ATL>Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie’s syndrome

Chevallier, Patrick; Marcy, Pierre-Yves; Francois, Eric; Peten, Emmanuel P.; Motamedi, Jean-Paul; Padovani, Bernard; Bruneton, Jean-Noël
February 2002
American Journal of Gastroenterology;Feb2002, Vol. 97 Issue 2, p471
Academic Journal
Acute colonic pseudo-obstruction, the so-called Ogilvie’s syndrome, results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is sufficient. In rare cases of relapses or failures, a cecostomy has to be performed. A surgical cecostomy is associated with high morbidity and mortality. However, a percutaneous cecostomy could be an interesting alternative treatment. We report the case of a 67-yr-old male with colonic pseudo-obstruction for which both the conservative and the endoscopic treatments were unsuccessful. A percutaneous cecostomy was performed, and for the first time in this indication, a transperitoneal access was used with the help of nylon T-fasteners.


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