Background: Acute colonic distension is a medical emergency with high morbidity and mortality. Clinically important causes of colonic distension are acute colonic pseudo-obstruction, colonic volvulus, and malignant obstruction. Endoscopic decompression is one established therapeutic strategy. Summary: This therapeutic review will give an overview of possible therapeutic strategies based on the recently published literature, focusing on endoscopic decompression and summarizing the other therapeutic possibilities. The review discusses separately the therapeutic options of acute colonic pseudo-obstruction, colonic volvulus, and malignant obstruction, providing an evidence-based orientation for clinical use. Key Messages: Endoscopic decompression of colonic distension is an established therapy with high clinical success. The technique and its position in the therapy sequence differ depending on the medical condition, the trigger of the colonic distension, and the local expertise.
Visc Med

中文翻译：

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结肠扩张的内镜减压术

背景：急性结肠扩张是一种具有高发病率和死亡率的医疗急症。结肠扩张的临床重要原因是急性结肠假性梗阻、结肠扭转和恶性梗阻。内镜下减压是一种既定的治疗策略。摘要：本治疗综述将根据最近发表的文献对可能的治疗策略进行概述，重点关注内镜减压并总结其他治疗可能性。该综述分别讨论了急性结肠假性梗阻、结肠扭转和恶性梗阻的治疗方案，为临床应用提供了循证指导。关键信息：结肠扩张的内镜减压术是一种成熟的治疗方法，具有很高的临床成功率。该技术及其在治疗序列中的位置因医疗状况、结肠扩张的触发因素和当地专业知识而异。
粘性医学