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Usually made at surgery
Usually made at surgery
==Treatment==
==Treatment==
Medical treatment may resolve the impaction(36) but '''surgery''' is typically required. At surgery, fluids can be directly infused into the mass so that the impaction can be manually broken down. '''Dioctyl sodium sulfosuccinate (DSS)''' may be included in the infusion to help disrupt the mass.
Medical treatment may resolve the impaction(36) but '''surgery''' is typically required. At surgery, fluids can be directly infused into the mass so that the impaction can be manually broken down. '''Dioctyl sodium sulfosuccinate (DSS)''' may be included in the infusion to help disrupt the mass. An enterotomy should be considered to evacuate impacted contents and reduce intestinal manipulation.
==Complications==
Extensive small intestinal distension and intraoperative manipulation of the ileum may lead to postoperative ileus(42) but the risk is reduced if the duration between disease onset and surgical intervention is decreased(35)
==Prognosis==
==Prognosis==