PNEUMATOSIS-CYSTOIDES-INTESTINALIS - AN EXPERIENCE WITH HYPERBARIC-OXYGEN TREATMENT

被引:21
|
作者
GRIEVE, DA
UNSWORTH, IP
机构
[1] Prince Henry Hospital, Sydney, New South Wales, Little Bay
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1991年 / 61卷 / 06期
关键词
CLOSTRIDIUM; HYPERBARIC OXYGENATION; OXYGEN; PNEUMATOSIS-CYSTOIDES-INTESTINALIS;
D O I
10.1111/j.1445-2197.1991.tb00255.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Gut wall gas cysts are uncommon and are an occasional cause of abdominal symptoms. Their aetiology is uncertain and both bacterial infection and chronic airways disease are popularly held theories. At Prince Henry Hospital (PHH) between 1980 and 1986, 8 patients with pneumatosis cystoides intestinalis (PCI) underwent 11 courses of hyperbaric oxygen treatment (HBO). This is the largest reported series of HBO treatment of PCI. In April 1990 attempts were made to recall all patients to assess cyst and symptom status. Two had died from unrelated causes; the other six were reviewed - of these, one declined further endoscopy and the other five consented. The 11 courses of treatment all resulted in pronounced symptomatic responses. This was followed by 7 early symptomatic recurrences and 4 long-term cures. These four remain asymptomatic and cyst-free at a minimum of 4 years to a maximum of 9 years follow-up. Of these 4 cures, cyst resolution was documented immediately post-HBO treatment in two and not assessed in two. In the 7 recurrences, failure of cyst resolution was documented immediately post-HBO treatment in six and not assessed in one. Three patients had chronic airways disease, and two of these have complete resolution of PCI. It is concluded that HBO treatment is effective for PCI provided it is continued until cyst resolution has occurred and not just until symptomatic improvement. These observations suggest that PCI is curable and argues against the pulmonary theory of aetiology.
引用
收藏
页码:423 / 426
页数:4
相关论文
共 50 条
  • [31] A case of pneumatosis cystoides intestinalis complicated by intussusception
    Matsubara, Yoshie
    Nanri, Ayumi
    Watanabe, Kyoko
    Shono, Kumiko
    Shono, Takeshi
    PEDIATRICS INTERNATIONAL, 2020, 62 (08) : 987 - 988
  • [32] Pneumatosis Cystoides intestinalis : Report of two cases
    Turan, M
    Sen, M
    Egilmez, R
    ACTA CHIRURGICA BELGICA, 2004, 104 (06) : 742 - 744
  • [33] Pneumatosis cystoides intestinalis accompanied by intestinal spirochetosis
    Miwa, Wataru
    Hiratsuka, Takashi
    Sato, Ken
    Kato, Yo
    CLINICAL JOURNAL OF GASTROENTEROLOGY, 2020, 13 (04) : 545 - 551
  • [34] Pneumatosis cystoides intestinalis mimicking acute abdomen
    Kaya, Bulent
    Celik, Kafkas
    Karip, Aziz Bora
    Altun, Hasan
    Ozel, Nurver Ozbay
    Bat, Orhan
    Memisoglu, Kemal
    TURKISH JOURNAL OF GASTROENTEROLOGY, 2014, 25 (04): : 426 - 428
  • [35] Gastrointestinal sarcoidosis associated with pneumatosis cystoides intestinalis
    Rahim, Hussein
    Khan, Mubashir
    Hudgins, Jay
    Lee, Kevin
    Du, Lei
    Amorosa, Louis
    WORLD JOURNAL OF GASTROENTEROLOGY, 2013, 19 (07) : 1135 - 1139
  • [36] Endoscopic Ultrasound View of Pneumatosis Cystoides Intestinalis
    Yvamoto, Erika Yuki
    Cheng, Spencer
    de Oliveira, Guilherme Henrique Peixoto
    Sasso, Joao Guilherme Ribeiro Jordao
    Boghossian, Mateus Bond
    Minata, Mauricio Kazuyoshi
    Ribeiro, Igor Braga
    de Moura, Eduardo Guimaraes Hourneaux
    DIAGNOSTICS, 2023, 13 (08)
  • [37] Pneumatosis Cystoides Intestinalis: Three Case Reports
    Ustuner, Mehmet Akif
    Dalgic, Tahsin
    Bostanci, Erdal Birol
    INDIAN JOURNAL OF SURGERY, 2020, 82 (04) : 690 - 692
  • [38] Pneumatosis cystoides intestinalis with ascitis: an exceptional association
    Serraj, Ilham
    El Kihal, Latifa
    Mohcine, R.
    Essaid, A.
    ACTA ENDOSCOPICA, 2006, 36 (03) : 357 - 362
  • [39] Pneumatosis Cystoides Intestinalis: A Benign Cause of Pneumoperitoneum
    Pathirana, Priyanthi Widana
    Fernandez, Adrian
    JOURNAL OF MEDICAL CASES, 2022, 13 (04) : 188 - 191
  • [40] Pneumatosis cystoides intestinalis accompanied by intestinal spirochetosis
    Wataru Miwa
    Takashi Hiratsuka
    Ken Sato
    Yo Kato
    Clinical Journal of Gastroenterology, 2020, 13 : 545 - 551