[Acute pseudo-obstruction of the colon--significance of colonoscopy for diagnosis and therapy].
Acute colonic pseudoobstruction (Ogilvie's syndrome) predominantly involves elderly patients with serious underlying diseases and is defined by massive colonic distention without mechanical obstruction. Therapy of choice included surgical cecostomy with a mortality rate of over 30 percent. Fiberoptic coloscopy provides a new effective treatment modality for colonic decompression. We discuss the cases of 8 patients with Ogilvie's syndrome, who were successfully treated by colonoscopic decompression. Special guidelines for successful and safe performance of the procedure are suggested.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003108:Colonic Diseases / Q000175:diagnosis / Q000628:therapy*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013396:Suction
Die akute Pseudoobstruktion des Kolons--Bedeutung der Koloskopie für Diagnose und Therapie.