Strongyloidiasis surgery: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 11: | Line 11: | ||
*Complete [[intestinal obstruction]] with inadequate decompression | *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, which can help relieve the obstruction through rapid expulsion 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 [[Intestinal perforation|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== | ||
Revision as of 14:54, 3 August 2017
|
Strongyloidiasis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Strongyloidiasis surgery On the Web |
|
American Roentgen Ray Society Images of Strongyloidiasis surgery |
|
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.