The role of colonoscopy in the management of intestinal obstruction: a 20-year retrospective study

BMC Gastroenterology

Research Article

Athina Tatsioni¹  Mariana Maliouki²  Epameinondas V Tsianos²  Konstantinos H Katsanos²  Dimitrios K Christodoulou²  Michael Fatouros³  Eleftheria Ignatiadou³ 

[1] Department of Family Medicine, University Hospital of Ioannina, Greece;Department of Internal Medicine & Hepato-Gastroenterology Unit, University Hospital of Ioannina, Greece;Department of Surgery, University Hospital of Ioannina, Greece;

关键词: Intestinal Obstruction;    Bowel Obstruction;    Combine Management;    Endoscopic Management;    Toxic Megacolon;   

DOI  :  10.1186/1471-230X-10-130

 received in 2010-04-08, accepted in 2010-11-08,  发布年份 2010

来源: Springer

【 摘 要 】

PurposeThe aim of the study was to assess the use colonoscopy over time in the assessment of large bowel obstruction in a tertiary university hospital.MethodsRetrospective analysis of surgical and colonoscopy records for the years 1990-2009 in a university hospital. All patients diagnosed with non-conservatively managed bowel obstruction were included.ResultsWe recorded 644 patients diagnosed with non-conservatively managed bowel obstruction. Four hundred forty-one (67.3%) were managed only by surgery, 157 (23.6%) were managed by colonoscopy, and 46 (6.9%) by combined colonoscopy and surgery. Patients over 77 years were more likely to receive colonoscopy as monotherapy or combined with surgery as compared to younger patients. Management by colonoscopy only and by combined colonoscopy and surgery increased over time.ConclusionsColonoscopy in the management of non-conservatively treated bowel obstruction increased over time. However, therapeutic colonoscopy still has a limited role in bowel obstruction either as monotherapy or combined with surgery.

【 授权许可】

Unknown   
© Katsanos et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.