Title
Acute colonic pseudo-obstruction in vascular patients (Ogilvie syndrome) Acute colonic pseudo-obstruction in vascular patients (Ogilvie syndrome)
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Brussel ,
Subject
Human medicine
Source (journal)
Acta chirurgica Belgica. - Brussel, 1946 - 1996
Volume/pages
109(2009) :6 , p. 760-762
ISSN
0001-5458
ISI
000274147500019
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
Two patient with acute colonic pseudo-obstruction are presented. Acute colonic pseudo-obstruction, first described by Ogilvie in 1948. is characterised by signs of colonic obstruction, but without mechanical obstruction to the intestinal flow. The current hypothesis states that it is caused by an imbalance between sacral parasympathetic excitatory nerves and sympathetic inhibitory nerves, thus inducing functional obstruction It mostly develops in hospitalised patients with a variety of medical and surgical conditions. Two such patients with extensive co-morbidities, developed progressive colon dilatation with signs of acute peritonitis, and were operated on urgently. In both patients. right hemicolectomy and postoperative medical treatment resulted in complete recovery.
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