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Titre du Document
Colon decompression : Do we accomplish what we intend?
Auteur(s)
KOCH T. R.
Résumé
Colonoscopy has been the principal tool for decompression in acute colonic pseudo-obstruction, known as Ogilvie's syndrome. The objectives of this study were to determine the immediate effect of colonoscopy on the cecal diameter (measured on supine radiographs) and to delineate possible correlations in the diameters of dilated segments of the colon. The charts and radiographs of 24 patients who had colonoscopic decompression for acute colonic pseudo-obstruction between 1992 and 1997 at the San Diego Veterans Affairs Medical Center and the University of California, San Diego Hospitals were reviewed. The authors measured cecal, transverse, descending, and sigmoid colon diameters on serial radiographs up to the point of clinical resolution. Mean ± standard deviation cecal diameter change (between initial and post-decompression films) was -2 ± 3.4 cm at 4 h and -2.2 ± 3.3 cm 1 day after decompression. On the daily radiographs between colonoscopic decompression and clinical resolution, there was a close correlation between the diameter of the cecum and that of the transverse colon (p < 0.05). There was no correlation between the cecal diameter and that of the descending or sigmoid colon. Colonoscopic decompression only causes a small decrease in cecal size in the patient with acute colonic pseudo-obstruction. Dilation patterns of the cecum and transverse colon are significantly correlated in acute colonic pseudo-obstruction. This correlation provides additional support to the c
Editeur
Blackwell Publishing
Identifiant
PMID : 10950071 ISSN : 0002-9270
Source
The American journal of gastroenterology A. 2000, vol. 95, n° 8, pp. 2120-2121 [bibl. : 6 ref.]
Langue
Anglais
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