Related Experiment Videos
[Ogilvie's syndrome and non-mechanical obstructions]
1Unité de pathologie digestive, Hôpital Américain de Paris, Neuilly-sur-Seine.
La Revue Du Praticien
|March 15, 1993
Summary
Ogilvie syndrome and chronic intestinal pseudo-obstruction are non-mechanical bowel obstructions. Treatment varies from medical management and colonoscopy to surgical intervention or digestive tract bypass with parenteral feeding.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Non-mechanical bowel obstruction encompasses Ogilvie syndrome and chronic intestinal pseudo-obstruction.
- Ogilvie syndrome presents as acute colonic dilation without a distal blockage.
- Chronic intestinal pseudo-obstruction involves functional disorders of the gastrointestinal tract.
Purpose:
- To differentiate between Ogilvie syndrome and chronic intestinal pseudo-obstruction.
- To outline the diagnostic and therapeutic approaches for these conditions.
- To highlight the potential complications and long-term management strategies.
Summary:
- Ogilvie syndrome requires symptomatic treatment, potentially including decompression colonoscopy, with surgery reserved for complications like perforation.
- Chronic intestinal pseudo-obstruction, often seen in children, necessitates digestive tract bypass and total parenteral nutrition due to underlying neuromuscular abnormalities.
- Surgical abstention is often preferred initially in chronic intestinal pseudo-obstruction to avoid ineffective procedures.
Impact:
- Provides a clear distinction between two forms of non-mechanical bowel obstruction.
- Informs clinical decision-making regarding treatment strategies for Ogilvie syndrome and chronic intestinal pseudo-obstruction.
- Emphasizes the importance of appropriate management to prevent severe complications and improve patient outcomes.