Transrectal endoscopic ileal decompression as treatment of small intestine pseudoobstruction. Report of a case
Farca, A.; Rodríguez, G.; Medina, S.; Noble, A.; Presenda, F.
Revista de Gastroenterologia de Mexico 61(3): 239-242
1996
ISSN/ISBN: 0375-0906 PMID: 9102747 Document Number: 459161
Intestinal pseudo-obstruction is a syndrome characterized by recurrent signs and symptoms of intestinal pseudo-obstruction or dilation without any evidence of mechanical pseudo-obstruction. Its cause is unknown, and it is associated with severe alterations of gastrointestinal motility. To report the transendoscopic treatment in a case of intestinal pseudo-obstruction as an alternative to a poor response to medical treatment. The diagnosis of intestinal pseudo-obstruction was made in a 34-year old male patient who had not responded to conservative treatment; therefore, a colonoscopy was performed and an ileal drainage was introduced with its distal end 50 cm beyond the ileocecal valve. Twenty-four hours after the procedure was performed clinical and radiological improvement was evident. Such improvement was completed at 72 hours when the patient tolerated oral ingestion. Transrectal ileal drainage could be an alternative to consider in those patients that do not respond to conservative treatment.