We have located links that may give you full text access.
Case Reports
English Abstract
Journal Article
[The percutaneous endoscopic gastrostomy catheter as a therapeutic possibility in recurrent anus praeter prolapse].
Deutsche Medizinische Wochenschrift 1999 September 18
HISTORY AND ADMISSION FINDINGS: A 67-year-old man with schizophrenia, well controlled by drugs, had undergone a left hemicolectomy with a terminal transverse colostomy and rectal stump closure (Hartmann's operation) for perforation of the sigmoid colon with diffuse peritonitis. 3 months later a large invagination of the transverse colon necessitated relaparotomy with further extensive resection of the colon and a new colostomy. Subsequent mild mucosal erosions were treated conservatively. He was referred to our hospital after another irreducible colon invagination through the colostomy. On admission there was an obvious, 15 cm long, prolapsing invagination of the colon with dark-blue swollen mucosa as a sign of venous obstruction.
TREATMENT AND COURSE: After complicated manual reduction of the prolapsed invagination the transverse colon was fixed under coloscopy in the region of the right flexure by percutaneous endoscopic gastrostomy (PEG). Subsequently the repositioned colon portion was fixed near the colostomy with three more PEGs. These were brought out percutaneously from the intestinal lumen entirely by palpation. The four PEG tubes were removed 4 weeks later and examination after a further 4 weeks showed a good result.
CONCLUSION: After endoscopic repositioning of a gastric volvulus, sigmoid volvulus or upside-down stomach, the affected organ can in certain circumstances be anatomically fixed by PEG. This minimally invasive method was successfully used by us for the first time in the repair of a prolapsed colostomy.
TREATMENT AND COURSE: After complicated manual reduction of the prolapsed invagination the transverse colon was fixed under coloscopy in the region of the right flexure by percutaneous endoscopic gastrostomy (PEG). Subsequently the repositioned colon portion was fixed near the colostomy with three more PEGs. These were brought out percutaneously from the intestinal lumen entirely by palpation. The four PEG tubes were removed 4 weeks later and examination after a further 4 weeks showed a good result.
CONCLUSION: After endoscopic repositioning of a gastric volvulus, sigmoid volvulus or upside-down stomach, the affected organ can in certain circumstances be anatomically fixed by PEG. This minimally invasive method was successfully used by us for the first time in the repair of a prolapsed colostomy.
Full text links
Related Resources
Trending Papers
Consensus Statement on Vitamin D Status Assessment and Supplementation: Whys, Whens, and Hows.Endocrine Reviews 2024 April 28
The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association.Circulation 2024 April 26
Intravenous infusion of dexmedetomidine during the surgery to prevent postoperative delirium and postoperative cognitive dysfunction undergoing non-cardiac surgery: a meta-analysis of randomized controlled trials.European Journal of Medical Research 2024 April 19
Interstitial Lung Disease: A Review.JAMA 2024 April 23
Ventilator Waveforms May Give Clues to Expiratory Muscle Activity.American Journal of Respiratory and Critical Care Medicine 2024 April 25
Acute Kidney Injury and Electrolyte Imbalances Caused by Dapagliflozin Short-Term Use.Pharmaceuticals 2024 March 27
Systemic lupus erythematosus.Lancet 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app