title: Transgastric long tube placement following percutaneous endoscopic gastrostomy for severe chronic intestinal pseudo-obstruction related to systemic sclerosis.
abstract: Medical management of systemic sclerosis (SSc)-associated chronic intestinal pseudo- obstruction (CIPO) has often proved inadequate. Percutaneous endoscopic colostomy (PEC) has been proposed as a method of treatment, but it is associated with a relatively high incidence of serious complications. We report herein a very severe case of SSc-associated CIPO in which complications were successfully controlled by long tube placement via a gastrostomy. Transgastric long tube placement may offer a relatively safe alternative to PEC in treating severe SSc-associated CIPO.
authors.affiliation: a Department of Rheumatic Diseases , Tokyo Metropolitan Tama Medical Center , Tokyo , Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nunokawa
authors.affiliation: a Department of Rheumatic Diseases , Tokyo Metropolitan Tama Medical Center , Tokyo , Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Yokogawa
authors.affiliation: b Department of Surgery , Tokyo Metropolitan Tama Medical Center , Tokyo , Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Ohtsuka
authors.affiliation: a Department of Rheumatic Diseases , Tokyo Metropolitan Tama Medical Center , Tokyo , Japan.
authors.forename: Kota
authors.initials: K
authors.lastname: Shimada
authors.affiliation: a Department of Rheumatic Diseases , Tokyo Metropolitan Tama Medical Center , Tokyo , Japan.
authors.forename: Shoji
authors.initials: S
authors.lastname: Sugii
mesh_terms: D005260:Female; D005774:Gastrostomy; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome
keywords: Bacterial translocation; Chronic intestinal pseudo-obstruction; Long tube; Percutaneous endoscopic gastrostomy; Systemic sclerosis