Ogilvie syndrome medical therapy: Difference between revisions

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==Overview==
==Overview==
==Medical Therapy==
==Medical Therapy==
It usually resolves with conservative therapy stopping oral ingestions, i.e. [[nil per os]] and a [[Feeding tube|nasogastric tube]],<ref name="Sleisenger"/> but may require [[colonoscopy|colonoscopic]] decompression which is successful in 70% of the cases. A study published in the [[New England Journal of Medicine]] showed that [[neostigmine]] is a potent pharmacological way of decompressing the colon.<ref name="NEJM"/> According to the American Society for Gastrointestinal Endoscopy (ASGE), it should be considered prior to colonoscopic decompression. The use of neostigmine is not without risk since it can induce bradyarrhythmia and bronchospasms.<ref name="IrwinRippe"/> Therefore atropine should be within immediate reach when this therapy is used.<ref name="NEJM"/><ref name="Sleisenger"/><ref name="RCCM"/>
It usually resolves with conservative therapy stopping oral ingestions, i.e. [[nil per os]] and a [[Feeding tube|nasogastric tube]], but may require [[colonoscopy|colonoscopic]] decompression which is successful in 70% of the cases. A study published in the [[New England Journal of Medicine]] showed that [[neostigmine]] is a potent pharmacological way of decompressing the colon. According to the American Society for Gastrointestinal Endoscopy (ASGE), it should be considered prior to colonoscopic decompression. The use of neostigmine is not without risk since it can induce bradyarrhythmia and bronchospasms. Therefore atropine should be within immediate reach when this therapy is used.
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs content]]
[[Category:Needs content]]

Revision as of 20:08, 4 September 2012

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Ogilvie syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

It usually resolves with conservative therapy stopping oral ingestions, i.e. nil per os and a nasogastric tube, but may require colonoscopic decompression which is successful in 70% of the cases. A study published in the New England Journal of Medicine showed that neostigmine is a potent pharmacological way of decompressing the colon. According to the American Society for Gastrointestinal Endoscopy (ASGE), it should be considered prior to colonoscopic decompression. The use of neostigmine is not without risk since it can induce bradyarrhythmia and bronchospasms. Therefore atropine should be within immediate reach when this therapy is used.

References