首页|Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy

Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy

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The exact aetiology of sigmoid volvulus in Parkinson's disease (PD) remains unclear.A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients.Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus.Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion.If feasible,secondary sigmoidal resection should be performed.However,if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery,percutaneous endoscopic colostomy (PEC) should be considered.We describe an elderly PD patient who presented with sigmoid volvulus.She was treated conservatively with endoscopic detorsion.Surgery was consistently refused by the patient.After recurrence of the sigmoid volvulus a PEC was placed.

Colonic dysfunctionColostomyEndoscopic treatmentParkinson's diseaseSigmoid volvulus

Susan Toebosch、Vera Tudyka、Ad Masclee、Ger Koek

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Department of Gastroenterology, Laurentius Hospital, 6043 CV Roermond, The Netherlands

Department of Surgery, Laurentius Hospital,6043 CV Roermond, The Netherlands

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands

2012

10.3748/wjg.v18.i40.5812

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(40)
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