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KMID : 1141920210370050346
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Annals of Coloproctology
2021 Volume.37 No. 5 p.346 ~ p.348
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Endoscopic Removal of a Fecalith or Fecomucolith in a Rectal Stump or Pouch
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Yeap Evie
Ratinam Ratheesraj
Arachchi Asiri
Lim James
Tay Yeng Kwang
Duieb Zeev
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Abstract
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Fecaliths or fecomucoliths can form in rectal stumps after a Hartmann procedure or in a coloneovaginal conduit. They can cause significant distress to the patient by causing symptoms such as discharge and odor. We describe a novel and effective method of endoscopic obliteration and removal where other techniques such as removal during examination under anesthesia or serial enemas have failed. By using a combination of hydrodissection with a saline injector gun and biopsy forceps and a polypectomy snare to break down the fecomucolith or fecalith, this troublesome problem can be resolved endoscopically. Successful removal of the fecalith/fecomucolith and resolution of the symptoms for the patients were achieved. No complications are reported. We describe an effective and novel method for endoscopic removal of fecaliths and fecomucoliths.
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KEYWORD
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Gastrointestinal endoscopy, Fecalith, Colonoscopy
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