Endoscopic Colonic Decompression
Author(s) -
Norman E. Marcon
Publication year - 1990
Publication title -
canadian journal of gastroenterology
Language(s) - English
Resource type - Journals
eISSN - 1916-7237
pISSN - 0835-7900
DOI - 10.1155/1990/682645
Subject(s) - decompression , etiology , distension , perforation , medicine , colonic pseudo obstruction , gastroenterology , bowel obstruction , surgery , punching , materials science , metallurgy
Colonic pseudo-obscruction, or Ogilvie's syndrome, is characterizedby marked distension of the large intestine in the absence of mechanicalobstruction. Etiology is unknown. Left untreated, it may lead to perforation witha mortality of 46%. Reversible causes such as electrolyte imbalance, anricholinergicdrugs, analgesics, steroids or hypothyro1d1sm should he excluded. Earlyrecognition of pseudo-obstruction with institution of supportive means followedby colonoscopic decompression with rube placement should be successful in allcases
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