Gosche J R, Sharpe J N, Larson G M
Department of Surgery, University of Louisville School of Medicine, Kentucky 40292.
Am Surg. 1989 Feb;55(2):111-5.
The purpose of this report was to review the authors' experience with colonoscopy as a method of treating patients with acute colonic distention. For the period 1981-1987, 19 patients at two teaching hospitals met the selection criteria for this study. In terms of measurable decompression of a colon distention, colonoscopy was successful in 89 per cent of patients, although 41 per cent required repeat endoscopic decompression during their hospital stay. The procedure failed in two patients (11%) and operative decompression was necessary. The authors have found that colonoscopy is a useful procedure for determining the cause of progressive colon distention and for providing safe and effective treatment.
本报告的目的是回顾作者使用结肠镜检查治疗急性结肠扩张患者的经验。在1981年至1987年期间，两家教学医院的19名患者符合本研究的入选标准。就结肠扩张的可测量减压而言，结肠镜检查在89%的患者中取得成功，尽管41%的患者在住院期间需要重复内镜减压。该手术在两名患者（11%）中失败，需要进行手术减压。作者发现，结肠镜检查对于确定进行性结肠扩张的原因以及提供安全有效的治疗是一种有用的方法。
