Strongyloidiasis surgery: Difference between revisions
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*Worms trapped in ducts | *Worms trapped in ducts | ||
*Liver invasion by worms | *Liver invasion by worms | ||
===Management of Intestinal obstruction=== | |||
[[Intestinal obstruction]] due to strongyloidiasis should be managed conservatively by: | |||
* [[Nasogastric tube|Nasogastric]] decompression | |||
* [[Fluid and electrolytes|Fluid and electrolyte]] repletion | |||
* [[Antihelminthic]] therapy once bowel motility is restored. [[Piperazine]] causes [[flaccid paralysis]] of the worms and this can help relieve the obstruction through rapid expulsion of the worms. | |||
* Complete obstruction with inadequate decompression, lack of response within an interval of 24-48 hrs, [[volvulus]], [[intussusception]] or perforation should be managed surgically. | |||
==References== | ==References== | ||
Revision as of 19:50, 5 July 2017
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Strongyloidiasis Microchapters |
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Strongyloidiasis surgery On the Web |
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Risk calculators and risk factors for Strongyloidiasis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Strongyloidiasis is usually managed conservatively with medical therapy but surgery may be indicated when medical management fails or complications arise.[1]
Surgery
Some of the indications for the surgical management of strongyloidiasis include:
- Complete intestinal obstruction with inadequate decompression
- Lack of response within 24-48 hrs of medical management of obstruction
- Complications such as volvulus, intussusception or intestinal perforation
- Acute appendicitis
- Worms trapped in ducts
- Liver invasion by worms
Management of Intestinal obstruction
Intestinal obstruction due to strongyloidiasis should be managed conservatively by:
- Nasogastric decompression
- Fluid and electrolyte repletion
- Antihelminthic therapy once bowel motility is restored. Piperazine causes flaccid paralysis of the worms and this can help relieve the obstruction through rapid expulsion of the worms.
- Complete obstruction with inadequate decompression, lack of response within an interval of 24-48 hrs, volvulus, intussusception or perforation should be managed surgically.
References
- ↑ Segarra-Newnham M (2007). "Manifestations, diagnosis, and treatment of Strongyloides stercoralis infection". Ann Pharmacother. 41 (12): 1992–2001. doi:10.1345/aph.1K302. PMID 17940124.