Meckel's diverticulum secondary prevention: Difference between revisions
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==Secondary Prevention== | ==Secondary Prevention== | ||
* Postoperative complications of Meckel's diverticulum: | * Postoperative complications of Meckel's diverticulum need to be managed: | ||
** Early post-operative complications: | ** Early post-operative complications include: | ||
*** [[Ileus]] | *** [[Ileus]] | ||
*** [[Abscess|Intra-abdominal abscess]] | *** [[Abscess|Intra-abdominal abscess]] | ||
Line 13: | Line 13: | ||
*** [[Anastomosis|Anastomotic]] leakage | *** [[Anastomosis|Anastomotic]] leakage | ||
*** [[Suture|Suture-line]] leakage | *** [[Suture|Suture-line]] leakage | ||
** Late post-operative complications: | ** Late post-operative complications include: | ||
*** [[Intestine|Intestinal]] [[stenosis]] | *** [[Intestine|Intestinal]] [[stenosis]] | ||
*** [[Bowel obstruction|Intestinal obstruction]] due to postoperative [[Adhesion (medicine)|adhesions]] | *** [[Bowel obstruction|Intestinal obstruction]] due to postoperative [[Adhesion (medicine)|adhesions]] | ||
==== Ileus ==== | |||
* Treatment is mostly supportive | |||
* Patient must be [[Nil per os]] (NPO or Nothing by Mouth) | |||
* [[Nasogastric intubation|Nasogastric suction]] and [[parenteral]] feeds | |||
* Discontinuation of offending agent is required | |||
* Correction of [[Electrolyte disturbance|electrolyte imbalances]] | |||
* [[Pharmacotherapy]]: | |||
** [[Lactulose]] | |||
** [[Erythromycin]] | |||
** [[Neostigmine]] | |||
==References== | ==References== |
Revision as of 01:40, 5 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Secondary Prevention
- Postoperative complications of Meckel's diverticulum need to be managed:
- Early post-operative complications include:
- Ileus
- Intra-abdominal abscess
- Pulmonary embolism
- Anastomotic leakage
- Suture-line leakage
- Late post-operative complications include:
- Intestinal stenosis
- Intestinal obstruction due to postoperative adhesions
- Early post-operative complications include:
Ileus
- Treatment is mostly supportive
- Patient must be Nil per os (NPO or Nothing by Mouth)
- Nasogastric suction and parenteral feeds
- Discontinuation of offending agent is required
- Correction of electrolyte imbalances
- Pharmacotherapy: