Endoscopic Decompression in Colonic Distension - PubMed (original) (raw)
Review
. 2021 Mar;37(2):142-148.
doi: 10.1159/000514799. Epub 2021 Feb 11.
Affiliations
- PMID: 33981755
- PMCID: PMC8077502
- DOI: 10.1159/000514799
Review
Endoscopic Decompression in Colonic Distension
Sebastian Belle. Visc Med. 2021 Mar.
Abstract
Background: Acute colonic distension is a medical emergency with high morbidity and mortality. Clinically important causes of colonic distension are acute colonic pseudo-obstruction, colonic volvulus, and malignant obstruction. Endoscopic decompression is one established therapeutic strategy.
Summary: This therapeutic review will give an overview of possible therapeutic strategies based on the recently published literature, focusing on endoscopic decompression and summarizing the other therapeutic possibilities. The review discusses separately the therapeutic options of acute colonic pseudo-obstruction, colonic volvulus, and malignant obstruction, providing an evidence-based orientation for clinical use.
Key messages: Endoscopic decompression of colonic distension is an established therapy with high clinical success. The technique and its position in the therapy sequence differ depending on the medical condition, the trigger of the colonic distension, and the local expertise.
Keywords: Acute colonic pseudo-obstruction; Malignant colorectal stenosis; Self-expandable metallic stent; Tube decompression.
Copyright © 2021 by S. Karger AG, Basel.
Conflict of interest statement
The author has no conflicts of interest to declare.
Figures
Fig. 1
Specific treatment for ACPO. # Conservative treatment: discontinuation of narcotics, anticholinergics, and calcium-channel antagonists; correction of electrolyte abnormalities; nil per os; decompressing the GI tract by nasogastric tube and/or rectal tube insertion.
Similar articles
- Comparison of decompression tubes with metallic stents for the management of right-sided malignant colonic obstruction.
Suzuki Y, Moritani K, Seo Y, Takahashi T. Suzuki Y, et al. World J Gastroenterol. 2019 Apr 28;25(16):1975-1985. doi: 10.3748/wjg.v25.i16.1975. World J Gastroenterol. 2019. PMID: 31086465 Free PMC article. - Endoscopic stent placement in the management of malignant colonic obstruction: Experiences from two centers.
Gürbulak B, Gürbulak EK, Akgün İE, Büyükaşık K, Bektaş H. Gürbulak B, et al. Ulus Cerrahi Derg. 2015 Jun 24;31(3):132-7. doi: 10.5152/UCD.2015.2828. eCollection 2015. Ulus Cerrahi Derg. 2015. PMID: 26504416 Free PMC article. - Endoscopic decompression for acute colonic pseudo-obstruction.
Geller A, Petersen BT, Gostout CJ. Geller A, et al. Gastrointest Endosc. 1996 Aug;44(2):144-50. doi: 10.1016/s0016-5107(96)70131-1. Gastrointest Endosc. 1996. PMID: 8858319 - Acute Colonic Pseudo-obstruction and Volvulus: Pathophysiology, Evaluation, and Treatment.
Underhill J, Munding E, Hayden D. Underhill J, et al. Clin Colon Rectal Surg. 2021 Jul;34(4):242-250. doi: 10.1055/s-0041-1727195. Epub 2021 Jul 20. Clin Colon Rectal Surg. 2021. PMID: 34305473 Free PMC article. Review. - True and false large bowel obstruction.
Farmer KC, Phillips RK. Farmer KC, et al. Baillieres Clin Gastroenterol. 1991 Sep;5(3 Pt 1):563-85. doi: 10.1016/0950-3528(91)90043-z. Baillieres Clin Gastroenterol. 1991. PMID: 1932830 Review.
Cited by
- Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus.
Hattori S, Aramaki O, Watanabe Y, Kamo T, Furihata T, Ushiku T, Kaneshiro R, Kasakura Y, Murayama I, Yamashita H, Okamura Y. Hattori S, et al. J Anus Rectum Colon. 2024 Oct 25;8(4):305-315. doi: 10.23922/jarc.2024-027. eCollection 2024. J Anus Rectum Colon. 2024. PMID: 39473707 Free PMC article. - Colonic Transendoscopic Enteral Tubing Is a New Pathway to Microbial Therapy, Colonic Drainage, and Host-Microbiota Interaction Research.
Wang W, Lu G, Wu X, Wen Q, Zhang F. Wang W, et al. J Clin Med. 2023 Jan 18;12(3):780. doi: 10.3390/jcm12030780. J Clin Med. 2023. PMID: 36769429 Free PMC article. Review. - Advances in gastrointestinal surgical endoscopy.
Rudiman R. Rudiman R. Ann Med Surg (Lond). 2021 Nov 17;72:103041. doi: 10.1016/j.amsu.2021.103041. eCollection 2021 Dec. Ann Med Surg (Lond). 2021. PMID: 34888040 Free PMC article. Review.
References
- Pereira P, Djeudji F, Leduc P, Fanget F, Barth X. Ogilvie's syndrome-acute colonic pseudo-obstruction. J Visc Surg. 2015 Apr;152((2)):99–105. - PubMed
- Mathias C, Bannister R. Autonomic failure: a textbook of clinical disorders of the autonomic nervous system. 5th ed. Oxford University Press; 2013.
- Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie's syndrome). An analysis of 400 cases. Dis Colon Rectum. 1986 Mar;29((3)):203–10. - PubMed
- Ross SW, Oommen B, Wormer BA, Walters AL, Augenstein VA, Heniford BT, et al. Acute Colonic Pseudo-obstruction: Defining the Epidemiology, Treatment, and Adverse Outcomes of Ogilvie's Syndrome. Am Surg. 2016 Feb;82((2)):102–11. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources