Endoscopic Decompression in Colonic Distension

Belle, Sebastian

doi:10.1159/000514799

Cited by 4 publications

(6 citation statements)

References 43 publications

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“…Acute colonic, such as acute colonic pseudo-obstruction (ACPO), colonic volvulus, and malignant obstruction, is a medical emergency with high morbidity and mortality. Colonic decompression is one of the established treatment strategies [ 55 ]. The first colonic decompression in 1977 by Kukora et al with successful colonoscopic decompression in six patients for ACPO [ [56] , [57] , [58] ].…”

Section: Types Of Endoscopymentioning

confidence: 99%

“…The result was quite promising, with zero complications [ 59 ]. Mainly, the goals of colonic decompression are to reduce the colon diameter, reduce wall tension, allow the blood to circulate, and restart peristaltic movement [ 55 ].…”

Section: Types Of Endoscopymentioning

confidence: 99%

“…The advancing methods of colonic decompression expand the choices included radiologic placement of decompression tubes under fluoroscopy guidance and colonoscopic decompression with or without placement of a decompression tube. These techniques are recommended by the European Society of Gastrointestinal Endoscopy (ESGE) if the cecal diameter is more significant than 12 cm [ 55 , 60 ]. For performing colonic decompression, an endoscope is inserted through the site of obstruction.…”

Section: Types Of Endoscopymentioning

confidence: 99%

“…A retrospective cohort study of 53 patients reported a clinical success rate of up to 92.5% and an additional decompression tube at an 86% success rate. The complication rate was 3.8% with one perforation [ 55 ]. Bode et al described a series of 22 patients of ACPO who underwent colonic decompression.…”

Section: Types Of Endoscopymentioning

confidence: 99%

“…12 ) using the ileus tube was successfully performed in 45 of 46 patients (97.8%), with no leakage or stenosis occurred postoperatively [ 64 ]. All these studies stated above concluded the colonic decompression with or without decompression tube have proved to be safe, effective, and highly successful for treating colonic distention [ 55 , 58 , [62] , [63] , [64] ].

Fig.…”

Section: Types Of Endoscopymentioning

confidence: 99%

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Advances in gastrointestinal surgical endoscopy

Rudiman

2021

Annals of Medicine and Surgery

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Surgeons have a role in observing, detect abnormalities, disease, and other deficiencies in function which could be treated. Diagnosing and treating back days were challenging for many reasons. However, technology's innovation enhances surgeons' ability to treat their patients. The term endoscopy refers to the Greek prefix endo- (“within”) and the verb skopein (“to view or observe”). Endoscopy is practical both in the diagnosis and treatment of various pathologies. Technological advances, especially in endoscopy, gradually progress and discover many possibilities which allow rapid advancement. Endoscopy development aims to assess human orifice that has not been inspected, probed, and examined over the centuries. Endoscopy over these decades is improving, which led to new problem solving using advanced technological approaches. Thus, a surgeon can solve any issues from examination, diagnosis, and treatment using progressive endoscopy evolution. This review delivers a brief history of advances in surgical endoscopy and describes current endoscopy development.

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Section: Types Of Endoscopymentioning

confidence: 99%

Section: Types Of Endoscopymentioning

confidence: 99%

Section: Types Of Endoscopymentioning

confidence: 99%

Section: Types Of Endoscopymentioning

confidence: 99%

Fig.…”

Section: Types Of Endoscopymentioning

confidence: 99%

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Advances in gastrointestinal surgical endoscopy

Rudiman

2021

Annals of Medicine and Surgery

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Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus

Hattori,

Aramaki,

Watanabe

et al. 2024

J Anus Rectum Colon

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Objectives: This study was performed to investigate the efficacy of nonoperative treatment of uncomplicated sigmoid volvulus (SV) using a transanal decompression tube (TDT). Methods: This was a single-center retrospective study in patients with SV treated between 2008 and 2021. For uncomplicated patients, nonoperative decompression of any of four types was performed: decompression with a colonoscope (CS), TDT without CS, TDT with CS (tip in the sigmoid colon), and TDT with CS (tip in the descending colon). Results: A total of 72 patients with 109 admissions were enrolled in the study. Of these, 69 patients with uncomplicated SV were initially managed nonoperatively, whereas no procedures were performed in three patients due to presentation with septic shock on arrival. Of the 69 patients, 11 underwent surgery and two refused surgical management. Three patients showed improved CS without TDT. Among 53 patients who improved nonoperatively with TDT, 14 (26.4%) experienced recurrence with a median (range) time to recurrence of 603 (43-2714) days. No early recurrence was observed. Of a total of 106 cases with decompression, 97 (91.5%) were performed with TDT and all were completed without complications. The median (range) duration of decompression using TDT in these 81 cases without surgery was 5 (2-11) days. In the Cox proportional hazards regression model, only previous history of SV was associated with recurrence (hazard ratio 3.60; 95% confidence interval 1.24-10.46, p = 0.02). Conclusions: Decompression using TDT is safe, effective, and may reduce the rate of recurrence in patients with uncomplicated SV.

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Colonic Transendoscopic Enteral Tubing Is a New Pathway to Microbial Therapy, Colonic Drainage, and Host–Microbiota Interaction Research

Wang

et al. 2023

JCM

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The limitation of traditional delivery methods for fecal microbiota transplantation (FMT) gave birth to colonic transendoscopic enteral tubing (TET) to address the requirement of frequent FMTs. Colonic TET as a novel endoscopic intervention has received increasing attention in practice since 2015 in China. Emerging studies from multiple centers indicate that colonic TET is a promising, safe, and practical delivery method for microbial therapy and administering medication with high patient satisfaction. Intriguingly, colonic TET has been used to rescue endoscopy-related perforations by draining colonic air and fluid through the TET tube. Recent research based on collecting ileocecal samples through a TET tube has contributed to demonstrating community dynamics in the intestine, and it is expected to be a novel delivery of proof-of-concept in host–microbiota interactions and pharmacological research. The present article aims to review the concept and techniques of TET and to explore microbial therapy, colonic drainage, and microbial research based on colonic TET.

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Endoscopic Decompression in Colonic Distension

Cited by 4 publications

References 43 publications

Advances in gastrointestinal surgical endoscopy

Advances in gastrointestinal surgical endoscopy

Transanal Decompression Tube Placement for Treatment of Sigmoid Volvulus

Colonic Transendoscopic Enteral Tubing Is a New Pathway to Microbial Therapy, Colonic Drainage, and Host–Microbiota Interaction Research

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