Ogilvie syndrome surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Surgery is not the first-line treatment option for patients with Ogilvie syndrome. Surgery is usually reserved for patients with either colonic ischemia, intestinal perforation, or sepsis. Surgical techniques include total colectomy, ileostomy, or Hartmann procedure.
Surgery
- Surgical management is preserved as the last option if the supportive care and the medical therapy do not relieve the obstruction.[1]
- Indications of surgery include the following:[2]
- The surgical techniques include the following:[3]
- The aim from surgery in intestinal perforation conditions is keeping the option of ileorectal anastomosis.
References
- ↑ Carcoforo P, Jorizzo EF, Maestroni U, Soliani G, Bergossi L, Pozza E (2005). "A new approach to the cure of the Ogilvie's syndrome". Ann Ital Chir. 76 (1): 65–70. PMID 16035674.
- ↑ De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.
- ↑ De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.