Ogilvie syndrome surgery

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

Surgery

• Surgical management is preserved as the last option if the supportive care and the medical therapy do not relieve the obstruction.

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.