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 | ||
** | **Progressive toxicity or dilation | ||
**Signs of perforation | |||
** | |||
{| | {| | ||
! colspan="2" |Indications for surgery | ! colspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" + |Indications for surgery | ||
|- | |- | ||
|Absolute | !style="background:#4479BA; color: #FFFFFF;" align="center" + |Absolute | ||
|Relative | !style="background:#4479BA; color: #FFFFFF;" align="center" + |Relative | ||
|- | |- | ||
|Pnemuoperitoneum | |style="background:#F5F5F5;" + |Pnemuoperitoneum | ||
|Inability to promptly control sepsis | |style="background:#F5F5F5;" + |Inability to promptly control sepsis | ||
|- | |- | ||
|Diffuse peritonitis | |style="background:#F5F5F5;" + |Diffuse peritonitis | ||
|Increasing megacolon | |style="background:#F5F5F5;" + |Increasing megacolon | ||
|- | |- | ||
|Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm | |style="background:#F5F5F5;" + |Localized peritonitis with increasing abdominal pain and/or colonic distension >10 cm | ||
|Failure to improve within 24–48 h | |style="background:#F5F5F5;" + |Failure to improve within 24–48 h | ||
|- | |- | ||
|Uncontrolled sepsis | |style="background:#F5F5F5;" + |Uncontrolled sepsis | ||
|Increasing toxicity or other signs of clinical deterioration | |style="background:#F5F5F5;" + |Increasing toxicity or other signs of clinical deterioration | ||
|- | |- | ||
|Major hemorrhage | |style="background:#F5F5F5;" + |Major hemorrhage | ||
|Continued transfusion requirements | |style="background:#F5F5F5;" + |Continued transfusion requirements | ||
|} | |} | ||
Revision as of 17:12, 8 November 2017
Toxic Megacolon Microchapters |
Diagnosis |
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Treatment |
Case Studies |
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
- Progressive toxicity or dilation
- Signs of perforation
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 |