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Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)

INTRODUCTION: Percutaneous endoscopic cecostomy (PEC) is a viable treatment option for patients with persistent or recurrent acute colonic pseudo-obstruction (ACPO; Ogilvie’s syndrome). It should be generally considered in patients that are refractory to pharmacologic and endoscopic decompression, e...

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Autores principales: Vanek, Petr, Urban, Ondrej, Falt, Premysl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519870/
https://www.ncbi.nlm.nih.gov/pubmed/37500922
http://dx.doi.org/10.1007/s00464-023-10281-w
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author Vanek, Petr
Urban, Ondrej
Falt, Premysl
author_facet Vanek, Petr
Urban, Ondrej
Falt, Premysl
author_sort Vanek, Petr
collection PubMed
description INTRODUCTION: Percutaneous endoscopic cecostomy (PEC) is a viable treatment option for patients with persistent or recurrent acute colonic pseudo-obstruction (ACPO; Ogilvie’s syndrome). It should be generally considered in patients that are refractory to pharmacologic and endoscopic decompression, especially those not amenable to surgical intervention due to an increased perioperative risk. Physicians are rather unfamiliar with this approach given the limited number of reports in the literature and paucity of guideline resources, although guidelines concerning ACPO and covering the role of endoscopy were recently published by three major expert societies, all within the last 2 years. PATIENTS AND METHODS: We retrospectively identified three consecutive patients who underwent PEC placement at a Czech tertiary referral center between May 2018 and December 2021: all for recurrent ACPO. In addition, we summarized the current guidelines in order to present the latest knowledge related both to the procedure and management approach in patients with ACPO. RESULTS: The placement of PEC was successful and resulted in clinical improvement in all cases without any adverse events. CONCLUSION: The results of our experience are in line with previous reports and suggest that PEC may become a very useful tool in the armamentarium of modalities utilized to treat ACPO. Furthermore, the availability of guideline resources now offers comprehensive guidance for informed decision-making and the procedural aspects. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00464-023-10281-w.
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spelling pubmed-105198702023-09-27 Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video) Vanek, Petr Urban, Ondrej Falt, Premysl Surg Endosc Dynamic Manuscript INTRODUCTION: Percutaneous endoscopic cecostomy (PEC) is a viable treatment option for patients with persistent or recurrent acute colonic pseudo-obstruction (ACPO; Ogilvie’s syndrome). It should be generally considered in patients that are refractory to pharmacologic and endoscopic decompression, especially those not amenable to surgical intervention due to an increased perioperative risk. Physicians are rather unfamiliar with this approach given the limited number of reports in the literature and paucity of guideline resources, although guidelines concerning ACPO and covering the role of endoscopy were recently published by three major expert societies, all within the last 2 years. PATIENTS AND METHODS: We retrospectively identified three consecutive patients who underwent PEC placement at a Czech tertiary referral center between May 2018 and December 2021: all for recurrent ACPO. In addition, we summarized the current guidelines in order to present the latest knowledge related both to the procedure and management approach in patients with ACPO. RESULTS: The placement of PEC was successful and resulted in clinical improvement in all cases without any adverse events. CONCLUSION: The results of our experience are in line with previous reports and suggest that PEC may become a very useful tool in the armamentarium of modalities utilized to treat ACPO. Furthermore, the availability of guideline resources now offers comprehensive guidance for informed decision-making and the procedural aspects. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00464-023-10281-w. Springer US 2023-07-27 2023 /pmc/articles/PMC10519870/ /pubmed/37500922 http://dx.doi.org/10.1007/s00464-023-10281-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Dynamic Manuscript
Vanek, Petr
Urban, Ondrej
Falt, Premysl
Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title_full Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title_fullStr Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title_full_unstemmed Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title_short Percutaneous endoscopic cecostomy for management of Ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
title_sort percutaneous endoscopic cecostomy for management of ogilvie’s syndrome: a case series and literature review with an update on current guidelines (with video)
topic Dynamic Manuscript
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519870/
https://www.ncbi.nlm.nih.gov/pubmed/37500922
http://dx.doi.org/10.1007/s00464-023-10281-w
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