Conservative treatment for round worm intestinal obstruction
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The ascariasis is one of the most cosmopolitan intestinal parasite infections and it can be in inhospitable regions inhabited by human being, but its biggest prevalence is observed in the tropical and subtropical areas. Intestinal obstruction has been estimated to occur in 2 per 1000 ascaris-infected children per year. We are presenting a study emphasizing the conservative treatment for complete intestinal obstruction due to roundworms without sign and symptom of peritonitis and perforation.
A total of 22 patients of roundworm obstruction partial or complete without signs of and symptoms of peritonitis were admitted in the Department of Pediatric Surgery IMS, BHU Varanasi India in the period form 2003 – 2005. Patients were put nil by mouth, intravenous fluid, antibiotics, piperazine salt through nasogastric tube and glycerine + liquid paraffin emulsion enemas and were evaluated for duration of hospital stay, rate of conversion to surgical treatment and complications.
19 (86%) patients were treated successfully with conservative line of management. Only 3 patients required surgical intervention. No mortality, complication and mean hospital stay was 4.1 days (range 4 – 5 days).
Round worm intestinal obstruction can be effectively treated by conservative line of management.
Key wordsRound worm Intestinal obstruction Piperazine salt
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- 3.Seltzer, E. Ascariasis. In Guerrant, RL, Weller, PF, eds. Tropical Infectious Diseases: Principles, Pathogens and Practice, 1st ed. Philadelphia; Churchill Livingstone; 1999; 553.Google Scholar
- 8.Reddy CRR, Raghvendrarao AN, Ramkrishna Reddy M, Raja Kumari K. Intestinal parasitic infection-a survey in school children. Clinician 1972; 36: 50–53.Google Scholar
- 9.Bhagabati JN, Zaman N. Intestinal obstruction-a clinical study of 235 cases. Clinician 1972; 36: 41–49.Google Scholar
- 10.N.E.N. Agununa intestinal ascariasis in Nizerian children. Journal of Tropical Pediatrics 1983; 29: 237–239.Google Scholar
- 11.Comoro MA, Kantar J. Non-operative management of intestinal obstruction due to ascaris lumbricoides. J Cull Physicians Surge Pak 2003; 13: 86–89.Google Scholar
- 14.Dávila GC, Trujillo HB, Vásquez C. Prevalencía de parasitosis intestinales en niños de zonas urbanas del estado de Colima, México. Vol. Med Hosp. Infanta Mes 2001; 58: 234–239.Google Scholar
- 18.Wasadikar PP, Kulkarni AB. Intestinal obstruction due to ascariasis. Brit J Surg 1997; 410–412.Google Scholar
- 23.Bar-Moar JA, Chappel J, Gastrograffin treatment of intestinal obstruction due to Ascariasis Lumbricoides J Pediatr Surg 1984; 19: 174–176.Google Scholar