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2015 ; 28
(2
): 112-7
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Acute colonic pseudoobstruction
#MMPMID26034408
Chudzinski AP
; Thompson EV
; Ayscue JM
Clin Colon Rectal Surg
2015[Jun]; 28
(2
): 112-7
PMID26034408
show ga
Acute colonic pseudoobstruction (ACPO), often referred to as Ogilvie syndrome, is
a clinical entity characterized by severe colonic distension (adult acute
megacolon) in the absence of mechanical obstruction. It can result in abdominal
ischemia and perforation if left untreated. This article discusses the
epidemiology and current pathophysiologic theories of ACPO as well as the
clinical presentation and diagnostic modalities utilized to identify the disease.
In addition, this article describes the current treatment options for ACPO, which
range from conservative medical therapy, therapeutic endoscopy, to subtotal
colectomy.