Successful Resolution of Fecal Impaction During Endoscopy Using a Looped Guidewire
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- Okada Tomoyuki
- Tottori Prefectural Central Hospital, Tottori 680-0901, Japan and
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- Yanagitani Atsushi
- Tottori Prefectural Central Hospital, Tottori 680-0901, Japan and
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- Hashimoto Takeshi
- Tottori Prefectural Central Hospital, Tottori 680-0901, Japan and
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- Isomoto Hajime
- Division of Medicine and Clinical Science, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan
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説明
<p>Fecal impaction is the impaired excretion of a large fecal mass, and mild cases are treated by enema and osmotic laxatives. However, treatment-resistant cases need more invasive alternatives. A woman in her 60s presented with abdominal discomfort. Her abdomen was soft and without tenderness. Computed tomography revealed a large mass of feces in her sigmoid colon and no intestinal dilatation proximal to the mass. Endoscopy confirmed a fecal mass occupying the lumen. A glycerin enema, oral administration of polyethylene glycol, and enteral administration of amidotrizoic acid during colonoscopy were ineffective. We maneuvered a guidewire to form a loop at the tip of an endoscope, with which we subdivided the mass for successful removal. The patient’s abdominal discomfort disappeared immediately. Endoscopic disimpaction is far less invasive than surgery and should be considered when treating fecal impaction cases, without severe obstructive colitis, which are nonresponsive to conservative treatment.</p>
収録刊行物
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- Yonago Acta Medica
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Yonago Acta Medica 64 (1), 129-132, 2021
ヨナゴ・アクタ・メディカ刊行会
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詳細情報 詳細情報について
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- CRID
- 1390850092191967744
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- NII論文ID
- 130007989782
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- NII書誌ID
- AA00892882
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- ISSN
- 13468049
- 05135710
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- 本文言語コード
- en
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- 資料種別
- journal article
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- データソース種別
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- JaLC
- IRDB
- Crossref
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可