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Treatment of recurrent colonic pseudo-obstruction by endoscopic placement of a fenestrated overtube. Report of a case.

Abstract
The case of a 73-year-old man who developed acute colonic pseudo-obstruction (Ogilvie's syndrome) following chemotherapy for lymphoma is reported. Cecal dilatation resolved after a single colonoscopic decompression. Following his next course of chemotherapy, colonic dilatation again developed. The recurrence was treated successfully by introducing a fenestrated colonoscopic overtube transanally for continuous decompression. The literature concerning acute, colonic pseudo-obstruction is reviewed. The colonoscopic overtube is a convenient and effective treatment for recurrent colonic distention.
AuthorsG Burke, P C Shellito
JournalDiseases of the colon and rectum (Dis Colon Rectum) Vol. 30 Issue 8 Pg. 615-9 (Aug 1987) ISSN: 0012-3706 [Print] United States
PMID3304883 (Publication Type: Case Reports, Journal Article)
Topics
  • Acute Disease
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
  • Catheters, Indwelling
  • Colonic Pseudo-Obstruction (therapy)
  • Colonoscopy
  • Humans
  • Intestinal Pseudo-Obstruction (therapy)
  • Lymphoma, Large B-Cell, Diffuse (drug therapy)
  • Male
  • Recurrence

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