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Early detection is key, using: Serum ceruloplasmin levels 24-hour urinary copper excretion Liver biopsy or genetic testing If caught early, treatment with chelating agents like penicillamine can prevent long-term damage and give patients a near-normal life

CONTENTS Basics Presentation Differential diagnosis Investigations Causes Treatment General measures Opioid antagonists Prevention Podcast Questions & discussion Pitfalls Ileus is used in this chapter to refer to functional hypomotility of the small intestine (also known as paralytic ileus or adynamic ileus)

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