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BOWEL INJURY

Full text articles and references are available by subscription.Practice Points

Clients prone to inadequate disclosure of inadvertent bowel injury risk: 

1.                  Previous surgeries
2.                  Obese
3.                  Elderly

Consider both substandard technique and delay in diagnosis for bowel injury following laparoscopic surgery

n the elderly, the significant risks of death should be balanced against potential therapeutic benefits of routine biopsy during colonoscopy

Increased short-term acuity following inadvertent enterotomy: 

1. ICU admission
2. Re-operation
3. Bowel obstruction
4. Anastomotic leak
5. Wound dehiscence
6. Sepsis
7. Pneumonia
8.Parenteral nutrition

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