Meckel's diverticulum secondary prevention: Difference between revisions
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{{Meckel's diverticulum}} | {{Meckel's diverticulum}} | ||
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==Overview== | ==Overview== | ||
[[Post operative complications]] of Meckel's diverticula include [[ileus]], intra-[[Abdomen|abdominal]] [[abscess]] formation, [[pulmonary embolism]], [[Anastomosis|anastomotic]] leakage and [[Bowel obstruction|intestinal obstruction]] due to postoperative [[Adhesion (medicine)|adhesions]]. Treatment of complications such as intra-[[Abdomen|abdominal]] [[abscess]] and [[Bowel obstruction|intestinal obstruction]] due to stenosis or [[Adhesion (medicine)|adhesions]] is mainly [[Surgery|surgical]]. The management of [[ileus]] is mainly supportive and the patient is kept [[NPO]] with [[Nasogastric intubation|nasogastric suction]] and [[parenteral]] feeds. [[Electrolyte disturbance|Electrolyte]] levels need to be monitored and [[pharmacotherapy]] such as [[lactulose]] may also be administered to [[Patient|patients]]. | |||
==Secondary Prevention== | |||
* Postoperative complications of Meckel's diverticulum need to be managed:<ref name="pmid27146826">{{cite journal |vauthors=Marwah S, Singla P, Marwah N, Gupta S, Singh VP |title=Ileal stricture following Meckel's diverticulitis: a rare cause of intestinal obstruction |journal=Clin J Gastroenterol |volume=9 |issue=3 |pages=118–23 |year=2016 |pmid=27146826 |doi=10.1007/s12328-016-0647-6 |url=}}</ref><ref name="pmid24672650">{{cite journal |vauthors=Akbulut S, Yagmur Y |title=Giant Meckel's diverticulum: An exceptional cause of intestinal obstruction |journal=World J Gastrointest Surg |volume=6 |issue=3 |pages=47–50 |year=2014 |pmid=24672650 |pmc=3964415 |doi=10.4240/wjgs.v6.i3.47 |url=}}</ref> | |||
** Early post-operative complications include: | |||
*** [[Ileus]] | |||
*** [[Abscess|Intra-abdominal abscess]] | |||
*** [[Pulmonary embolism]] | |||
*** [[Anastomosis|Anastomotic]] leakage | |||
*** [[Suture|Suture-line]] leakage | |||
** Late post-operative complications include: | |||
*** [[Intestine|Intestinal]] [[stenosis]] | |||
*** [[Bowel obstruction|Intestinal obstruction]] due to postoperative [[Adhesion (medicine)|adhesions]] | |||
** Treatment of complications such as intra-[[Abdomen|abdominal]] [[abscess]] and [[Bowel obstruction|intestinal obstruction]] due to stenosis or [[Adhesion (medicine)|adhesions]] is mainly [[Surgery|surgical]]. | |||
== | ==== 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== | ||
Latest revision as of 03:21, 5 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Post operative complications of Meckel's diverticula include ileus, intra-abdominal abscess formation, pulmonary embolism, anastomotic leakage and intestinal obstruction due to postoperative adhesions. Treatment of complications such as intra-abdominal abscess and intestinal obstruction due to stenosis or adhesions is mainly surgical. The management of ileus is mainly supportive and the patient is kept NPO with nasogastric suction and parenteral feeds. Electrolyte levels need to be monitored and pharmacotherapy such as lactulose may also be administered to patients.
Secondary Prevention
- Postoperative complications of Meckel's diverticulum need to be managed:[1][2]
- 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
- Treatment of complications such as intra-abdominal abscess and intestinal obstruction due to stenosis or adhesions is mainly surgical.
- 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:
References
- ↑ Marwah S, Singla P, Marwah N, Gupta S, Singh VP (2016). "Ileal stricture following Meckel's diverticulitis: a rare cause of intestinal obstruction". Clin J Gastroenterol. 9 (3): 118–23. doi:10.1007/s12328-016-0647-6. PMID 27146826.
- ↑ Akbulut S, Yagmur Y (2014). "Giant Meckel's diverticulum: An exceptional cause of intestinal obstruction". World J Gastrointest Surg. 6 (3): 47–50. doi:10.4240/wjgs.v6.i3.47. PMC 3964415. PMID 24672650.