American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic
volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast,
the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of
colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical
blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play
a role in the evaluation and management of both entities. The purpose of this document from the American Society
for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and
endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4
James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7
Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10
Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13
Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16
ASGE Standards of Practice Committee Chair
Title :
American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link :
https://doi.org/10.1016/j.gie.2019.09.007
Volume :
Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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Mar 3, 2020, 11:00 AM
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE