COLONIC PSEUDO- OBSTRUCTION (OGILVIE’S SYNDROME)

• Ogilvie syndrome is an acute pseudo obstruction.
• It is dilation of the colon or a form of ileus of large intestine.

Etiology-

• After surgery
• Neurological disorders
• Cardiorespiratory insufficiency
• Metabolic disturbances- Diabetes mellitus, hypothyroidism
• Scleroderma, dermatomyositis
• Severe constipation
• Malignancy
• Drugs- anticholinergics

Clinical features-

• More common in older
• Predominantly right & transverse colon
• Marked caecal distribution
• Nausea, vomiting & fever

Investigations-

1. Abdominal radiographs- colonic obstruction, caecal perforation
2. Colonoscopy or barium enema, CT scan

• IV neostigmine
• Colonoscopic decompression
• Subtotal colectomy

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