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结肠镜检查与急性结肠假性梗阻

Colonoscopy and acute colonic pseudo-obstruction.

作者信息

Rex D K

机构信息

Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University Hospital and Outpatient Center, Indianapolis, Indiana 46202-5000, USA.

出版信息

Gastrointest Endosc Clin N Am. 1997 Jul;7(3):499-508.

PMID:9177149
Abstract

There is no well-defined standard of care for the use of colonoscopy in the treatment of acute colonic pseudo-obstruction (ACPO). Colonoscopy can be helpful for ACPO, but it can be accompanied by complications, is not completely effective, and can be followed by recurrence. These possibilities must be weighed against the overall risk of spontaneous perforation, which is low but real. The use of colonoscopy therefore should be selective, and it should be performed by experts and accompanied generally by tube placement.

摘要

在急性结肠假性梗阻(ACPO)的治疗中,结肠镜检查的使用尚无明确的护理标准。结肠镜检查对ACPO可能有帮助,但可能伴有并发症,并非完全有效,且之后可能复发。这些可能性必须与自发性穿孔的总体风险相权衡,自发性穿孔风险虽低但确实存在。因此,结肠镜检查的使用应具有选择性,应由专家进行操作,并且通常应在放置肛管的情况下进行。

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