Management options The role of surgery in pseudomembranous enterocolitis

The role of surgery in pseudomembranous enterocolitis.

Pseudomembranous enterocolitis is an inflammatory bowel disorder caused by Clostridium difficile toxins. Classical presentation includes abdominal pain, pyrexia, diarrhoea and leucocytes. The management is mainly conservative but in extreme cases surgery is necessary. Resectional procedures (colectomy) carry a better prognosis than diversion procedures (colostomy). A careful history, a high ind...

Pseudomembranous enterocolitis complicating ampicillin therapy.

A case of fatal pseudomembranous enterocolitis associated with ampicillin therapy is described and possible mechanisms for its production discussed.

Changing presentation and management of neutropenic enterocolitis.

OBJECTIVE To characterize the current clinical presentation and management of neutropenic enterocolitis. DESIGN Retrospective review of records of oncology unit patients requiring general surgical consultation for abdominal complaints in a 1-year period. SETTING Oncology unit of a tertiary care, university teaching hospital. PATIENTS AND INTERVENTIONS Fourteen patients diagnosed as having...

Pseudomembranous enterocolitis with jujunal perforation associated with CL. Welchii infection.

Surgical experience in necrotising enterocolitis: a report of nineteen cases

The results of operative intervention in 19 neonates with necrotising enterocolitis are reported. There were four deaths (21%) in the series. Intestinal perforation was the indication for surgery in 10 cases (55%), three of which did not survive. Timing of operative intervention can be optimised only by close liaison between experienced physicians and surgeons in order to avoid intestinal perfo...