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Clin Colon Rectal Surg 2015; 28(02): 112-117
DOI: 10.1055/s-0035-1549100
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Colonic Pseudoobstruction

Allen P. Chudzinski
1   Colorectal Surgery Program, Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia
,
Earl V. Thompson
2   Department of Surgery, MedStar Washington Hospital Center, Washington, District of Columbia
,
Jennifer M. Ayscue
1   Colorectal Surgery Program, Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia
3   Section of Colon and Rectal Surgery, Washington Hospital Center, Washington, District of Columbia
› Author Affiliations
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Publication History

Publication Date:
25 May 2015 (online)

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Abstract

Acute colonic pseudoobstruction (ACPO), often referred to as Ogilvie syndrome, is a clinical entity characterized by severe colonic distension (adult acute megacolon) in the absence of mechanical obstruction. It can result in abdominal ischemia and perforation if left untreated. This article discusses the epidemiology and current pathophysiologic theories of ACPO as well as the clinical presentation and diagnostic modalities utilized to identify the disease. In addition, this article describes the current treatment options for ACPO, which range from conservative medical therapy, therapeutic endoscopy, to subtotal colectomy.

Keywords

colonic ileus - acute colonic pseudoobstruction - Ogilvie syndrome - large bowel obstruction
 

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