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Colonoscopically guided tube decompression in Ogilvie's syndrome
J Sariego1, T Matsumoto, M D Kerstein
1Department of Surgery, Hahnemann University, Philadelphia, Pennsylvania 19102.
Diseases of the Colon and Rectum
|August 1, 1991
Summary
Ogilvie's syndrome, a severe colon obstruction, can lead to dangerous complications. Endoscopic decompression and rectal tube placement effectively treated five patients who did not respond to medication.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Ogilvie's syndrome, or acute colonic pseudo-obstruction, presents a significant risk of bowel gangrene and perforation if untreated.
- Failure of conservative medical management necessitates alternative therapeutic strategies.
Purpose of the Study:
- To evaluate the efficacy and safety of colonoscopic decompression and endoscopic rectal tube placement in patients with Ogilvie's syndrome refractory to medical therapy.
Main Methods:
- A cohort of five patients diagnosed with Ogilvie's syndrome and unresponsive to medical treatment underwent colonoscopic decompression.
- Endoscopically guided rectal tube placement was performed in conjunction with decompression.
Main Results:
- All five patients successfully tolerated the endoscopic procedures.
- No patient required further interventions after the colonoscopic decompression and rectal tube placement.
Conclusions:
- Colonoscopic decompression with endoscopically guided rectal tube placement offers a safe and effective treatment option for Ogilvie's syndrome.
- This minimally invasive approach provides a viable alternative for patients who have failed conventional medical management.