Endoscopic Colonic Decompression

Colonic pseudo-obscruction, or Ogilvie's syndrome, is characterized by marked distension of the large intestine in the absence of mechanical obstruction. Etiology is unknown. Left untreated, it may lead to perforation with a mortality of 46%. Reversible causes such as electrolyte imbalance, anr...

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Bibliographic Details
Main Author: Norman E Marcon
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/682645
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Summary:Colonic pseudo-obscruction, or Ogilvie's syndrome, is characterized by marked distension of the large intestine in the absence of mechanical obstruction. Etiology is unknown. Left untreated, it may lead to perforation with a mortality of 46%. Reversible causes such as electrolyte imbalance, anricholinergic drugs, analgesics, steroids or hypothyro1d1sm should he excluded. Early recognition of pseudo-obstruction with institution of supportive means followed by colonoscopic decompression with rube placement should be successful in all cases.
ISSN:0835-7900