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Transcolonoscopic Extraperitoneal Cecostomy

1988; Thieme Medical Publishers (Germany); Volume: 20; Issue: 06 Linguagem: Inglês

10.1055/s-2007-1018203

1438-8812

Arnaldo José Ganc, ALBERTO JORGE DE FARIA NETTO, Alexander Charles Morrell, Hélio Plapler, José Celso Ardengh,

Intestinal Malrotation and Obstruction Disorders

The authors propose a new technique of decompression of the colon consisting in percutaneous cecostomy with previous extraperitonization of the cecum under colonoscopic orientation. The technique permits decompression of the entire colon through the insertion of a ceco-anal multiperforated Levine tube on withdrawing the colonoscope. It is a new therapeutic choice for the treatment of the Ogilvie syndrome, toxic megacolon and other morbid entities, which may permit the performance of the procedure and require decompression of the colon, which proved to be extremely effective in the treatment of a patient with the Ogilvie syndrome.