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The application of radio-opaque markers prior to ileostomy in an infant with chronic intestinal pseudo-obstruction: Report of a case

Authors
  • Hase, Takanobu1
  • Kodama, Masashi2
  • Kishida, Akihiro2
  • Naka, Nariyuki2
  • Shimadera, Shin'ichi2
  • Egawa, Tomoko3
  • Ohno, Masaki3
  • Shimada, Morimi3
  • 1 Shiga University of Medical Science, Section of Emergency and Critical Medicine, Seta, Tsukinowa-cho, Otsu, 520-21, Japan , Otsu
  • 2 Shiga University of Medical Science, First Department of Surgery, Seta, Tsukinowa-cho, Otsu, 520-21, Japan , Otsu
  • 3 Shiga University of Medical Science, Department of Pediatrics, Seta, Tsukinowa-cho, Otsu, 520-21, Japan , Otsu
Type
Published Article
Journal
Surgery Today
Publisher
Springer-Verlag
Publication Date
Jan 01, 1998
Volume
28
Issue
1
Pages
83–86
Identifiers
DOI: 10.1007/BF02483614
Source
Springer Nature
Keywords
License
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Abstract

We report the case of a 6-month-old boy who developed chronic intestinal pseudo-obstruction soon after birth. A rectal biopsy demonstrated immaturity of the neuronal cells in the enteral ganglion. His clinical course was stressful, with remission and exacerbation despite conservative treatment with daily bowel irrigation, prokinetic agents, and parenteral nutrition. Since the infant developed serious enterocolitis associated with the increased severity of his bowel obstruction, and no substantial gain in body weight was observed, a loopileostomy was performed based on X-ray findings with radio-opaque markers, which were employed to evaluate the whole gut transit time. The radio-opaque markers proved extremely useful for determining which loop of the ileum should be utilized for the ileostomy.

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