Ogilvie syndrome primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Ogilvie syndrome

• 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.
• The supportive measures include the following:
  • 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