Acute left colonic obstruction: a new nonsurgical treatment.
Acute obstruction of the left side of the colon is traditionally treated by colostomy, which entails two or three surgical procedures usually in a high-risk group of patients. We present a new nonsurgical approach by which decompression of the bowel is achieved with a tube introduced proximal to the obstruction with the aid of a flexible sigmoidoscope. This procedure was successful in six of nine patients with left-sided large-bowel obstruction, thus avoiding staged surgery and allowing one definitive operation. No complications were encountered.
Department of Gastroenterology, Tel Aviv Medical Center Israel.
J
J
Rattan
J M
JM
Klausner
P
P
Rozen
A
A
Merhav
T
T
Gilat
R R
RR
Rozin
S
S
Lelcuk
D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007440:Intubation; D008297:Male; D008875:Middle Aged; D012812:Sigmoidoscopy