Ogilvie syndrome surgery: Difference between revisions

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==Overview==  
==Overview==
[[Surgery]] is not the first-line treatment option for patients with Ogilvie syndrome. Surgery is usually reserved for patients with either [[colonic ischemia]], [[intestinal perforation]], or [[sepsis]]. Surgical techniques include total [[colectomy]], [[ileostomy]], or [[Hartmann's operation|Hartmann procedure]].
 
==Surgery==
==Surgery==
* Surgical management is preserved as the last option if the supportive care and the medical therapy do not relieve the obstruction.  
* Surgical management is preserved as the last option if the supportive care and the medical therapy do not relieve the [[obstruction]].<ref name="pmid16035674">{{cite journal| author=Carcoforo P, Jorizzo EF, Maestroni U, Soliani G, Bergossi L, Pozza E| title=A new approach to the cure of the Ogilvie's syndrome. | journal=Ann Ital Chir | year= 2005 | volume= 76 | issue= 1 | pages= 65-70 | pmid=16035674 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16035674  }}</ref>
*  
* Indications of [[surgery]] include the following:<ref name="pmid19224517">{{cite journal| author=De Giorgio R, Knowles CH| title=Acute colonic pseudo-obstruction. | journal=Br J Surg | year= 2009 | volume= 96 | issue= 3 | pages= 229-39 | pmid=19224517 | doi=10.1002/bjs.6480 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19224517  }}</ref>
Surgery — In the absence of a colonic perforation, a surgically placed cecostomy tube or a segmental or subtotal resection with primary anastomosis can be performed to decompress the colon [41]. In the patients with a colonic perforation, a total colectomy, ileostomy, and Hartmann procedure are performed in order to retain the option of future ileorectal anastomosis. The Hartmann procedure involves resection of the diseased colon, an end-colostomy, and creation of a rectal stump; this is followed by colostomy closure three months later.
** [[Colonic ischemia]]
 
** [[Intestinal perforation]]
** [[Sepsis|Signs of sepsis]]  
* The surgical techniques include the following:<ref name="pmid192245172">{{cite journal| author=De Giorgio R, Knowles CH| title=Acute colonic pseudo-obstruction. | journal=Br J Surg | year= 2009 | volume= 96 | issue= 3 | pages= 229-39 | pmid=19224517 | doi=10.1002/bjs.6480 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19224517  }}</ref>
** [[Total colectomy]]
** [[Ileostomy]]
** [[Hartmann's operation|Hartmann procedure]]
* The aim from surgery in intestinal perforation conditions is keeping the option of ileorectal [[anastomosis]].  
==References==  
==References==  
{{reflist|2}}
{{reflist|2}}

Latest revision as of 16:59, 8 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

Surgery is not the first-line treatment option for patients with Ogilvie syndrome. Surgery is usually reserved for patients with either colonic ischemia, intestinal perforation, or sepsis. Surgical techniques include total colectomy, ileostomy, or Hartmann procedure.

Surgery

References

  1. Carcoforo P, Jorizzo EF, Maestroni U, Soliani G, Bergossi L, Pozza E (2005). "A new approach to the cure of the Ogilvie's syndrome". Ann Ital Chir. 76 (1): 65–70. PMID 16035674.
  2. De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.
  3. De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.