Ogilvie syndrome medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
==Medical Therapy== | ==Medical Therapy== | ||
=== Supportive care === | |||
*Supportive care is recommended in patients with colonic pseduo-obstruction in order to prevent the development of serious complications like intestinal perforation. It can be performed in the first few days after diagnosing the colonic pseudo-obstruction as long as there is no severe pain or extreme abdominal distension.<ref name="pmid12447286">{{cite journal| author=Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF et al.| title=Acute colonic pseudo-obstruction. | journal=Gastrointest Endosc | year= 2002 | volume= 56 | issue= 6 | pages= 789-92 | pmid=12447286 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12447286 }}</ref> | |||
*The supportive measures include the following:<ref name="pmid3180976">{{cite journal| author=Sloyer AF, Panella VS, Demas BE, Shike M, Lightdale CJ, Winawer SJ et al.| title=Ogilvie's syndrome. Successful management without colonoscopy. | journal=Dig Dis Sci | year= 1988 | volume= 33 | issue= 11 | pages= 1391-6 | pmid=3180976 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3180976 }}</ref> | |||
**Following up of any underlying cause like heart failure or infection | |||
**Terminating any concurrent medication that may cause intestinal dysmotility like opoids and calcium channel blockers | |||
**Administration of intravenous saline and fluids in order to preserve the normal body homeostasis | |||
**Placement of the patients in a prone position with elevation of the hips | |||
=== Medical therapy === | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Revision as of 20:30, 5 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
Medical Therapy
Supportive care
- Supportive care is recommended in patients with colonic pseduo-obstruction in order to prevent the development of serious complications like intestinal perforation. It can be performed in the first few days after diagnosing the colonic pseudo-obstruction as long as there is no severe pain or extreme abdominal distension.[1]
- The supportive measures include the following:[2]
- Following up of any underlying cause like heart failure or infection
- Terminating any concurrent medication that may cause intestinal dysmotility like opoids and calcium channel blockers
- Administration of intravenous saline and fluids in order to preserve the normal body homeostasis
- Placement of the patients in a prone position with elevation of the hips
Medical therapy
References
- ↑ Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF; et al. (2002). "Acute colonic pseudo-obstruction". Gastrointest Endosc. 56 (6): 789–92. PMID 12447286.
- ↑ Sloyer AF, Panella VS, Demas BE, Shike M, Lightdale CJ, Winawer SJ; et al. (1988). "Ogilvie's syndrome. Successful management without colonoscopy". Dig Dis Sci. 33 (11): 1391–6. PMID 3180976.