Diagnosis and treatment of Ogilvie's syndrome after lumbar spinal surgery

1992 ◽  
Vol 76 (6) ◽  
pp. 1012-1016 ◽  
Author(s):  
Robert A. Feldman ◽  
Richard C. Karl
Keyword(s):  
Spinal Surgery ◽  
Mechanical Obstruction ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Content Type ◽  
Cecal Perforation ◽  
Life Threatening ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal ◽  
Fine Print

✓ Three patients who developed Ogilvie's syndrome following lumbar spinal surgery are described. Ogilvie's syndrome, also known as pseudo-obstruction of the colon, is characterized by massive cecal distention without mechanical obstruction. If this condition is not recognized and not promptly treated, it may be complicated by cecal perforation, a life-threatening hazard. The etiology, diagnosis, management, and potential relationship between lumbar spinal surgery and Ogilvie's syndrome are discussed.

scholarly journals Ogilvie's Syndrome after Lumbar Spinal Surgery

2019 ◽  
Vol 26 (2) ◽  
pp. 63
Author(s):  
Su-Keon Lee ◽  
Seung-Hwan Lee ◽  
Byeong-Mun Park ◽  
Bong-Seok Yang ◽  
Ji-Hyeon Kim ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

scholarly journals Ogilvie's Syndrome after Lumbar Spinal Surgery

2019 ◽  
Vol 26 (2) ◽  
pp. 63
Author(s):  
Su-Keon Lee ◽  
Seung-Hwan Lee ◽  
Byeong-Mun Park ◽  
Bong-Seok Yang ◽  
Ji-Hyeon Kim ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal

scholarly journals Ogilvie's Syndrome as a Rare Complication of Lumbar Disc Surgery

2000 ◽  
Vol 27 (1) ◽  
pp. 77-78 ◽  
Author(s):  
Hakan Caner ◽  
Murad Bavbek ◽  
Ahmet Albayrak ◽  
Tarkan Çalisaneller Nur Altinörs
Keyword(s):  
Obese Woman ◽  
Rare Complication ◽  
Lumbar Disc ◽  
Abdominal Distention ◽  
Lumbar Surgery ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Lumbar Spinal Surgery ◽  
Acute Colonic Dilatation ◽  
Lumbar Spinal

ABSTRACT:Background:In this study we report a rare complication after lumbar surgery, Ogilvie's syndrome, that presents as acute colonic dilatation in the absence of mechanical obstruction.Case:A 43-year-old obese woman underwent lumbar surgery for L4-L5 lumbar disc herniation. The patient complained of persistent abdominal distention and lack of bowel sounds. Plain radiography and ultrasonography revealed massive dilatation of the colon. Nasogastric aspiration was initiated and all analgesic drugs were withdrawn. Abdominal distention gradually disappeared within three days.Conclusions:Only three cases of Ogilvie's syndrome following lumbar spinal surgery have been reported in the literature. In our case obesity, chronic constipation, and narcotic drugs were the most likely precipitating causes. Ogilvie's syndrome may resolve with conservative treatment, but if the cecal diameter continues to increase, colonoscopy or laparotomy may be needed to prevent perforation of colon.

Vascular complications in anterior thoracolumbar spinal reconstruction

2002 ◽  
Vol 96 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Rod J. Oskouian ◽  
J. Patrick Johnson
Keyword(s):  
Vascular Injury ◽  
Reconstructive Surgery ◽  
Spinal Surgery ◽  
Surgical Techniques ◽  
Vascular Complications ◽  
Reconstructive Procedures ◽  
Content Type ◽  
Spinal Reconstruction ◽  
Lumbar Spinal ◽  
Fine Print

Object. Anterior approaches in thoracic and lumbar spinal surgery have potentially serious vascular injury—related complications. In this study the authors evaluate the incidence of vascular complications in anterior approaches to the thoracic and lumbar spine in cases requiring reconstructive surgery. Methods. The authors retrospectively reviewed the medical records of 207 patients who underwent anterior thoracic and lumbar spinal reconstructive surgery during the period from 1992 through 1999 to determine the incidence, causes, and management of vascular complications. Overall, the incidence of vascular complications following reconstructive spinal surgery was 5.8% (12 patients) and the mortality rate was 1% (two patient deaths). In seven patients (3.4%), direct vascular injuries developed as a result of surgical techniques or error; one patient died as a result. Five patients (2.4%) developed deep venous thromboses, and one patient in this subgroup died of pulmonary embolism. Conclusions. Vascular injury to the great vessels is a known and potentially serious complication associated with anterior spinal reconstructive procedures. The authors found, however, that the incidence is relatively low in cases in which venous injuries occurred acutely and arterial injuries presented in a delayed fashion.

Predictive Factors for the Use of Autologous Cell Saver Transfusion in Lumbar Spinal Surgery

Spine ◽  
2013 ◽  
Vol 38 (4) ◽  
pp. E217-E222 ◽  
Author(s):  
Roger Kirk Owens ◽  
Charles H. Crawford ◽  
Mladen Djurasovic ◽  
Chelsea E. Canan ◽  
Lauren O. Burke ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Spinal Surgery ◽  
Cell Saver ◽  
Autologous Cell ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal
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