Successful Resolution of Fecal Impaction During Endoscopy Using a Looped Guidewire
| Autor: | Takeshi Hashimoto, Atsushi Yanagitani, Tomoyuki Okada, Hajime Isomoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endoscope medicine.medical_treatment colonography Lumen (anatomy) Colonoscopy conservative treatment Patient Report 03 medical and health sciences 0302 clinical medicine medicine endoscopy disimpaction medicine.diagnostic_test business.industry Sigmoid colon Fecal impaction General Medicine Enema medicine.disease Surgery Endoscopy medicine.anatomical_structure fecal impaction 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology business |
| Zdroj: | T. Okada, A. Yanagitani, T. Hashimoto, et al. Successful Resolution of Fecal Impaction During Endoscopy Using a Looped Guidewire. Yonago Acta Medica. 2021, 64(1), 129-132. doi:10.33160/yam.2021.02.015 Yonago Acta Med |
| ISSN: | 0513-5710 |
| DOI: | 10.33160/yam.2021.02.015 |
| Popis: | Fecal impaction is the impaired excretion of a large fecal mass, and mild cases are treated by enema and osmotic laxatives. However, treatment-resistant cases need more invasive alternatives. A woman in her 60s presented with abdominal discomfort. Her abdomen was soft and without tenderness. Computed tomography revealed a large mass of feces in her sigmoid colon and no intestinal dilatation proximal to the mass. Endoscopy confirmed a fecal mass occupying the lumen. A glycerin enema, oral administration of polyethylene glycol, and enteral administration of amidotrizoic acid during colonoscopy were ineffective. We maneuvered a guidewire to form a loop at the tip of an endoscope, with which we subdivided the mass for successful removal. The patient’s abdominal discomfort disappeared immediately. Endoscopic disimpaction is far less invasive than surgery and should be considered when treating fecal impaction cases, without severe obstructive colitis, which are nonresponsive to conservative treatment. |
| Databáze: | OpenAIRE |
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