Medical Decompression of Toxic Megacolon by ???Rolling???
| Autor: | Mark Chapman, D Wolfson, I M Gelernt, Daniel H. Present, Joel J. Bauer, P H Rubin |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Male medicine.medical_specialty Toxic megacolon Time Factors Decompression medicine.medical_treatment Posture Inflammatory bowel disease Megacolon Toxic Humans Medicine Intubation Gastrointestinal Colectomy Megacolon business.industry Gastroenterology medicine.disease Surgery Radiography Prone position Regimen medicine.anatomical_structure Abdomen Colitis Ulcerative Female business Follow-Up Studies |
| Zdroj: | Journal of Clinical Gastroenterology. 10:485-490 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/00004836-198810000-00004 |
| Popis: | We treated 19 consecutive patients with toxic megacolon complicating inflammatory bowel disease with the usual intensive medical regimen, but also added a new technique, namely, the frequent rolling of the patient to the prone position in order to redistribute colonic gas and thereby promote decompression. In all 19 patients (100%) the colon was decompressed within 1-13 days (mean 4.9 days). Two patients (10.5%) died. In long-term follow-up (mean 6.5 years), only 4 of the 17 survivors (21%) ultimately required colectomy; the remaining 13 (68%) were either completely well or only minimally symptomatic and did not require steroids. Most reports on the management of toxic megacolon stress the need for early surgical intervention, but our success in decompression with the addition of the "rolling technique" suggests an improvement in the nonoperative management of toxic megacolon. |
| Databáze: | OpenAIRE |
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