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[Transrectal endoscopic ileal decompression as treatment of small intestine pseudoobstruction. Report of a case]
A Farca1, G Rodríguez, S Medina
1Departamento de Gastroenterología, Hospital General Dr. Manuel Gea González, México, D.F.
Background:
Intestinal pseudo-obstruction is a syndrome characterized by recurrent signs and symptoms of intestinal pseudo-obstruction or dilation without any evidence of mechanical pseudo-obstruction. Its cause is unknown, and it is associated with severe alterations of gastrointestinal motility.
Aims:
To report the transendoscopic treatment in a case of intestinal pseudo-obstruction as an alternative to a poor response to medical treatment.
Methods:
The diagnosis of intestinal pseudo-obstruction was made in a 34-year old male patient who had not responded to conservative treatment; therefore, a colonoscopy was performed and an ileal drainage was introduced with its distal end 50 cm beyond the ileocecal valve.
Results:
Twenty-four hours after the procedure was performed clinical and radiological improvement was evident. Such improvement was completed at 72 hours when the patient tolerated oral ingestion.
Conclusions:
Transrectal ileal drainage could be an alternative to consider in those patients that do not respond to conservative treatment.