Acute Colonic Pseudoobstruction

Allen P. Chudzinski; Earl V. Thompson; Jennifer M. Ayscue

doi:10.1055/s-0035-1549100

Clinics in Colon and Rectal Surgery, Inhaltsverzeichnis

Clin Colon Rectal Surg 2015; 28(02): 112-117
DOI: 10.1055/s-0035-1549100

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Colonic Pseudoobstruction

Autor*innen

Allen P. Chudzinski

¹Colorectal Surgery Program, Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia
Earl V. Thompson

²Department of Surgery, MedStar Washington Hospital Center, Washington, District of Columbia
Jennifer M. Ayscue

¹Colorectal Surgery Program, Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia

³Section of Colon and Rectal Surgery, Washington Hospital Center, Washington, District of Columbia

Abstract

Acute colonic pseudoobstruction (ACPO), often referred to as Ogilvie syndrome, is a clinical entity characterized by severe colonic distension (adult acute megacolon) in the absence of mechanical obstruction. It can result in abdominal ischemia and perforation if left untreated. This article discusses the epidemiology and current pathophysiologic theories of ACPO as well as the clinical presentation and diagnostic modalities utilized to identify the disease. In addition, this article describes the current treatment options for ACPO, which range from conservative medical therapy, therapeutic endoscopy, to subtotal colectomy.

Keywords

colonic ileus - acute colonic pseudoobstruction - Ogilvie syndrome - large bowel obstruction

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Referenzen

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