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Related Experiment Videos

[Emergency colonoscopy in lower intestinal occlusion].

J Cassigneul, J P Vinel, M Carballido

    Gastroenterologie Clinique Et Biologique
    |October 1, 1984
    PubMed
    Summary

    Emergency colonoscopy accurately diagnosed colonic obstruction in 91% of intensive care unit patients. This investigation aided treatment in selected cases, proving valuable for complex colonic obstruction management.

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    Area of Science:

    • Gastroenterology
    • Endoscopy
    • Colorectal Surgery

    Context:

    • Colonic obstruction presents diagnostic and therapeutic challenges, particularly in intensive care settings.
    • Uncertainty regarding optimal management necessitates advanced diagnostic tools.

    Purpose:

    • To evaluate the diagnostic and therapeutic utility of emergency colonoscopy in patients with colonic obstruction of uncertain etiology.
    • To assess the safety and efficacy of colonoscopy performed without bowel preparation or premedication in critically ill patients.

    Summary:

    • Twenty-three intensive care unit patients with colonic obstruction underwent emergency colonoscopy without preparation.
    • The procedure yielded a correct diagnosis in 91.3% of cases, identifying colonic cancer, Ogilvie's syndrome, and sigmoid volvulus as primary causes.
    • Therapeutic intervention was successful in six of eight patients, though two cases of sigmoid volvulus recurred.

    Impact:

    • Emergency colonoscopy is a valuable diagnostic tool for colonic obstruction in intensive care units.
    • It can guide management decisions and offer therapeutic benefits in select cases.
    • While generally safe, potential complications like pneumoperitoneum and perforation require careful consideration.

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