Kokoszka J, Nelson R, Falconio M, Abcarian H
Department of Surgery, University of Illinois College of Medicine at Chicago 60612.
Dis Colon Rectum. 1994 Feb;37(2):161-4. doi: 10.1007/BF02047540.
A new method of treating fecal impaction is described, selecting patients that would otherwise have required operative disimpaction.
Using the pulsed irrigation enhanced evacuation device, individuals were selected for treatment based on evidence of massive fecal impaction on physical examination or abdominal x-ray.
Fourteen individuals were treated for fecal impaction. The patients ranged in age from 13 to 86 years. Only one patient required intravenous sedation, an elderly patient with Alzheimer's disease. The treatment was successful in each case, although repeated treatment was often necessary. No morbidity arose from the treatment. By the midpoint in our study, because of the success of this treatment, no patient required hospitalization for impaction.
Pulsed irrigation enhanced evacuation has been in our experience a simple, quick, and effective treatment for severe fecal impaction.
描述一种治疗粪便嵌塞的新方法，选择那些原本需要手术解除嵌塞的患者。
使用脉冲冲洗强化排便装置，根据体格检查或腹部X光显示的大量粪便嵌塞证据来选择个体进行治疗。
14名患者接受了粪便嵌塞治疗。患者年龄在13至86岁之间。只有一名患者需要静脉镇静，是一名患有阿尔茨海默病的老年患者。尽管通常需要重复治疗，但每次治疗均成功。治疗未引发任何并发症。在我们研究的中期，由于这种治疗方法的成功，没有患者因嵌塞而需要住院治疗。
根据我们的经验，脉冲冲洗强化排便对于严重粪便嵌塞是一种简单、快速且有效的治疗方法。
