A Case of Acute Colonic Pseudo-obstruction Treated by Percutaneous Endoscopic Colostomy.
- Author:
Sung Joon KIM
1
;
Suck Ho LEE
;
Myung Jin KANG
;
Yong Ho CHOI
;
Jeong Hoon PARK
;
Do Hyun PARK
;
Hong Soo KIM
;
Sang Heum PARK
;
Sun Joo KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea. ygun99@hanmail.net
- Publication Type:Case Report
- Keywords:
Acute colonic pseudo-obstruction;
Percutaneous endoscopic colostomy
- MeSH:
Aged, 80 and over;
Colon*;
Colonic Pseudo-Obstruction*;
Colostomy*;
Decompression;
Female;
Humans;
Mortality
- From:Korean Journal of Gastrointestinal Endoscopy
2007;34(3):151-155
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute colonic pseudo-obstruction (Ogilvie's syndrome) results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is efficient. Rarely, surgery has to be performed. A surgical treatment is associated with high morbidity and mortality. However, a percutaneous endoscopic colostomy could be an interesting alternative treatment. We report the case of a 88-year-old female with colonic pseudo-obstruction for which both the conservative and the colonoscopic treatments were unsuccessful. A percutaneous endoscopic colostomy was performed, and symptomatic improvement was observed. We have shown that percutaneous endoscopic colostomy is a safe and effective treatment for acute colonic pseudo- obstruct
