What is a colonoscopy decompression?
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.
Why do you decompress the bowel?
Long-tube decompression can aspirate the intestinal contents, decrease edema of the bowel wall[25], enhance bowel motility, and prevent bacterial translocation[26].
Which tubes are used for intestinal decompression?
For decompression, the standard tube used is a double-lumen nasogastric tube. There is a double-one large lumen for suction and one smaller lumen to act as a sump. A sump allows air to enter so that the suction lumen does not become adherent to the gastric wall or become obstructed when the stomach is fully collapsed.
What causes Megacolon?
One of the most common causes of megacolon is infection. This includes bacterial infections such as Clostridium difficile, Salmonella, Shigella, and Campylobacter, as well as parasitic infections such as Trypanosoma cruzi (commonly known as Chagas disease) and Entamoeba histolytica.
What is endoscopic decompression of sigmoid volvulus?
Endoscopic reduction of the volvulus and redundant sigmoid colon is achieved by repeated attempts to further shorten the sigmoid and descending colon loops. After endoscopic reduction, either a colon decompression tube or a long rectal tube should be placed for venting and drainage.
How does an NG tube decompress the bowel?
The tube removes fluids and gas and helps relieve pain and pressure. You will not be given anything to eat or drink. Most bowel obstructions are partial blockages that get better on their own. The NG tube may help the bowel become unblocked when fluids and gas are removed.
Is pre-hospital pleural decompression necessary after blunt trauma?
Pre-hospital pleural decompression and chest tube placement after blunt trauma: A systematic review Pre-hospital insertion of chest tubes or decompression of air within the pleural space is one of the controversial topics in emergency medical care of trauma patients.
Is pre-hospital chest tube insertion necessary for pneumothorax?
Pre-hospital insertion of chest tubes or decompression of air within the pleural space is one of the controversial topics in emergency medical care of trauma patients. While a wide variety of opinions exist medical personnel on the scene require guidance in situations when tension pneumothorax or pr …
Can a gastrostomy tube be placed percutaneously?
Percutaneous gastrostomy tube placement is even technically possible in patients with tumor encasing the stomach, diffuse carcinomatosis, and ascites. Percutaneous endoscopic gastrostomy (PEG) tubes provide symptomatic relief of nausea and vomiting in most patients with advanced gynecologic cancer and SBO.
Should we use a sigmoid stiffener during colonic decompression?
The use of a sigmoid stiffener during colonic decompression allows more proximal colonoscopy and decompression tube placement, with possible clinical benefit. We do not use this technique in the setting of left colon ischemia. Sigmoid stiffener for decompression tube placement in colonic pseudo-obstruction Endoscopy.