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Rectoscopic decompression of acute recto-sigmoid obstruction.
S Lelcuk1, A Merhav, J M Klausner
1Department of Surgery, Hadassah (Rokach) Hospital, Israel.
Endoscopy
|September 1, 1987
Summary
Non-surgical decompression using a rectal tube can relieve low colon obstructions. This method may avoid emergency surgery for obstructive tumors, enabling elective procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Low colon obstructions often necessitate surgical intervention.
- Non-operative decompression via rectal tube is a known technique.
- Failure of non-surgical methods typically leads to emergency surgery.
Observation:
- A novel non-surgical approach was employed for recto-sigmoid obstructive tumors.
- A rectal tube was guided proximally to the obstruction using a rectoscope and flexible guidewire.
- Successful decompression was achieved in patients with obstructive tumors.
Findings:
- The described technique effectively decompressed the obstructed bowel.
- Following decompression, one patient underwent a one-stage anterior resection.
- Another patient was referred for oncological treatment post-decompression.
Implications:
- This non-surgical decompression technique offers a potential alternative to emergency surgery for low colon obstructions.
- It may facilitate elective surgical procedures or oncological treatment.
- Further research could validate this minimally invasive approach for obstructive colonic tumors.