Harig J M, Fumo D E, Loo F D, Parker H J, Soergel K H, Helm J F, Hogan W J
Gastroenterology Section, Medical College of Wisconsin, St. Joseph's Hospital, Milwaukee.
Gastrointest Endosc. 1988 Jan-Feb;34(1):23-7. doi: 10.1016/s0016-5107(88)71224-9.
The study compares the efficacy of colonoscopic decompression versus decompression and tube placement in the treatment of Ogilvie's syndrome. Nine patients were treated with a single colonoscopic decompression which resulted in four recurrences. In contrast, there were no recurrences observed in 11 patients who underwent decompression and subsequent tube placement (p less than 0.05). There was no morbidity observed from either decompression or tube placement. Tube placement added less than 10 min of additional procedure time to the colonoscopy. The tube utilized in this study was an enteroclysis tube with sideholes cut in the distal 20 cm. The tube was easily inserted over a Teflon-coated flexible guide wire inserted through the colonoscope into the cecum following decompression. This study demonstrates that colonoscopic decompression followed by tube placement is the preferred treatment modality for acute nontoxic megacolon.
该研究比较了结肠镜减压术与减压及置管术治疗奥吉尔维综合征的疗效。9例患者接受了单次结肠镜减压治疗，其中4例复发。相比之下，11例接受减压及后续置管术的患者未观察到复发（P<0.05）。减压或置管术均未观察到并发症。置管术使结肠镜检查的额外操作时间增加不到10分钟。本研究中使用的导管是一种在远端20厘米处开有侧孔的小肠灌肠管。减压后，该导管很容易通过插入结肠镜的涂有聚四氟乙烯的柔性导丝插入盲肠。本研究表明，结肠镜减压后置管术是急性非中毒性巨结肠的首选治疗方式。
