Intestinal Perforation Questions & Answers

Updated: Nov 28, 2018
  • Author: Samy A Azer, MD, PhD, MPH; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Questions & Answers

Overview

What is intestinal perforation?

What is the history of surgical management procedures for intestinal perforation?

Which factors contributed to a high mortality rate for intestinal perforation during World War I?

How did colostomy become the treatment of choice for intestinal perforation during the World War II?

When did primary repair of intestinal perforation become the treatment of choice?

What is the anatomy of the peritoneal cavity relative to intestinal perforation?

What is the pathophysiology of intestinal perforation?

What are the etiologies of intestinal perforation?

What is the incidence of intestinal perforation in children?

What is the incidence of intestinal perforation in adults?

What is the incidence of intestinal perforation in elderly patients?

Which factors increase the risk of death from intestinal perforation?

Presentation

What should be the focus of medical history in the evaluation of intestinal perforation?

How is the history of pain used to determine the underlying etiology of intestinal perforation?

What is included in the physical exam of a patient with suspected intestinal perforation?

DDX

What are the differential diagnoses for Intestinal Perforation?

Workup

What is the role of lab studies in the diagnosis of intestinal perforation?

What is the role of radiography in the diagnosis of intestinal perforation?

What is the role of ultrasonography in the diagnosis of intestinal perforation?

What is the role of CT scanning in the diagnosis of intestinal perforation?

Which procedures are performed in the workup of intestinal perforation?

Treatment

When is surgery contraindicated in the treatment of intestinal perforation?

What is included in emergency medical care for intestinal perforation?

What is the role of antibiotics in the treatment of intestinal perforation?

Which antibiotics are used as treatment for intestinal perforation?

What are the goals of surgical therapy for intestinal perforation?

What is included in preoperative care for intestinal perforation?

When is urgent surgery indicated in the treatment of intestinal perforation?

What is the role of laparoscopic surgery in the treatment of intestinal perforation?

What is the aim of IV replacement therapy for intestinal perforation?

When is nasogastric drainage performed in the treatment of intestinal perforation?

When are antibiotics administered in the treatment of intestinal perforation?

What is the goal of antibiotic therapy during postoperative care for intestinal perforation?

What should be considered in patients with intestinal perforation who have not improved following surgery?

How is pain managed during postoperative care of intestinal perforation?

What are the complications of intestinal perforation surgery?

What are complications of intestinal perforation?

Which factors may cause postoperative delirium in patients with intestinal perforation?

What is included in monitoring of patients with intestinal perforation who did not undergo surgery?