Colitis ulcerosa grave, con megacolon tóxico, resuelta con infliximab

Fernández, Manuel; Romero, Diana García; Muñoz, Diego Sánchez; Grande, Lourdes; Larraona, J. L.

doi:10.4321/s1130-01082007000700017

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…In adults, long rectal tube insertion combined with intermittent rolling maneuvers (169) and the knee‐elbow position (170) have been used to promote decompression. Case reports indicate potential effectiveness of infliximab (171–173), leukocytapheresis (174), tacrolimus (175,176), or hyperbaric oxygen (177) for treating toxic megacolon, but the evidence is anecdotal. Although CMV infection is more commonly associated with toxic megacolon, there is not enough evidence to support empiric treatment with ganciclovir without confirmation of CMV infection (178).…”

Section: Initial Managementmentioning

confidence: 99%

Management of Paediatric Ulcerative Colitis, Part 2

Turner

Ruemmele

Orlanski-Meyer

et al. 2018

J. pediatr. gastroenterol. nutr.

181

194

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Section: Initial Managementmentioning

confidence: 99%

Management of Paediatric Ulcerative Colitis, Part 2

Turner

Ruemmele

Orlanski-Meyer

et al. 2018

J. pediatr. gastroenterol. nutr.

181

194

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The role of colonoscopy in the management of intestinal obstruction: a 20-year retrospective study

et al. 2010

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PurposeThe aim of the study was to assess the use colonoscopy over time in the assessment of large bowel obstruction in a tertiary university hospital.MethodsRetrospective analysis of surgical and colonoscopy records for the years 1990-2009 in a university hospital. All patients diagnosed with non-conservatively managed bowel obstruction were included.ResultsWe recorded 644 patients diagnosed with non-conservatively managed bowel obstruction. Four hundred forty-one (67.3%) were managed only by surgery, 157 (23.6%) were managed by colonoscopy, and 46 (6.9%) by combined colonoscopy and surgery. Patients over 77 years were more likely to receive colonoscopy as monotherapy or combined with surgery as compared to younger patients. Management by colonoscopy only and by combined colonoscopy and surgery increased over time.ConclusionsColonoscopy in the management of non-conservatively treated bowel obstruction increased over time. However, therapeutic colonoscopy still has a limited role in bowel obstruction either as monotherapy or combined with surgery.

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