Ogilvie's syndrome: Successful management without colonoscopy Journal Article
| Authors: | Sloyer, A. F.; Panella, V. S.; Demas, B. E.; Shike, M.; Lightdale, C. J.; Winawer, S. J.; Kurtz, R. C. |
| Article Title: | Ogilvie's syndrome: Successful management without colonoscopy |
| Abstract: | We reviewed the clinical presentation, management, and outcome of 25 patients with Ogilvie's syndrome (acute colonic pseudoobstruction) at Memorial Sloan-Kettering Cancer Center from 1982 through 1985. All patients had cancer and severe associated medical problems. Abdominal x-rays uniformly showed cecal distension ranging between 9 and 18 cm. Twenty-four of the 25 patients were treated with conservative nonendoscopic management. One patient had an exploratory laparotomy for prophylactic cecostomy after only one day of conservative therapy. Of the 24 patients treated conservatively, 23 (96%) improved by both clinical and radiologic criteria in a mean of 3.0 days. The remaining patient died of multisystem failure not related to the acute colonic pseudoobstruction. Colonoscopic decompression was not attempted in any of the 25 patients. There were no colonic perforations, and there were no pseudoobstruction-related deaths. This study questions the need for early endoscopic or surgical treatment in cancer patients with acute colonic pseudoobstruction. © 1988 Plenum Publishing Corporation. |
| Keywords: | clinical article; organization and management; gastrointestinal neoplasms; colonoscopy; management; middle age; cancer; human; male; female; priority journal; support, non-u.s. gov't; colonic pseudo-obstruction; intestine pseudoobstruction; intestinal pseudo-obstruction; acute colonic pseudoobstruction; ogilvie syndrome; x ray picture |
| Journal Title: | Digestive Diseases and Sciences |
| Volume: | 33 |
| Issue: | 11 |
| ISSN: | 0163-2116 |
| Publisher: | Springer |
| Date Published: | 1988-11-01 |
| Start Page: | 1391 |
| End Page: | 1396 |
| Language: | English |
| DOI: | 10.1007/bf01536993 |
| PUBMED: | 3180976 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 6 August 2020 -- Source: Scopus |
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