PMID: 8282262Dec 1, 1993Paper

Toxic megacolon: the knee-elbow position relieves bowel distension

Gut
M Z PanosP Asquith

Abstract

Toxic megacolon complicating inflammatory or infective colitis carries a high morbidity and mortality and surgical intervention is necessary in up to 80% of cases. Perforation complicates toxic megacolon in about 35% of cases. After perforation, the death rate nears 50%. Gaseous distension of the bowel causes considerable discomfort to the patient and increases transmural pressure. The latter is thought to cause a reduction in blood flow and may predispose to perforation. The use of instruments for colonic aspiration is discouraged, because of the high risk of perforation. The successful use of the knee-elbow position to relieve bowel distension in two patients with toxic megacolon is described.

References

Apr 1, 1985·Journal of Clinical Gastroenterology·A J GreensteinA H Aufses
Jan 1, 1969·Scandinavian Journal of Gastroenterology·A FlatmarkE Gjone
May 1, 1967·Archives of Surgery·N A OdyniecW G Sauer
Jan 1, 1984·American Journal of Surgery·C S Grant, R R Dozois
Apr 1, 1981·Postgraduate Medical Journal·T J MuscroftG S Sokhi

Citations

Oct 20, 2011·Inflammatory Bowel Diseases·Daniel M Autenrieth, Daniel C Baumgart
Apr 23, 2005·Digestive Diseases and Sciences·Koji SawadaTakashi Shimoyama
Jul 14, 2006·Current Treatment Options in Gastroenterology·Jan Tack
Sep 10, 1999·Disease-a-month : DM·L Goodman, J Segreti
Jan 16, 1999·Gastroenterology Clinics of North America·M S Cappell
Jan 16, 1999·Gastroenterology Clinics of North America·M S Cappell
Jun 18, 1999·Gastroenterology Clinics of North America·R B Stein, S B Hanauer
Jun 18, 1999·Gastroenterology Clinics of North America·P Michetti, M A Peppercorn
Feb 3, 2007·Nature Clinical Practice. Gastroenterology & Hepatology·Renzo CaprilliGiovanni Latella
Jan 6, 2001·The Pediatric Infectious Disease Journal·H C ChaoC C Lou
Aug 1, 1994·Gut·R R Babb
Apr 15, 2004·Postgraduate Medical Journal·M Nayar, J M Rhodes
Mar 3, 1998·Lancet·S G Sheth, J T LaMont
Jun 24, 2000·AACN Clinical Issues·C D Levine
Mar 1, 2008·Journal of Crohn's & Colitis·S TravisEuropean Crohn's and Colitis Organisation (ECCO)
Jul 28, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Suresh PolaWilliam J Sandborn
Jan 5, 2016·Alimentary Pharmacology & Therapeutics·D Seah, P De Cruz
Sep 16, 2015·Medizinische Klinik, Intensivmedizin und Notfallmedizin·M LeppkesM F Neurath
Nov 26, 2003·The American Journal of Gastroenterology·S Ian Gan, P L Beck
Jun 1, 2018·Journal of Pediatric Gastroenterology and Nutrition·Dan TurnerRichard K Russell
Aug 1, 1995·Alimentary Pharmacology & Therapeutics·J W Dreverman, A J Van der Poel
Jun 18, 2020·Clinical and Experimental Gastroenterology·Jiten DesaiRajkumar Doshi
Nov 28, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Martin IrabienCarmen Muñoz-Villafranca

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Nodding Syndrome

Nodding Syndrome is a neurological and epileptiform disorder characterized by psychomotor, mental, and growth retardation. Discover the latest research on Nodding Syndrome here.

LRRK2 & Microtubules

Mutations in the LRRK2 gene are risk-factors for developing Parkinson’s disease (PD). LRRK2 mutations in PD have been shown to enhance its association with microtubules. Here is the latest research.

Related Papers

Lancet
S G Sheth, J T LaMont
Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine
N Oshitani, K Kobayashi
Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine
T Matsuo, T Yamada
The British Journal of Surgery
R C StuartR B Stephens
© 2021 Meta ULC. All rights reserved