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[结肠假性梗阻(奥吉尔维综合征)的直肠导管减压术。病例报告及文献复习]

[Rectal catheter decompression in colonic pseudoobstruction (Ogilvie syndrome). Report of a case and review of the literature].

作者信息

Pliego Pérez A R, Cárdenas Salinas L J, Rodríguez Ballesteros R

机构信息

Servicio de Ginecoobstetricia, Hospital Central Militar, México, D.F.

出版信息

Ginecol Obstet Mex. 2000 Jan;68:39-41.

Abstract

The Ogilvie's Syndrome is a major surgical complication. It is defined as a severe dilatation of the colon, the cecum, ascendant and transverse, without the presence air at the distal colon following abdominal surgery. The causes are unknown. We described a clinical case of patient delivered by C-S who developed this syndrome and a review of the literature. We emphasized on the importance of the early diagnosis by the use of the traditional abdomen X-Rays and we described a relatively new approach for this patients through the decompression by colonoscopy using a Levin's catheter successfully. This is an alternative minimum-invasive treatment which could be of a great benefit for the patients with this disease.

摘要

奥吉尔维综合征是一种主要的手术并发症。它被定义为结肠、盲肠、升结肠和横结肠严重扩张,腹部手术后远端结肠无气体存在。病因不明。我们描述了一例剖宫产分娩的患者发生该综合征的临床病例并进行了文献复习。我们强调了通过传统腹部X线进行早期诊断的重要性,并描述了一种通过使用莱文氏导管经结肠镜减压治疗此类患者的相对较新的方法。这是一种替代性的微创治疗方法,可能对患有这种疾病的患者大有裨益。

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