Search results
Results From The WOW.Com Content Network
In intestinal perforation, gas may be visible under the diaphragm on chest x-ray while the patient is in an upright position. While x-ray is a fast and inexpensive to screen for perforation, an abdominal CT scan with contrast is more sensitive and specific for establishing a diagnosis as well as determining the underlying cause. [19]
a. Localized or generalized peritonitis caused by perforation of the bowel secondary to the cancer b. Viable but injured proximal bowel that, in the opinion of the operating surgeon, precludes safe anastomosis c. Complicated diverticulitis [2] Use of the Hartmann's procedure initially had a mortality rate of 8.8%. [3]
Treatment often begins with IV fluids to correct electrolyte imbalances. Obstructions may be complicated by ischemia or perforation of the bowel. These cases are surgical emergencies and often require bowel resection to remove the cause of obstruction. [13] Adhesions are a common causes of obstruction, and frequently resolve without surgery. [14]
A Graham patch is a surgical technique that is used to close duodenal perforations. ... The treatment of perforated duodenal ulcers, Surg Gynec Obstet 64 (1937), pp ...
Abdominal radiography will show many air-fluid levels, as well as widespread edema. Acute ischemic abdomen is a surgical emergency. Typically, treatment involves removal of the region of the bowel that has undergone infarction, and subsequent anastomosis of the remaining healthy tissue. [4]
Complications include anaesthetic risks, infection, bleeding and perforation of the bowel. [5] Frequent loose stools may cause nappy rash. Toilet training may also pose problems. Occasionally a temporary stoma is required. [6] A pull-through may sometimes fail if some of the abnormal bowel is left behind. [7]
Perforation is more likely in the first weeks after starting treatment. [19] People who have had a surgical anastomosis (for example, after low anterior resection, stapled transanal rectal resection, ventral mesh rectopexy, or other types of surgery for rectal prolapse) are more at risk of bowel perforation during transanal irrigation. [10]
A jejunostomy may be formed following bowel resection in cases where there is a need to bypass the distal small bowel and/or colon due to a bowel leak or perforation. Depending on the length of jejunum resected or bypassed the patient may have resultant short bowel syndrome and require parenteral nutrition. [2]