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Endoscopic decompression of acute colonic obstruction. Avoiding staged surgery.

Authors
  • S Lelcuk
  • J Ratan
  • J M Klausner
  • Y Skornick
  • A Merhav
  • R R Rozin
Publication Date
Mar 01, 1986
Source
PMC
Keywords
License
Unknown

Abstract

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.

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