Strongyloidiasis surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Strongyloidiasis}} | {{Strongyloidiasis}} | ||
{{CMG}} ; {{AE}} {{ADG}} | {{CMG}}; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Strongyloidiasis is usually managed | [[Strongyloidiasis]] is usually managed with medical therapy, but surgery is indicated when medical management fails or complications arise.<ref name="pmid17940124">{{cite journal |vauthors=Segarra-Newnham M |title=Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection |journal=Ann Pharmacother |volume=41 |issue=12 |pages=1992–2001 |year=2007 |pmid=17940124 |doi=10.1345/aph.1K302 |url=}}</ref> | ||
==Surgery== | ==Surgery== | ||
Some of the indications for the surgical management of strongyloidiasis include: | |||
*Complete intestinal obstruction with inadequate decompression | === Indications === | ||
Some of the indications for the surgical management of [[strongyloidiasis]] include: | |||
*Complete [[intestinal obstruction]] with inadequate decompression | |||
*Lack of response within 24-48 hrs of medical management of obstruction | *Lack of response within 24-48 hrs of medical management of obstruction | ||
*Complications such as volvulus, intussusception or intestinal perforation | *Complications such as [[volvulus]], [[intussusception]], or [[intestinal perforation]] | ||
*Acute appendicitis | *[[Acute appendicitis]] | ||
*Worms trapped in ducts | *Worms trapped in ducts | ||
*Liver invasion by worms | *Liver invasion by worms | ||
===Management of | ===Management of intestinal obstruction=== | ||
[[Intestinal obstruction]] due to strongyloidiasis should be managed conservatively by: | [[Intestinal obstruction]] due to strongyloidiasis should be managed conservatively by: | ||
* [[Nasogastric tube|Nasogastric]] decompression | * [[Nasogastric tube|Nasogastric]] decompression | ||
* [[Fluid and electrolytes|Fluid and electrolyte]] repletion | * [[Fluid and electrolytes|Fluid and electrolyte]] repletion | ||
* [[Antihelminthic]] therapy once bowel motility is restored. [[Piperazine]] causes [[flaccid paralysis]] of the worms | * [[Antihelminthic]] therapy once bowel motility is restored. [[Piperazine]] causes [[flaccid paralysis]] of the worms, which can help relieve the obstruction through rapid expulsion of the worms | ||
* Complete obstruction with inadequate decompression, lack of response within an interval of 24-48 hrs, [[volvulus]], [[intussusception]] or perforation should be managed surgically | * Complete obstruction with inadequate decompression, lack of response within an interval of 24-48 hrs, [[volvulus]], [[intussusception]], or [[Intestinal perforation|perforation]] should be managed surgically | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Gastroenterology]] | |||
[[Category:Dermatology]] | |||
[[Category:Neurology]] | |||
[[Category:Pulmonology]] | |||
Latest revision as of 00:20, 30 July 2020
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Strongyloidiasis surgery On the Web |
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Risk calculators and risk factors for Strongyloidiasis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Strongyloidiasis is usually managed with medical therapy, but surgery is indicated when medical management fails or complications arise.[1]
Surgery
Indications
Some of the indications for the surgical management of strongyloidiasis include:
- Complete intestinal obstruction with inadequate decompression
- Lack of response within 24-48 hrs of medical management of obstruction
- Complications such as volvulus, intussusception, or intestinal perforation
- Acute appendicitis
- Worms trapped in ducts
- Liver invasion by worms
Management of intestinal obstruction
Intestinal obstruction due to strongyloidiasis should be managed conservatively by:
- Nasogastric decompression
- Fluid and electrolyte repletion
- Antihelminthic therapy once bowel motility is restored. Piperazine causes flaccid paralysis of the worms, which can help relieve the obstruction through rapid expulsion of the worms
- Complete obstruction with inadequate decompression, lack of response within an interval of 24-48 hrs, volvulus, intussusception, or perforation should be managed surgically
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.