Video Tip: Stent Placement: Post-Procedure Management | December 2021-Stent Placement- Post-Procedure Management

Video Transcription

My final slides, the first is about post-procedure management disease, very important. Some doctors think that we should use laxatives for these patients. It's exactly the opposite.  We don't want to stimulate the contraction. By stimulating the contraction of the bowel, you are increasing the chance of migration and complication.  So we soften this tool using enema and offer the patient poor residual diet. And we keep the patient in the hospital for two or three days, just to be sure that the picture  of acute obstruction has been fully resolved.  So this is very important because when the patient comes to our attention with acute obstruction and you insert with the standard bowel vomiting, you serve the stent 24 hours later,  the patient is eating. So it seems that everything is okay, but that's not the case. There is still a lot of fecal material above the stent. And we have to ease the elimination  of this fecal material through the stent. So it's very important to offer enema during the following days, following days of the procedure, offer no laxatives  and give poor residual diets for these patients. And in two or three days, the patient can be discharged or may be sent to surgery at the same admission.

Video Summary

In this video, the speaker discusses post-procedure management for patients with disease. It is emphasized that using laxatives is not recommended as it stimulates bowel contractions and increases the risk of complications. Instead, the approach involves softening the stool through the use of enemas and providing patients with a poor residual diet. The patient is kept in the hospital for two or three days to ensure complete resolution of acute obstruction. It is important to note that even after inserting a stent, there may still be a significant amount of fecal material above the stent, so enemas are crucial for eliminating it. Depending on the situation, the patient may be discharged or sent for surgery within the same admission period.

Keywords

post-procedure management

enemas

acute obstruction

stent

surgery