What are the treatment approaches to peritonitis?

Updated: Jul 23, 2019
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

The management approach to peritonitis and peritoneal abscesses targets correction of the underlying process, administration of systemic antibiotics, and supportive therapy to prevent or limit secondary complications due to organ system failure. (See Treatment and Medication.)

Early control of the septic source is mandatory and can be achieved operatively and nonoperatively. Nonoperative interventions include percutaneous abscess drainage, as well as percutaneous and endoscopic stent placements. Operative management addresses the need to control the infectious source and to purge bacteria and toxins. The type and extent of surgery depends on the underlying disease process and the severity of intra-abdominal infection.

For patient education resources, see Digestive Disorders Center as well as Abdominal Pain (Adults)AppendicitisDiverticulitis (Diverticulosis)Cirrhosis, and Sepsis.


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