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Abdominal Radiology

Published in:

01-10-2018

Fluoroscopy-guided trans-anal decompression tube placement in the treatment of acute colonic pseudo-obstruction: a single center experience

Authors: Lili Gu, Bo Yang, Xuelei Zhang, Chao Ding, Hongliang Tian, Weiming Zhu, Jieshou Li, Ning Li

Published in: Abdominal Radiology | Issue 10/2018

Abstract

Purpose

Acute colonic pseudo-obstruction (ACPO or Ogilvie’s syndrome) is a rare but often fatal disease; timely colonic decompression may be essential for successful treatment. This study describes a technique of placing a trans-anal tube via fluoroscopy-guiding and investigates the effect of colon decompression on ACPO.

Methods

Patients undergoing colonic decompression via fluoroscopy-guided trans-anal tube placement from April 2015 to May 2017 were included. The technical and clinical successes of this procedure were evaluated. Clinical features and long-term outcomes are described.

Results

Decompression was successful in 72.73% (16/22) of the patients; the procedure was considered a clinical success in 50% (11/22) of the patients. 31.82% (7/22) of the patients underwent elective surgery, and only 18.19% (4/22) of the patients need emergency surgery.

Conclusions

Fluoroscopy-guided trans-anal decompression tube placement was an easy and efficient method for treating ACPO. Additionally, ACPO once required emergency surgery, but now may only require elective surgery in certain instances.

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Title: Fluoroscopy-guided trans-anal decompression tube placement in the treatment of acute colonic pseudo-obstruction: a single center experience
Authors: Lili Gu
Bo Yang
Xuelei Zhang
Chao Ding
Hongliang Tian
Weiming Zhu
Jieshou Li
Ning Li
Publication date: 01-10-2018
Publisher: Springer US
Published in: Abdominal Radiology / Issue 10/2018
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-018-1509-0

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Fluoroscopy-guided trans-anal decompression tube placement in the treatment of acute colonic pseudo-obstruction: a single center experience

Abstract

Purpose

Methods

Results

Conclusions

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Abstract

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