What is included in follow-up care for peritonitis and abdominal sepsis?

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

Outpatient treatment of peritonitis is very limited; however, of the common causes of peritonitis, diverticulitis is probably the entity most frequently treated in an outpatient setting. A review by Biondo et al outlines both inpatient and outpatient therapy. [29]

Depending on the type of perforation causing secondary peritonitis, patients may require further surgical care or repeat abscess drainage by interventional radiology. Follow-up care depends on the cause of the intra-abdominal sepsis. In simple infections, such as those caused by cholecystitis or appendicitis, once the infection is cleared, no follow-up care is necessary. However, in patients with perforated duodenal ulcer, chronic pancreatitis, or Crohn disease, lifelong follow-up care is needed.


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