Hideaki Kawabata*, Kojiro Nakase, Tetsuya Yamamoto, Hiroaki Satake, Katsutoshi Yamaguchi, Yuji Okazaki, Masatoshi Miyata, Shigehiro Motoi
Kawabata et al. J Clin Transl Res 2023 (9):1
Published online: December 30, 2022
Abstract
Background and aim: A 75-year-old man who had eaten half a head of chopped raw cabbage (approximately 600 g) daily was suffering from left lower pain, abdominal fullness and constipation. He was diagnosed with colonic ileus and obstructive colitis due to a fecal impaction in the sigmoid-descending junction. During colonoscopy, a tapered catheter was repeatedly inserted into the impacted feces to inject a bowel-cleansing agent. Finally, the feces were broken to be fragmented enough to path the endoscope through. After the procedure, his symptoms were immediately relieved.
Relevance for patients: Excessive dietary fiber intake can induce fecal ileus. Endoscopic treatment with intra-fecal injection of a bowel-cleansing agent is useful and worth attempting for disimpaction of feces.
DOI: http://dx.doi.org/10.18053/jctres.09.202301.006
Author affiliation
Department of Gastroenterology, Kyoto Okamoto Memorial Hospital, Japa
*Corresponding author
Hideaki Kawabata
100 Nishinokuchi, Sayama, Kumiyama-cho, Kuze-gun, Kyoto 613-0034, Japan.
Tel: +81774 48 5500
Fax: +81774 44 7159
E-mail: kawabatanaika2255@gmail.com
Handling editor:
Michal Heger
Department of Pharmaceutics, Utrecht University, the Netherlands
Department of Chemistry, Utrecht University, Utrecht, the Netherlands
Department of Pathology, Erasmus Medical Center, the Netherlands
Department of Pharmaceutics, Jiaxing University Medical College, Zhejiang, China
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