[Acute colonic pseudoobstruction: physiopathology and treatment].
The acute colonic pseudo-obstruction is a rare condition. Pathophysiological knowledges, nowadays, are still discussed. Several associated pathological conditions (cardiological, neurological, metabolic) would mainly cause, with different mechanisms, a sympathetic-parasympathetic imbalance. In Authors' experience with 19 patients the sudden onset and the rapid evolution to a serious condition set the difference with a mechanical obstruction. The radiological control was essential to the therapeutic options. The endoscopic decompression was successful in 2 cases; the tube cecostomy was effective in 13; the right emycolectomy was necessary in 1 case with multiple diastasic cecal perforations. Mortality rate: 3 patients (15.70%).
Ferrarese
F
F
Dipartimento di Scienze Chirurgiche Generali e Specialistiche Cattedra di Fisiopatologia Chirurgica I, Università degli Studi di Bari.
De Carne
F
F
Cecere
V
V
Massa
S T
ST
Bonadies
E
E
D000208:Acute Disease; D003112:Colonic Pseudo-Obstruction / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans
La pseudo-occlusione acuta del colon: fisiopatologia e trattamento.