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]]
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*** [[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]]
[[Nil per os]] (NPO or Nothing by Mouth) is mandatory in all cases. [[Nasogastric intubation|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).


==== 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:

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