A Percutaneous Endoscopic Colostomy Tube to the Rescue.

Autor: Numan L; Department of Gastroenterology and Hepatology, St. Louis University, St. Louis, MO., Brotherton T; Department of Internal Medicine, St. Louis University, St. Louis, MO., Baliss M; Department of Gastroenterology and Hepatology, St. Louis University, St. Louis, MO., Ghosh S; Department of Gastroenterology and Hepatology, St. Louis University, St. Louis, MO., Lamm V; Department of Gastroenterology, Washington University in St. Louis, St. Louis, MO., Klos C; Department of Surgery, St. Louis Veteran Affairs, St. Louis, MO., Sayuk G; Department of Gastroenterology, Washington University in St. Louis, St. Louis, MO.; Department of Gastroenterology, St. Louis Veteran Affairs, St. Louis, MO., Presti M; Department of Gastroenterology and Hepatology, St. Louis University, St. Louis, MO.; Department of Gastroenterology, St. Louis Veteran Affairs, St. Louis, MO., Elwing J; Department of Gastroenterology, Washington University in St. Louis, St. Louis, MO.; Department of Gastroenterology, St. Louis Veteran Affairs, St. Louis, MO.
Jazyk: angličtina
Zdroj: ACG case reports journal [ACG Case Rep J] 2023 Oct 19; Vol. 10 (10), pp. e01186. Date of Electronic Publication: 2023 Oct 19 (Print Publication: 2023).
DOI: 10.14309/crj.0000000000001186
Abstrakt: Percutaneous endoscopic colostomy (PEC) tube placement is a minimally invasive procedure used to treat recurrent colonic pseudo-obstruction, sigmoid volvulus, chronic intractable constipation, and neurogenic bowel. PEC is a viable treatment alternative for patients who have failed conservative therapies and are deemed high risk for surgical management. We present a case of acute colonic pseudo-obstruction after Clostridioides difficile infection that was unresponsive to medical treatment or endoscopic decompression. A PEC tube was placed into the transverse colon with successful resolution of the colonic distension.
(© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze: MEDLINE
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