Methods and Results: Retrospective analysis of cases of paralytic ileus in mentally ill patients admitted to Mental Hospital Kromeriz.

Conclusion: Although some old psychopharmacs have a much higher potential for anticholinergic side effects than the new ones, there are still some of the new modern antipsychotics which also have anticholinergic side effects which could cause paralytic ileus. Both psychiatrists and surgeons should pay attention to atypical or changed signs of ileus states in mentally ill patients and should be aware of the confounding factors which could make the diagnosis of ileus difficult in mentally ill patients.

Keywords: Key Words: Ileus states, Anticholinergic side effects, Antidepressants, Antipsychotics

Received: May 26, 2010; Accepted: July 29, 2010; Published: September 1, 2010  Show citation

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Luzny, J., Valihrachova, S., Novak, J., Zapletal, T., Donek, E., & Arogunmati, O. (2010). ILEUS STATES – CONDITIONS CONNECTING PSYCHIATRISTS AND SURGEONS? Biomedical papers, 154(3), 261-264. doi: 10.5507/bp.2010.040
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