Toxic megacolon surgery: Difference between revisions
Farima Kahe (talk | contribs) No edit summary |
Farima Kahe (talk | contribs) |
||
Line 22: | Line 22: | ||
Surgery is the mainstay of treatment for [disease or malignancy]. | Surgery is the mainstay of treatment for [disease or malignancy]. | ||
==Surgery== | ==Surgery== | ||
*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:<ref>{{cite book | last = Fischer | first = Josef | title = Mastery of surgery | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia | year = 2007 | isbn = 9780781771658 }}</ref> | ||
**Failed medical therapy | **Failed medical therapy | ||
**Progressive toxicity or dilation | **Progressive toxicity or dilation |
Revision as of 17:17, 8 November 2017
Toxic Megacolon Microchapters |
Diagnosis |
---|
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:[1]
- 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 |
Indications
References
- ↑ Fischer, Josef (2007). Mastery of surgery. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9780781771658.