| Theme | Diagnosis and Treatment of Intestinal Obstruction: Timing in Consulting a Surgeon | |
|---|---|---|
| Title | Primary Treatment for Mechanical Ileus | |
| Publish Date | 2004/08 | |
| Author | Yoshinobu Sumiyama | Third Department of Surgery, Toho University School of Medicine |
| Author | Yoshihisa Saida | Third Department of Surgery, Toho University School of Medicine |
| [ Summary ] | The principle behind primary medical treatment for mechanical ileus is the prompt decompression of the alimentary tract with improvements in hydration, electrolyte balance, and antibiotic treatment. It is common to see cases in which recover of health and preservation of tissue, are possible and where we may avoid an operation through suitable diagnoses and proper medical treatment from the early stages. However, with serious illnesses, accompanying strangulation, perforations, etc., operations, should be performed as soon as possible. This is the only treatment known to be a lifesaving one. Therefore, it is important, that the limits of preserving-medical treatment be discerned. We must remember to perform initial medical treatments properly, always keeping in mind that we may need to shift to surgical treatments quickly. Moreover, we must especially keep the above factors in mind when treating children or the elderly for these conditions. |
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