Chronic diarrhea surgery: Difference between revisions
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==Indications== | ==Indications== | ||
Surgery is not the first-line treatment option for patients with chronic [[diarrhea]]. Surgical intervention is usually reserved for [[patients]] who have failed all medical therapy and when [[malignancy]] is suspected on [[biopsy]] as the cause of the chronic [[diarrhea]]. The decision to operate should be discussed | Surgery is not the first-line treatment option for patients with chronic [[diarrhea]]. Surgical intervention is usually reserved for [[patients]] who have failed all medical therapy and when [[malignancy]] is suspected on [[biopsy]] as the cause of the chronic [[diarrhea]]. The decision to operate should be discussed with a multidisciplinary team, and should include appropriate preoperative [[imaging]], patient [[counseling]], optimization of nutritional status, and [[prophylaxis]] for [[Thromboembolic event|thromboembolic events.]]<ref name="pmid25209947">{{cite journal| author=Spinelli A, Allocca M, Jovani M, Danese S| title=Review article: optimal preparation for surgery in Crohn's disease. | journal=Aliment Pharmacol Ther | year= 2014 | volume= 40 | issue= 9 | pages= 1009-22 | pmid=25209947 | doi=10.1111/apt.12947 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25209947 }} </ref> | ||
Revision as of 14:16, 9 August 2017
Chronic diarrhea Microchapters |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
Surgery is not the first-line treatment option for patients with chronic diarrhea. Surgical intervention is usually reserved for patients who have failed all medical therapy and when malignancy is suspected on biopsy as the cause of the chronic diarrhea.
Indications
Surgery is not the first-line treatment option for patients with chronic diarrhea. Surgical intervention is usually reserved for patients who have failed all medical therapy and when malignancy is suspected on biopsy as the cause of the chronic diarrhea. The decision to operate should be discussed with a multidisciplinary team, and should include appropriate preoperative imaging, patient counseling, optimization of nutritional status, and prophylaxis for thromboembolic events.[1]
References
- ↑ Spinelli A, Allocca M, Jovani M, Danese S (2014). "Review article: optimal preparation for surgery in Crohn's disease". Aliment Pharmacol Ther. 40 (9): 1009–22. doi:10.1111/apt.12947. PMID 25209947.