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Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2011, Number 1

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Rev Mex Coloproctol 2011; 17 (1)

Ogilvie Syndrome: Current concepts about diagnosis and treatment

Bucio VG, López PS, Bucio OLD

Language: Spanish
References: 34
Page: 17-24
PDF size: 129.74 Kb.


ABSTRACT

Objective: Literature review and update the concepts of pathogenesis, diagnosis and treatment of Ogilvie’s syndrome or massive distension of the right colon. To know if its origin comes from the colon or of the pathalogies associated with it. Methods: We reviewed the articles published to date where we analyzed age, gender, clinical pathological condition, previous treatments and definitions. Results: The most frequent pathology was the endocrine and metabolic origin (Diabetes, electrolyte imbalance and hypothyroidism), follow the above postoperative orthopedic trauma surgery, oncology, renal, gastroenterology and in some cases the origin was gynecological, neurological, infectious, cardiovascular, pharmacological and toxic. Discussion: Ogilvie’s syndrome not to be a rare entity, must escape to the doctor of first contact, it should be a differential diagnosis especially in the emergency service. Is important to make the diagnosis as soon as possible to install the adequate treatment of the patient especially in critical condition. The multidisciplinary treatment is the rule. Conclusions: Patients with this syndrome considering his age and gender, after take an X-ray and diagnosis. Conclude that its origin is in the colon as well as demonstrating the pathogenesis. Should be treated depending on their disease state with a scheme established by the hospital, if is the first time that presents this condition, have to be installed basic measures to correct the electrolyte imbalance, glucose control and infection, if there is only dilatation of the bowel, the nasogastric and rectal catheter are very helpful, depending the patients evolution the algorithm is going to develop. Always watching the evolution of the patient and according to good, fair or poor response to exhaust all the possible measures.


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