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Colonoscopic decompression for pseudo-obstruction of the colon
J R Gosche1, J N Sharpe, G M Larson
1Department of Surgery, University of Louisville School of Medicine, Kentucky 40292.
The American Surgeon
|February 1, 1989
Summary
Colonoscopy effectively decompress acute colonic distention in 89% of patients. Repeat procedures were needed in 41%, but colonoscopy proved safe and useful for diagnosis and treatment.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Colorectal surgery
Background:
- Acute colonic distention is a significant clinical challenge.
- Endoscopic interventions are increasingly explored for managing colonic distention.
Purpose of the Study:
- To review the authors' experience with colonoscopy for treating acute colonic distention.
- To evaluate the efficacy and safety of colonoscopy in this context.
Main Methods:
- Retrospective review of 19 patients treated between 1981-1987.
- Inclusion criteria focused on patients with acute colonic distention.
Main Results:
- Colonoscopy achieved successful decompression in 89% of patients.
- 41% required repeat endoscopic decompression.
- Procedure failure occurred in 11%, necessitating operative decompression.
Conclusions:
- Colonoscopy is a safe and effective treatment for acute colonic distention.
- It aids in diagnosing the cause of progressive colonic distention.
- Endoscopic decompression is a valuable therapeutic option.