Ogilvie syndrome surgery: Difference between revisions
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{{CMG}}; {{AE}} {{AEL}} | {{CMG}}; {{AE}} {{AEL}} | ||
==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 procedure. | |||
==Surgery== | ==Surgery== | ||
* 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> | * 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> | ||
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** Intestinal perforation | ** Intestinal perforation | ||
** Signs of sepsis | ** Signs of sepsis | ||
* The surgical | * 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 | ** Total colectomy | ||
** Ileostomy | ** Ileostomy | ||
Revision as of 15:37, 7 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
- Surgical management is preserved as the last option if the supportive care and the medical therapy do not relieve the obstruction.[1]
- Indications of surgery include the following:[2]
- Colonic ischemia
- Intestinal perforation
- Signs of sepsis
- The surgical techniques include the following:[3]
- Total colectomy
- Ileostomy
- Hartmann procedure
- The aim from surgery in intestinal perforation conditions is keeping the option of ileorectal anastmosis.
References
- ↑ 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.
- ↑ De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.
- ↑ De Giorgio R, Knowles CH (2009). "Acute colonic pseudo-obstruction". Br J Surg. 96 (3): 229–39. doi:10.1002/bjs.6480. PMID 19224517.