title: Repetitive Colonoscopic Decompression as a Bridge Therapy before Surgery in a Pregnant Patient with Chronic Intestinal Pseudo-Obstruction.
abstract: Chronic intestinal pseudo-obstruction is a rare clinical syndrome which is characterized by intestinal obstruction without occluding lesions in the intestinal lumen and pregnancy is one of the important aggravating factors. Here, we report a case of a woman with intractable intestinal pseudo-obstruction that was precipitated by pregnancy. She could not make any stool passage for more than 4 weeks until a fetal gestational age of 17 weeks was reached. However, the patient could be maintained by repetitive colonoscopic decompressions and finally total colectomy could be performed successfully at a fetal gestational age of 21 weeks.
authors.affiliation: Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Joon Sung
authors.initials: JS
authors.lastname: Kim
authors.forename: Bo-In
authors.initials: BI
authors.lastname: Lee
authors.forename: Byung-Wook
authors.initials: BW
authors.lastname: Kim
authors.forename: Hwang
authors.initials: H
authors.lastname: Choi
authors.forename: Yun-Seok
authors.initials: YS
authors.lastname: Lee
authors.forename: Leeso
authors.initials: L
authors.lastname: Maeng
keywords: Chronic intestinal pseudo-obstruction; Colonoscopic decompression; Interstitial cells of Cajal; Pregnancy