Ogilvie Syndrome (Pseudo-obstruction of the colony)

Ogilvie Syndrome (Pseudo-obstruction of the colony)

    * Introduction
    * Pathogenesis
    * Causes and Risk Factors
    * Signs and symptoms
    * Diagnosis
    * Treatment
Ogilvie syndrome or acute pseudo-obstruction is a colony with clinical disease signs, symptoms and radiographic appearance of acute colonic obstruction without evidence of obstruction distal colony. The colon can become massively distended, and if the patient is at risk uncompressed perforation, peritonitis and death.
In 1948, Ogilvie described two patients with metastatic cancer and retroperitoneal extension to the celiac plexus. Patients had signs and symptoms of obctructie colony without obvious organic bowel obstruction. Ogilvie has assumed that the etiology of these pathological conditions were associated with the autonomic nervous system imbalance between sympathetic deprivation of the colon leading to parasympathetic tone and contraction imposed regional functional obstruction.
Ogilvie syndrome is a disease of older people generally over 60 years, however, the disease can occur in young people, especially those with diseases of the spinal cord. Patients presenting with abdominal distension and constipation generally. Have a recent history of flatulence or stool passage. Symptoms include the following: abdominal pain, nausea and vomiting, constipation, fever. Ogilvie syndrome is installed in the context of recent severe illnesses or surgical procedures. The three common combinations are trauma, infection and heart disease, especially myocardial infarction and congestive heart failure.
Diagnosis and treatment of colonic pseudo-obstruction mechanical obstruction of the colon requires completely excluded. Initial therapy require assessment of signs of ischemia or intestinal perforation, the presence of these problems must be solved immediately. Supportive therapy should be initiated by the then colony decompensation to remove air from the colon to reduce the risk of perforation colony. A small percentage of patients with Ogilvie syndrome may require surgery. Cecostomia the tube is chosen, subtotal colectomy.
The mortality rate is 15-50%. With early diagnosis, modern medical instruments and prompt therapy of this disease mortality has declined. high risk of perforation is increased caecal diameter. In general health status of patients with Ogilvie syndrome is bad. Prognosis in patients who were successfully treated for this disease is directly related to the severity of comorbidities.