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Titre du document / Document title

Colon decompression : Do we accomplish what we intend?

Auteur(s) / Author(s)

KOCH T. R. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Section of Gastroenterology, West Virginia University, Morgantown, West Virginia, ETATS-UNIS

Résumé / Abstract

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 contention that the same pathophysiology affects these two segments of the colon.

Revue / Journal Title

The American journal of gastroenterology    ISSN  0002-9270 

Source / Source

2000, vol. 95, no8, pp. 2120-2121 (6 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1954) (Revue)

Mots-clés anglais / English Keywords

Pseudoobstruction

;

Gut

;

Colon

;

Pathogenesis

;

Pressure relief

;

Colonoscopy

;

Evolution

;

Critical study

;

Human

;

Digestive diseases

;

Intestinal disease

;

Colonic disease

;

Instrumentation therapy

;

Endoscopy

;

Mots-clés français / French Keywords

Pseudoocclusion

;

Intestin

;

Côlon

;

Pathogénie

;

Décompression

;

Colonoscopie

;

Evolution

;

Etude critique

;

Homme

;

Appareil digestif pathologie

;

Intestin pathologie

;

Côlon pathologie

;

Traitement instrumental

;

Endoscopie

;

Mots-clés espagnols / Spanish Keywords

Seudooclusión

;

Intestino

;

Colón

;

Patogenia

;

Descompresión

;

Colonoscopía

;

Evolución

;

Estudio crítico

;

Hombre

;

Aparato digestivo patología

;

Intestino patología

;

Colón patología

;

Tratamiento instrumental

;

Endoscopía

;

Localisation / Location

INIST-CNRS, Cote INIST : 11062, 35400009102089.0480

Nº notice refdoc (ud4) : 1456941



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