Ogilvie syndrome medical therapy: Difference between revisions

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==Overview==
==Overview==
==Medical Therapy==
==Medical Therapy==
=== Supportive care ===
*Supportive care is recommended in patients with colonic pseduo-obstruction in order to prevent the development of serious complications like intestinal perforation. It can be performed in the first few days after diagnosing the colonic pseudo-obstruction as long as there is no severe pain or extreme abdominal distension.<ref name="pmid12447286">{{cite journal| author=Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF et al.| title=Acute colonic pseudo-obstruction. | journal=Gastrointest Endosc | year= 2002 | volume= 56 | issue= 6 | pages= 789-92 | pmid=12447286 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12447286  }}</ref>
*The supportive measures include the following:<ref name="pmid3180976">{{cite journal| author=Sloyer AF, Panella VS, Demas BE, Shike M, Lightdale CJ, Winawer SJ et al.| title=Ogilvie's syndrome. Successful management without colonoscopy. | journal=Dig Dis Sci | year= 1988 | volume= 33 | issue= 11 | pages= 1391-6 | pmid=3180976 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3180976  }}</ref>
**Following up of any underlying cause like heart failure or infection
**Terminating any concurrent medication that may cause intestinal dysmotility like opoids and calcium channel blockers
**Administration of intravenous saline and fluids in order to preserve the normal body homeostasis
**Placement of the patients in a prone position with elevation of the hips
=== Medical therapy ===


==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Needs content]]

Revision as of 20:30, 5 February 2018

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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

Medical Therapy

Supportive care

  • Supportive care is recommended in patients with colonic pseduo-obstruction in order to prevent the development of serious complications like intestinal perforation. It can be performed in the first few days after diagnosing the colonic pseudo-obstruction as long as there is no severe pain or extreme abdominal distension.[1]
  • The supportive measures include the following:[2]
    • Following up of any underlying cause like heart failure or infection
    • Terminating any concurrent medication that may cause intestinal dysmotility like opoids and calcium channel blockers
    • Administration of intravenous saline and fluids in order to preserve the normal body homeostasis
    • Placement of the patients in a prone position with elevation of the hips

Medical therapy

References

  1. Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF; et al. (2002). "Acute colonic pseudo-obstruction". Gastrointest Endosc. 56 (6): 789–92. PMID 12447286.
  2. Sloyer AF, Panella VS, Demas BE, Shike M, Lightdale CJ, Winawer SJ; et al. (1988). "Ogilvie's syndrome. Successful management without colonoscopy". Dig Dis Sci. 33 (11): 1391–6. PMID 3180976.