| Percutaneous colostomy for treatment of mechanical bowel obstruction: factors affecting feasibility. | |
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MedLine Citation:
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PMID: 8855537 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess the feasibility of large-bore tube colostomy in the presence of bowel obstruction in a pig model. MATERIALS AND METHODS: Porcine spiral colon was isolated, obstructed, pressurized to 18 mm Hg, punctured with 24-F radial dilators or balloon-sheath combinations in randomized sequences, and assessed for leakage. In another experimental set, T tacks were used. The effects of various drainage configurations and systems (open vs closed) on drainage and leakage were assessed during continued gut perfusion. RESULTS: Pressurized colon leaked 0-19.8 mL during radial dilation, 0-210 mL during balloon-sheath dilation, and 7.4-29.8 mL/min at T-tack sites. Leakage increased with minor motion. Leak-free drainage during perfusion could be obtained only with open systems or with closed systems that were inserted at least 10 cm proximal to the obstruction. CONCLUSION: Percutaneous colostomy should only be attempted in very select cases with extreme attention to detail. |
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Authors:
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L Carson; E V Lang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 7 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 1996 Jul-Aug |
Date Detail:
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Created Date: 1996-12-24 Completed Date: 1996-12-24 Revised Date: 2003-11-14 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 561-7 Citation Subset: IM |
Affiliation:
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Department of Radiology 3890 JPP, University of Iowa College of Medicine, Iowa City 52242, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Balloon Dilatation / adverse effects, instrumentation Colonic Diseases / therapy* Colostomy / adverse effects, instrumentation, methods* Dilatation / adverse effects, instrumentation Disease Models, Animal Equipment Design Feasibility Studies Female Intestinal Obstruction / therapy* Male Movement Pressure Punctures / adverse effects Random Allocation Rheology Risk Factors Swine |
| Comments/Corrections | |
Comment In:
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J Vasc Interv Radiol. 1997 May-Jun;8(3):480
[PMID:
9152926
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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