Endoscopic decompression of acute colonic obstruction. Avoiding staged surgery

S. Lelcuk, J. Ratan, J. M. Klausner, Y. Skornick, A. Merhav, R. R. Rozin

Research output: Contribution to journalArticlepeer-review


Colostomy is the traditional treatment for acute obstruction of the sigmoid colon. This entails two or three surgical procedures in a high-risk group of patients. Presented is a nonsurgical approach used in three patients with acute colonic obstruction. Decompression of the bowel was achieved with a tube introduced proximal to the obstruction with the aid of a flexible sigmoidoscope. In a fourth patient, in whom the obstruction was next to the splenic flecture, the procedure failed. In all instances where decompression was successful, a one-stage procedure - primary resection and anastomosis - was performed.

Original languageEnglish
Pages (from-to)292-294
Number of pages3
JournalAnnals of Surgery
Issue number3
StatePublished - 1986


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