Gastrointest Endosc. 1988 Jan-Feb;34(1):23-7.

Treatment of acute nontoxic megacolon during colonoscopy: tube placement versus simple decompression.

Harig JM, Fumo DE, Loo FD, Parker HJ, Soergel KH, Helm JF, Hogan WJ.

Source

Gastroenterology Section, Medical College of Wisconsin, St. Joseph's Hospital, Milwaukee.

Abstract

The study compares the efficacy of colonoscopic decompression versus decompression and tube placement in the treatment of Ogilvie's syndrome. Nine patients were treated with a single colonoscopic decompression which resulted in four recurrences. In contrast, there were no recurrences observed in 11 patients who underwent decompression and subsequent tube placement (p less than 0.05). There was no morbidity observed from either decompression or tube placement. Tube placement added less than 10 min of additional procedure time to the colonoscopy. The tube utilized in this study was an enteroclysis tube with sideholes cut in the distal 20 cm. The tube was easily inserted over a Teflon-coated flexible guide wire inserted through the colonoscope into the cecum following decompression. This study demonstrates that colonoscopic decompression followed by tube placement is the preferred treatment modality for acute nontoxic megacolon.

PMID:: 3350299; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Grant Support

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Research Support, U.S. Gov't, P.H.S.

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Grant Support

T32 AM07267/AM/NIADDK NIH HHS/United States

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Related citations in PubMed

[Ogilvie's syndrome: results of endoscopic exsufflation in a series of 29 cases]. [Gastroenterol Clin Biol. 1986]
[Ogilvie's syndrome: results of endoscopic exsufflation in a series of 29 cases].
Lavignolle A, Jutel P, Bonhomme J, Cloarec D, Cerbelaud P, Lehur PA, Galmiche JP, Le Bodic L. Gastroenterol Clin Biol. 1986 Feb; 10(2):147-51.
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Farinon AM, Stroppa I, Torquati A, D'Antini P. Ann Ital Chir. 1997 May-Jun; 68(3):331-6; discussion 337-8.
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Attar A, Kuoch V, Ducreux M, Benamouzig R, Malka D. Gastrointest Endosc. 2005 Dec; 62(6):975-6; discussion 976.
Review Colonoscopic decompression for acute pseudoobstruction of the colon (Ogilvie's syndrome). Report of 22 cases and review of the literature. [Am J Surg. 1984]
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Bode WE, Beart RW Jr, Spencer RJ, Culp CE, Wolff BG, Taylor BM. Am J Surg. 1984 Feb; 147(2):243-5.
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Review Acute colonic pseudo-obstruction (Ogilvie's syndrome).
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