Percutaneous endoscopic colostomy in patients with chronic intestinal pseudo-obstruction.
BACKGROUND
Percutaneous endoscopic colostomy was used successfully to treat 3 patients with chronic intestinal pseudo-obstruction whose symptoms were not controlled by conservative measures.


METHODS
Percutaneous endoscopic colostomy tubes were placed to allow intermittent decompression of the colon in response to the occurrence of symptoms. The technique and the equipment are the same as for PEG and are described herein.


METHODS
Symptom improvement was observed in 3 patients, and, to date, surgery has been avoided for all.


CONCLUSIONS
Percutaneous endoscopic colostomy is a safe and effective management option for selected patients with chronic intestinal pseudo-obstruction.
Thompson
Andrew R A
AR
Department of Surgery, Royal West Sussex NHS Trust, St. Richards's Hospital, Chichester, West Sussex, United Kingdom.
Pearson
Tom
T
Ellul
Joseph
J
Simson
Jay N L
JN
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003112:Colonic Pseudo-Obstruction / Q000601:surgery*; D003125:Colostomy / Q000295:instrumentation / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome