Related Experiment Videos
Ogilvie's syndrome treatment.
Fausto Catena1, Antonello Caira, Luca Ansaloni
1Emergency Surgery DPT, St Orsola-Malpighi University Hospital, Bologna, Italy. fcatena@orsola-malpighi.med.unibo.it
Acta Bio-Medica : Atenei Parmensis
|April 2, 2004
Summary
Ogilvie's Syndrome (OS), a rare condition of colon distension, often requires surgery when conservative treatments fail. High mortality rates in OS are linked to delayed diagnosis and treatment, advanced age, and comorbidities.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Outcomes
Background:
- Ogilvie's Syndrome (OS) is a rare condition characterized by acute, massive colon distension without mechanical obstruction, stemming from parasympathetic dysfunction.
- While typically managed non-surgically, surgical intervention becomes necessary when conservative treatments prove ineffective.
Purpose of the Study:
- To analyze the outcomes of surgical interventions for severe Ogilvie's Syndrome.
- To identify factors contributing to mortality in patients with OS.
Main Methods:
- A retrospective analysis of 11 patients with severe OS treated between 1995 and 2002.
- Patients presented with significant colon distension (cecum diameter > 8 cm) and no mechanical obstruction.
Main Results:
- Conservative treatment succeeded in only 3 of 11 patients (27%).
- 8 patients (73%) required surgical intervention, including decompressive caecostomy (6 patients) and subtotal colectomy (2 patients).
- The overall mortality rate was 36%.
Conclusions:
- Surgical treatment is a critical option for Ogilvie's Syndrome cases refractory to conservative management.
- High mortality is associated with diagnostic and therapeutic delays, advanced patient age, and pre-existing comorbidities.