Meckel's diverticulum secondary prevention
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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:
- Early post-operative complications:
- Ileus
- Intra-abdominal abscess
- Pulmonary embolism
- Anastomotic leakage
- Suture-line leakage
- Late post-operative complications:
- Intestinal stenosis
- Intestinal obstruction due to postoperative adhesions
- Early post-operative complications:
Nil per os (NPO or Nothing by Mouth) is mandatory in all cases. Nasogastric suction and parenteral feeds may be required until passage is restored. There are several options in the case of paralytic ileus. Most treatment is supportive. If caused by medication, the offending agent is discontinued or reduced. Bowel movements may be stimulated by prescribing lactulose, erythromycin or in severe cases, (Ogilvie's syndrome) neostigmine. If possible the underlying cause is corrected (e.g. replace electrolytes).