Ogilvie Syndrome - summary of knowledge, diagnostics and treatment

Introduction and purpose: Ogilvie's syndrome is an acute pseudo-obstruction of the colon characterized by massive dilatation of the large intestine without mechanical obstruction. The aim of this publication is to review publications and case reports concerning this disease and therapeutic man...

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Main Authors: Jakub Radulski, Julia Tomkiewicz, Michał Tomkiewicz, Paweł Olko, Agnieszka Rybkowska, Michał Paluch, Hugo Szczuraszek, Paulina Bętkowska, Gabriela Licak, Paulina Szczuraszek
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/41982
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author Jakub Radulski
Julia Tomkiewicz
Michał Tomkiewicz
Paweł Olko
Agnieszka Rybkowska
Michał Paluch
Hugo Szczuraszek
Paulina Bętkowska
Gabriela Licak
Paulina Szczuraszek
author_facet Jakub Radulski
Julia Tomkiewicz
Michał Tomkiewicz
Paweł Olko
Agnieszka Rybkowska
Michał Paluch
Hugo Szczuraszek
Paulina Bętkowska
Gabriela Licak
Paulina Szczuraszek
author_sort Jakub Radulski
collection DOAJ
description Introduction and purpose: Ogilvie's syndrome is an acute pseudo-obstruction of the colon characterized by massive dilatation of the large intestine without mechanical obstruction. The aim of this publication is to review publications and case reports concerning this disease and therapeutic management. A brief description of the state of knowledge: Ogilvie's syndrome was first described in 1948. The assumed pathogenesis of the disease is increased activity of the sympathetic nervous system and/or decreased activity of the parasympathetic nervous system. Most often it concerns hospitalized patients, in a serious general condition, after major injuries, operations, and pregnant or postpartum women. The importance of viral infections in the pathogenesis, including COVID-19 in recent years, is also indicated. It is important to eliminate possible organic causes of obstruction and to assess the diameter of the dilated bowel. Therapeutic options include conservative treatment, pharmacological treatment with acetylcholinesterase inhibitors, endoscopic bowel decompression and surgical treatment. Lack of medical intervention can lead to ischemia and intestinal perforation. Conclusion: Ogilvie's syndrome is a rare condition in which complications can be minimized with proper assessment, care and treatment. The progress of pharmacological and endoscopic therapy allows to reduce the need for surgical intervention, and thus - the patient's unnecessary burden.
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spelling doaj.art-8d1f4c08dadb4df18d2e915b6c5bc0422023-02-13T11:43:12ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-02-0113310.12775/JEHS.2023.13.03.037Ogilvie Syndrome - summary of knowledge, diagnostics and treatmentJakub Radulski0Julia Tomkiewicz1Michał Tomkiewicz2Paweł Olko3Agnieszka Rybkowska4Michał Paluch5Hugo Szczuraszek6Paulina Bętkowska7Gabriela Licak8Paulina Szczuraszek9Samodzielny Publiczny Szpital Kliniczny nr 1 w LublinieKliniczny Szpital Wojewódzki nr 1 im. Fryderyka Chopina w RzeszowieKliniczny Szpital Wojewódzki nr 1 im. Fryderyka Chopina w RzeszowieSamodzielny Publiczny Szpital Kliniczny nr 4 w LublinieSamodzielny Publiczny Szpital Kliniczny nr 4 w LublinieKliniczny Szpital Wojewódzki Nr 2 im. Św Jadwigi Królowej w RzeszowieZespół Zakładów Opieki Zdrowotnej w Ostrowie WielkopolskimWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w LublinieWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ w LublinieWojewódzki Szpital Zespolony im. Ludwika Perzyny w Kaliszu Introduction and purpose: Ogilvie's syndrome is an acute pseudo-obstruction of the colon characterized by massive dilatation of the large intestine without mechanical obstruction. The aim of this publication is to review publications and case reports concerning this disease and therapeutic management. A brief description of the state of knowledge: Ogilvie's syndrome was first described in 1948. The assumed pathogenesis of the disease is increased activity of the sympathetic nervous system and/or decreased activity of the parasympathetic nervous system. Most often it concerns hospitalized patients, in a serious general condition, after major injuries, operations, and pregnant or postpartum women. The importance of viral infections in the pathogenesis, including COVID-19 in recent years, is also indicated. It is important to eliminate possible organic causes of obstruction and to assess the diameter of the dilated bowel. Therapeutic options include conservative treatment, pharmacological treatment with acetylcholinesterase inhibitors, endoscopic bowel decompression and surgical treatment. Lack of medical intervention can lead to ischemia and intestinal perforation. Conclusion: Ogilvie's syndrome is a rare condition in which complications can be minimized with proper assessment, care and treatment. The progress of pharmacological and endoscopic therapy allows to reduce the need for surgical intervention, and thus - the patient's unnecessary burden. https://apcz.umk.pl/JEHS/article/view/41982Ogilvie’s syndromeacute pseudo-obstruction
spellingShingle Jakub Radulski
Julia Tomkiewicz
Michał Tomkiewicz
Paweł Olko
Agnieszka Rybkowska
Michał Paluch
Hugo Szczuraszek
Paulina Bętkowska
Gabriela Licak
Paulina Szczuraszek
Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
Journal of Education, Health and Sport
Ogilvie’s syndrome
acute pseudo-obstruction
title Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
title_full Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
title_fullStr Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
title_full_unstemmed Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
title_short Ogilvie Syndrome - summary of knowledge, diagnostics and treatment
title_sort ogilvie syndrome summary of knowledge diagnostics and treatment
topic Ogilvie’s syndrome
acute pseudo-obstruction
url https://apcz.umk.pl/JEHS/article/view/41982
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