Bode W E, Beart R W, Spencer R J, Culp C E, Wolff B G, Taylor B M
Am J Surg. 1984 Feb;147(2):243-5. doi: 10.1016/0002-9610(84)90098-9.
This report has described a series of 22 patients who underwent colonoscopic decompression for acute pseudoobstruction of the colon and summarizes those cases previously reported in the literature. Twenty of the 22 patients (91 percent) were successfully treated by decompression initially. Fifteen patients (68 percent) were cured with the initial procedure, and 4 patients (18 percent) experienced recurrence. Overall, in 17 patients (77 percent), the pseudoobstruction resolved completely with colonoscopic decompression. Three patients (14 percent) underwent operation because of cecal dilatation refractory to colonoscopic decompression, and in one patient (4.5 percent), the colonic dilatation resolved spontaneously after a failed colonoscopy. Complications resulted in the death of one patient (4.5 percent). Our data are similar to those in the literature and indicate that colonoscopic decompression is a safe and efficacious first line of treatment for acute pseudoobstruction of the colon.
本报告描述了22例接受结肠镜减压治疗急性结肠假性梗阻的患者，并总结了文献中先前报道的病例。22例患者中有20例（91%）最初通过减压成功治疗。15例患者（68%）通过初次手术治愈，4例患者（18%）复发。总体而言，17例患者（77%）的假性梗阻通过结肠镜减压完全缓解。3例患者（14%）因结肠镜减压难治性盲肠扩张而接受手术，1例患者（4.5%）在结肠镜检查失败后结肠扩张自发缓解。并发症导致1例患者死亡（4.5%）。我们的数据与文献中的数据相似，表明结肠镜减压是治疗急性结肠假性梗阻的一种安全有效的一线治疗方法。
