Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Endoscopic decompression in “toxic megalcolon”


Endoscopic decompression of the bowel in “toxic megacolon” is presented in two cases as an alternative procedure to Turnbull's technique using multiple bowel fistulas. In our opinion this technique seems to be a substantial improvement in the treatment of “toxic megacolon” and may even help to prevent ileotomycolotomy in some cases.

This is a preview of subscription content, log in to check access.


  1. 1.

    Banez AV (1987) Endoscopic colonic decompression of toxic megacolon, placement of colonic tube, and steroid colonclysis. Am J Gastroenterol 87: 692–694

  2. 2.

    Lehr L, Pichlmayr R (1981) Colitis ulcerosa. Chir Praxis 29: 265–282

  3. 3.

    Ogilvie WM (1948) Large intestinal colic due to sympathetic deprivation: a new clinical syndrome. Br Med J 2: 671–673

  4. 4.

    Storer EH, Goldberg SM, Nivatvongs S (1984) Colon, rectum and anus. In: Schwartz SI, Shires, Spencer, Storer EH (eds) Principles of surgery, 4th edn. McGraw-Hill, New York, pp 1194–1244

  5. 5.

    Truelove SC (1984) Ulcerative colitis. Update Publications, London

  6. 6.

    Turnbull RB Jr (1975) The surgical approach to the treatment of inflammatory bowel disease: a personal view of techniques and prognosis. In: Krishner JB, Shorter RG (eds) Inflammatory bowel disease. Lea & Febiger, Philadelphia, p 338

Download references

Author information

Correspondence to Leonhard Riedler.

Additional information

Dedicated to Professor F. Gschnitzer on the occasion of his 60th birthday

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Riedler, L., Wohlgenannt, D., Stoss, F. et al. Endoscopic decompression in “toxic megalcolon”. Surg Endosc 3, 51–53 (1989).

Download citation

Key words

  • Toxic megacolon
  • Ulcerative colitis
  • Endoscopic decompression