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KMID : 0359020130460050591
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Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 5 p.591 ~ p.594
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Repetitive Colonoscopic Decompression as a Bridge Therapy before Surgery in a Pregnant Patient with Chronic Intestinal Pseudo-Obstruction
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Kim Joon-Sung
Lee Bo-In
Kim Byung-Wook
Choi Hwang
Lee Yun-Seok
Maeng Lee-So
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Abstract
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Chronic intestinal pseudo-obstruction is a rare clinical syndrome which is characterized by intestinal obstruction without occluding lesions in the intestinal lumen and pregnancy is one of the important aggravating factors. Here, we report a case of a woman with intractable intestinal pseudo-obstruction that was precipitated by pregnancy. She could not make any stool passage for more than 4 weeks until a fetal gestational age of 17 weeks was reached. However, the patient could be maintained by repetitive colonoscopic decompressions and finally total colectomy could be performed successfully at a fetal gestational age of 21 weeks.
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KEYWORD
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Chronic intestinal pseudo-obstruction, Pregnancy, Colonoscopic decompression, Interstitial cells of Cajal
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