Toxic megacolon surgery: Difference between revisions
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*The mainstay of treatment for toxic megacolon is medical therapy. Surgery is usually reserved for patients with | *The mainstay of treatment for toxic megacolon is medical therapy. Surgery is usually reserved for patients with | ||
**Failed medical therapy | **Failed medical therapy | ||
** | **Pneumoperitoneum | ||
** | **Inability to promptly control sepsis | ||
* | **Diffuse peritonitis | ||
**Increasing megacolon | |||
**Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm | |||
**Failure to improve within 24–48 h | |||
**Uncontrolled sepsis | |||
**Increasing toxicity or other signs of clinical deterioration | |||
**Major hemorrhage | |||
**Continued transfusion requirements | |||
{| class="wikitable" | |||
! colspan="2" |Indications for surgery | |||
|- | |||
|Absolute | |||
|Relative | |||
|- | |||
|Pnemuoperitoneum | |||
|Inability to promptly control sepsis | |||
|- | |||
|Diffuse peritonitis | |||
|Increasing megacolon | |||
|- | |||
|Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm | |||
|Failure to improve within 24–48 h | |||
|- | |||
|Uncontrolled sepsis | |||
|Increasing toxicity or other signs of clinical deterioration | |||
|- | |||
|Major hemorrhage | |||
|Continued transfusion requirements | |||
|} | |||
==Indications== | ==Indications== |
Revision as of 17:04, 8 November 2017
Toxic Megacolon Microchapters |
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Treatment |
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Toxic megacolon surgery On the Web |
American Roentgen Ray Society Images of Toxic megacolon surgery |
Risk calculators and risk factors for Toxic megacolon surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Surgery
- The mainstay of treatment for toxic megacolon is medical therapy. Surgery is usually reserved for patients with
- Failed medical therapy
- Pneumoperitoneum
- Inability to promptly control sepsis
- Diffuse peritonitis
- Increasing megacolon
- Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm
- Failure to improve within 24–48 h
- Uncontrolled sepsis
- Increasing toxicity or other signs of clinical deterioration
- Major hemorrhage
- Continued transfusion requirements
Indications for surgery | |
---|---|
Absolute | Relative |
Pnemuoperitoneum | Inability to promptly control sepsis |
Diffuse peritonitis | Increasing megacolon |
Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm | Failure to improve within 24–48 h |
Uncontrolled sepsis | Increasing toxicity or other signs of clinical deterioration |
Major hemorrhage | Continued transfusion requirements |