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KMID : 0359020070340030151
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.34 No. 3 p.151 ~ p.155
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A Case of Acute Colonic Pseudo-obstruction Treated by Percutaneous Endoscopic Colostomy
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Kim Sung-Joon
Park Sang-Heum
Lee Suck-Ho
Kim Hong-Soo
Kim Sun-Joo
Park Jeong-Hoon
Kang Myung-Jin
Choi Yong-Ho
Park Do-Hyun
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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;34:151?155)
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KEYWORD
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Acute colonic pseudo-obstruction, Percutaneous endoscopic colostomy
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