Treatment

In some cases, the gastrograffin enema mentioned above may relieve the obstruction sufficiently to be curative. However, a number of uncomplicated cases and all complicated cases require surgery. The procedure performed depends on the findings during laparotomy. Atretic or grossly dilated segments of bowel may be resected, the inspissated meconium removed from the intestinal lumen and the distal bowel flushed through. Occasionally a stoma is formed to allow intestinal decompression. Outcome of surgical treatment is generally good and gastrointestinal complications are of lesser significance than the pulmonary disease caused by the underlying cystic fibrosis.

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