Meconium ileus treatment

Treatment of distal intestinal obstruction syndrome (DIOS) consists of oral or nasogastric administration of polyethylene glycol electrolyte (PEG) solutions. Enemas may also be used to facilitate stool clearance. IV fluids are often required to correct dehydration due to vomiting or decreased oral intake. Re-evaluation of enzyme compliance and dosing is essential to prevent further episodes. Patients with recurrent symptoms may require daily PEG administration (Miralax ).5 Severe presentations of DIOS or initial meconium ileus may require surgical resection. 

Godson C, Ryan MP, Brady HR, Bourke S, FitzGerald MX. Acute hypomagnesaemia complicating the treatment of meconium ileus equivalent in cystic fibrosis. Scand J Gastroenterol Suppl 1988 143 148-50. 

The treatment of meconium ileus or distal intestinal obstruction syndrome sometimes can be limited to the use of enemas with iso-osmolar... 

Fig. 1.22a,b. Meconium ileus, a Water-soluble contrast enema showing a microcolon with scattered filling defects that correspond to inspissated meconium, b The enema was continued with reflux of the contrast medium into the terminal ileum, showing Ailing defects that represent meconium pellets. The patient was discharged within 48 h of successful treatment... 

Kamata S, Nose K, Ishikawa S, Usui N, Sawai T, Kitayama Y, Okuyama H, Imura K et al (2000) Meconium peritonitis in utero., Pediatr Surg Int 16 377-379 Kao SC, Franken EA Jr (1995) Nonoperative treatment of simple meconium ileus a survey of the Society for Pediatric Radiology. Pediatr Radiol 25 97-100 Karmazyn B, Werner EA, Rejaie B et al (2005) Mesenteric lymph nodes in children what is normal Pediatr Radiol 35 774-777... 

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