Colonic Decompression

2018 ◽  
pp. 297-305
Author(s):  
Tiing Leong Ang ◽  
Daphne Ang ◽  
James Chi Yong Ngu
Keyword(s):  
Colonic Decompression

scholarly journals Clozapine Induced Ogilvie’s Syndrome

2012 ◽  
Vol 13 (2) ◽  
pp. 237-239
Author(s):  
Ahmoud Hisham Mosli ◽  
Melanie Beaton
Keyword(s):  
Psychiatric Disorders ◽  
Clinical Presentation ◽  
Imaging Modalities ◽  
Medical Services ◽  
Radiological Imaging ◽  
Colonic Decompression ◽  
Intestinal Pseudo Obstruction

We report a case of clozapine induced acute intestinal pseudo obstruction (also known as Ogilvie’s syndrome) in a 54-year female with a history significant for multiple psychiatric disorders. The diagnosis was made after a challenging clinical presentation where collaboration between multiple medical services resulted in reaching a unified diagnosis. The diagnosis was established based on multiple radiological imaging modalities and confirmed by a documented response to colonic decompression through colonoscopy and discontinuation of the offending medication. DOI: http://dx.doi.org/10.3329/jom.v13i2.12769 J Medicine 2012; 13 : 237-239

From Endoscopic Detorsion to Sigmoid Colectomy—The Art of Managing Patients with Sigmoid Volvulus: A Survey of the Members of the American Society of Colon and Rectal Surgeons

2018 ◽  
Vol 84 (9) ◽  
pp. 1518-1524 ◽  
Author(s):  
Richard Garfinkle ◽  
Nancy Morin ◽  
Gabriela Ghitulescu ◽  
Carol-Ann Vasilevsky ◽  
Marylise Boutros
Keyword(s):  
Decision Making ◽  
Colorectal Surgery ◽  
Laparoscopic Colectomy ◽  
Colorectal Anastomosis ◽  
Sigmoid Volvulus ◽  
Sigmoid Colectomy ◽  
Dietary Restrictions ◽  
Surgeon Experience ◽  
Colonic Decompression ◽  
American Society

This study queried American Society of Colon and Rectal Surgeons members for management of sigmoid volvulus and aimed to determine whether surgeon experience impacts decision-making. American Society of Colon and Rectal Surgeons members received a 16-item survey in March, 2017. Items included endoscopic detorsion technique and colonic decompression, preoperative dietary considerations, surgical approach, and respondents’ demographics. Respondents were separated into low experience (LE; ≤10 years in practice) and high experience (HE; >10 years in practice). Of 1996 survey recipients, 10 per cent (197) responded; 124 were HE and 73 were LE. Most were fellowship-trained (93.8%) and primarily in colorectal surgery practice (74.6%), however only 27.4 per cent managed >20 sigmoid volvulus cases as attendings. Fifty-two per cent use rectal tubes for continued colonic decompression after successful endoscopic detorsion; 81.2 per cent would perform sigmoid colectomy on the index admission after successful detorsion, but within a variable timeframe (one to seven days postdetorsion) and with variable dietary restrictions in the interval period; 49.7 per cent would perform a laparoscopic colectomy and 68.3 per cent would perform a stapled colorectal anastomosis. LE surgeons reported a higher proportion of gastrointestinal-performed endoscopic detorsions (P = 0.015), were more likely allow regular diet in the interval period (P = 0.031), and were more inclined to use laparoscopy (P = 0.008), versus HE surgeons. There remains controversy among many of the components in the management of sigmoid volvulus after successful endoscopic detorsion.

Mo1228 Deflating the Pipes: A New Way of Colonic Decompression

2015 ◽  
Vol 148 (4) ◽  
pp. S-644
Author(s):  
Richa Bhardwaj ◽  
Krishna C. Gurram ◽  
Abhijit Kulkarni ◽  
Marcia Mitre ◽  
Ricardo Mitre
Keyword(s):  
Colonic Decompression

Acute Colonic Pseudo-Obstruction (Ogilvieʼs Syndrome) after Hip Arthroplasty

2021 ◽  
Author(s):  
Nezih Ziroglu ◽  
Sevinç Ödül Oruç
Keyword(s):  
Multidisciplinary Approach ◽  
Major Trauma ◽  
Sympathetic Innervation ◽  
Daily Practice ◽  
Anticholinergic Drugs ◽  
Mortality And Morbidity ◽  
Orthopedic Surgeons ◽  
Hip And Knee Arthroplasty ◽  
Surgical History ◽  
Colonic Decompression

AbstractOgilvieʼs syndrome is a clinical entity that occurs with signs of excessive dilatation of the colon and obstruction, despite the absence of a mechanical obstruction. Although its etiology remains uncertain, anticholinergic drugs, metabolic disorders, diabetes mellitus, hyperparathyroidism, Parkinsonʼs disease, major orthopedic interventions, or blunt abdominal trauma are considered to be possible causes. Imbalance in sympathetic innervation plays a role in the pathogenesis. The characteristic feature of the syndrome is the presence of a major trauma or surgical history. Although this is an uncommon complication, especially after hip and knee arthroplasty, it is an important cause of mortality and morbidity. Conservative or surgical colonic decompression and anticholinergic agents play a role in the treatment of Ogilvieʼs syndrome, which is defined as acute colonic pseudo-obstruction (ACPO). In this case report, we present the postoperative process of an elderly patient with comorbid diseases who underwent hemiarthroplasty due to a hip fracture as a result of a domestic fall. We will discuss the diagnosis of ACPO and the approach to multidisciplinary management of the treatment in a case that is frequently encountered in daily practice and starts as a normal report. We aim to remind surgeons that they may encounter ACPO in the postoperative period and to emphasize that mortality and morbidity can be reduced with early diagnosis and a multidisciplinary approach. We would like to emphasize that Ogilvieʼs syndrome should be included in the differential diagnosis portfolio of all orthopedic surgeons.

scholarly journals Endoscopic Colonic Decompression

1990 ◽  
Vol 4 (9) ◽  
pp. 542-545 ◽  
Author(s):  
Norman E Marcon
Keyword(s):  
Large Intestine ◽  
Early Recognition ◽  
Electrolyte Imbalance ◽  
Mechanical Obstruction ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Colonic Decompression ◽  
Colonoscopic Decompression

Colonic pseudo-obscruction, or Ogilvie's syndrome, is characterized by marked distension of the large intestine in the absence of mechanical obstruction. Etiology is unknown. Left untreated, it may lead to perforation with a mortality of 46%. Reversible causes such as electrolyte imbalance, anricholinergic drugs, analgesics, steroids or hypothyro1d1sm should he excluded. Early recognition of pseudo-obstruction with institution of supportive means followed by colonoscopic decompression with rube placement should be successful in all cases.

scholarly journals Transmesocolon internal hernia masking as simple sigmoid volvulus

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Han N Beh ◽  
Yuni F Ongso ◽  
David B Koong
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Large Bowel ◽  
Sigmoid Volvulus ◽  
Emergency Laparotomy ◽  
Transverse Mesocolon ◽  
Hartmann Procedure ◽  
Internal Hernias ◽  
Colonic Decompression

Abstract Transmesocolon internal hernias are very rare causes of bowel obstruction. Transmesenteric internal hernias normally associated with small bowel. It can be challenging to diagnose transmesocolon internal hernia hence we present a 93-year-old patient who was misdiagnosed with simple sigmoid volvulus on CT abdomen. She underwent endoscopic colonic decompression. Patient continued to deteriorate in the ward, and CT abdomen was repeated; it revealed the cause of the sigmoid volvulus was due to a defect through transverse mesocolon resulting in internal hernia. Patient was diagnosed with transmesocolic internal hernia with sigmoid volvulus. Patient underwent emergency laparotomy and Hartmann procedure. Transmesocolic internal hernia can be easily missed and needs to be considered when diagnosing patients with large bowel volvulus or obstruction.

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