Open AccessEndoscopic Decompression of Acute Colonic Obstruction
Author(s) -
Shlomo Lelcuk,
John Ratan,
Joseph M. Klausner,
Yehuda Skornick,
A Merhav,
R Rozin
Publication year - 1986
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198603000-00013
Subject(s) - medicine , colonic pseudo obstruction , decompression , endoscopy , surgery , general surgery
Colostomy is the traditional treatment for acute obstruction of the sigmoid colon. This entails two or three surgical procedures in a high-risk group of patients. Presented is a nonsurgical approach used in three patients with acute colonic obstruction. Decompression of the bowel was achieved with a tube introduced proximal to the obstruction with the aid of a flexible sigmoidoscope. In a fourth patient, in whom the obstruction was next to the splenic flecture, the procedure failed. In all instances where decompression was successful, a one-stage procedure--primary resection and anastomosis--was performed.