Rectoscopic decompression of acute recto-sigmoid obstruction.
Effective non-operative decompression of a low obstruction of the colon can sometimes be accomplished by inserting a tube into the rectum and threading the tip up to a point proximal to the obstruction (1). Failure of this non-surgical decompression would require emergency surgery--either a diverting colostomy or a two-stage resection. A new non-surgical treatment performed on a patient with an obstructive tumor of the recto-sigmoid is described. Decompression of the obstructed bowel was achieved with a rectal tube introduced over a flexible guide wire proximal to the obstruction with the aid of a rectoscope, following which a one-stage procedure--an anterior resection was performed in one patient, while the other was referred for oncological treatment.
Lelcuk
S
S
Department of Surgery, Hadassah (Rokach) Hospital, Israel.
Merhav
A
A
Klausner
J M
JM
Gutman
M
M
Greif
F
F
Rozin
R
R
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D006801:Humans; D008722:Methods; D012002:Rectal Diseases / Q000601:surgery*; D012810:Sigmoid Diseases / Q000601:surgery*