| 급성 대장 가성폐쇄증에서 경피내시경하 결장조루술의 치험 1예 |
| 김성준·이석호·강명진·최용호·박정훈·박도현·김홍수·박상흠·김선주 |
| 순천향대학교 의과대학 천안병원 소화기내과학교실 |
| A Case of Acute Colonic Pseudo-obstruction Treated by Percutaneous Endoscopic Colostomy |
| Sung Joon Kim, M.D., Suck Ho Lee, M.D., Myung Jin Kang, M.D., Yong-Ho Choi, M.D., Jeong Hoon Park, M.D., Do Hyun Park, M.D., Hong Soo Kim, M.D., Sang Heum Park, M.D. and Sun Joo Kim, M.D. |
| Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea |
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| Abstract |
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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. Korean J Gastrointest Endosc 2007;34:151155) |
| Key Words:
Acute colonic pseudo-obstruction, Percutaneous endoscopic colostomy |
| 주요어:
급성 대장 가성폐쇄증, 경피내시경하 결장조루술 |
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