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Korean J Gastrointest Endosc > Volume 34(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(3): 151-155.
급성 대장 가성폐쇄증에서 경피내시경하 결장조루술의 치험 1예
김성준·이석호·강명진·최용호·박정훈·박도현·김홍수·박상흠·김선주
순천향대학교 의과대학 천안병원 소화기내과학교실
A Case of Acute Colonic Pseudo-obstruction Treated by Percutaneous Endoscopic Colostomy
Sung Joon Kim, M.D., Suck Ho Lee, M.D., Myung Jin Kang, M.D., Yong-Ho Choi, M.D., Jeong Hoon Park, M.D., Do Hyun Park, M.D., Hong Soo Kim, M.D., Sang Heum Park, M.D. and Sun Joo Kim, M.D.
Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Acute colonic pseudo-obstruction (Ogilvie's syndrome) results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is efficient. Rarely, surgery has to be performed. A surgical treatment is associated with high morbidity and mortality. However, a percutaneous endoscopic colostomy could be an interesting alternative treatment. We report the case of a 88-year-old female with colonic pseudo-obstruction for which both the conservative and the colonoscopic treatments were unsuccessful. A percutaneous endoscopic colostomy was performed, and symptomatic improvement was observed. We have shown that percutaneous endoscopic colostomy is a safe and effective treatment for acute colonic pseudo- obstruct. Korean J Gastrointest Endosc 2007;34:151⁣155)
Key Words: Acute colonic pseudo-obstruction, Percutaneous endoscopic colostomy
주요어: 급성 대장 가성폐쇄증, 경피내시경하 결장조루술
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