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[Ogilvie's syndrome]

A V Andrianov, S Iu Lebedev

    Khirurgiia
    |November 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    Ogilvie's syndrome, a severe condition often linked to internal disease or surgery, has a high mortality rate of 60%. Early recognition of clinical signs is crucial for patient outcomes.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Clinical Medicine

    Background:

    • Ogilvie's syndrome (acute colonic pseudo-obstruction) is a rare condition.
    • This study observed 10 patients with Ogilvie's syndrome over 5 years.
    • The syndrome occurred in 0.09% of all department patients and 0.1% of surgical patients.

    Observation:

    • The syndrome developed in patients with severe internal disease or following operative intervention.
    • Key clinical signs included a moistened tongue and mild tachycardia.
    • Intraoperative findings revealed no hypertrophy of the intestinal wall and no fecal masses in the large intestine.

    Findings:

    • A high mortality rate of 60% was observed in the studied cohort.
    • Seven out of ten patients required surgical intervention.

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  • The syndrome's association with severe underlying conditions necessitates prompt diagnosis and management.
  • Implications:

    • Highlights the critical need for early diagnosis and intervention in Ogilvie's syndrome.
    • Suggests a potential link between severe illness/surgery and syndrome development.
    • Emphasizes the poor prognosis and high mortality associated with this condition.