Colonic Pseudo-Obstruction: Functional obstruction of the COLON leading to MEGACOLON in the absence of obvious COLONIC DISEASES or mechanical obstruction. When this condition is acquired, acute, and coexisting with another medical condition (trauma, surgery, serious injuries or illness, or medication), it is called Ogilvie's syndrome.Intestinal Pseudo-Obstruction: A type of ILEUS, a functional not mechanical obstruction of the INTESTINES. This syndrome is caused by a large number of disorders involving the smooth muscles (MUSCLE, SMOOTH) or the NERVOUS SYSTEM.Cecostomy: Surgical construction of an opening into the CECUM with a tube through the ABDOMINAL WALL (tube cecostomy) or by skin level approach, in which the cecum is sewn to the surrounding PERITONEUM. Its primary purpose is decompression of colonic obstruction.Neostigmine: A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.Intestinal Obstruction: Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.Colonic Diseases: Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).Acute Disease: Disease having a short and relatively severe course.Gastroenterology: A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).Privacy: The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Confidentiality: The privacy of information and its protection against unauthorized disclosure.Computer Security: Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.Celiac Disease: A malabsorption syndrome that is precipitated by the ingestion of foods containing GLUTEN, such as wheat, rye, and barley. It is characterized by INFLAMMATION of the SMALL INTESTINE, loss of MICROVILLI structure, failed INTESTINAL ABSORPTION, and MALNUTRITION.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Irritable Bowel Syndrome: A disorder with chronic or recurrent colonic symptoms without a clearcut etiology. This condition is characterized by chronic or recurrent ABDOMINAL PAIN, bloating, MUCUS in FECES, and an erratic disturbance of DEFECATION.Diarrhea: An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight.Colonic Diseases, Functional: Chronic or recurrent colonic disorders without an identifiable structural or biochemical explanation. The widely recognized IRRITABLE BOWEL SYNDROME falls into this category.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Physician-Patient Relations: The interactions between physician and patient.Research Personnel: Those individuals engaged in research.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.PubMed: A bibliographic database that includes MEDLINE as its primary subset. It is produced by the National Center for Biotechnology Information (NCBI), part of the NATIONAL LIBRARY OF MEDICINE. PubMed, which is searchable through NLM's Web site, also includes access to additional citations to selected life sciences journals not in MEDLINE, and links to other resources such as the full-text of articles at participating publishers' Web sites, NCBI's molecular biology databases, and PubMed Central.BooksPublishing: "The business or profession of the commercial production and issuance of literature" (Webster's 3d). It includes the publisher, publication processes, editing and editors. Production may be by conventional printing methods or by electronic publishing.MEDLINE: The premier bibliographic database of the NATIONAL LIBRARY OF MEDICINE. MEDLINE® (MEDLARS Online) is the primary subset of PUBMED and can be searched on NLM's Web site in PubMed or the NLM Gateway. MEDLINE references are indexed with MEDICAL SUBJECT HEADINGS (MeSH).Serial Publications: Publications in any medium issued in successive parts bearing numerical or chronological designations and intended to be continued indefinitely. (ALA Glossary of Library and Information Science, 1983, p203)Biological Science Disciplines: All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Adrenergic alpha-Agonists: Drugs that selectively bind to and activate alpha adrenergic receptors.

Ogilvie's syndrome after lower extremity arthroplasty. (1/26)

OBJECTIVE: To alert surgeons who perform arthroplasty to the possibility of acute colonic pseudo-obstruction (Ogilvie's syndrome) after elective orthopedic procedures. To identify possible risk factors and emphasize the need for prompt recognition, careful monitoring and appropriate management so as to reduce morbidity and mortality. DESIGN: A case series. SETTING: A university-affiliated hospital that is a major referral centre for orthopedic surgery. PATIENTS: Four patients who had Ogilvie's syndrome after lower extremity arthroplasty. Of this group, 2 had primary hip arthroplasty, 1 had primary knee arthroplasty and 1 had revision hip arthroplasty. MAIN OUTCOME MEASURES: Morbidity and mortality. RESULTS: In all 4 patients Ogilvie's syndrome was recognized late and required surgical intervention. Two patients died as a result of postoperative complications. CONCLUSIONS: Our case series identified increasing age, immobility and patient-controlled narcotic analgesia as potential risk factors for Ogilvie's syndrome in the postoperative orthopedic patient. Prompt recognition and early consultation with frequent clinical and radiographic monitoring are necessary to avoid colonic perforation and its significant associated death rate.  (+info)

Neostigmine for the treatment of acute colonic pseudo-obstruction. (2/26)

BACKGROUND: Acute colonic pseudo-obstruction -- that is, massive dilation of the colon without mechanical obstruction -- may develop after surgery or severe illness. Although it may resolve with conservative therapy, colonoscopic decompression is sometimes needed to prevent ischemia and perforation of the bowel. Uncontrolled studies have suggested that neostigmine, may be an effective treatment. METHODS: We studied 21 patients with acute colonic pseudo-obstruction. All had abdominal distention and radiographic evidence of colonic dilation, with a cecal diameter of at least 10 cm, and had had no response to at least 24 hours of conservative treatment. We randomly assigned 11 to receive 2.0 mg of neostigmine intravenously and 10 to receive intravenous saline. A physician who was unaware of the patients' treatment assignments recorded clinical response (defined as prompt evacuation of flatus or stool and a reduction in abdominal distention), abdominal circumference, and measurements of the colon on radiographs. Patients who had no response to the initial injection were eligible to receive open-label neostigmine three hours later. RESULTS: Ten of the 11 patients who received neostigmine had prompt colonic decompression, as compared with none of the 10 patients who received placebo (P<0.001). The median time to response was 4 minutes (range, 3 to 30). Seven patients in the placebo group and the one patient in the neostigmine group without an initial response received open-label neostigmine; all had colonic decompression. Two patients who had an initial response to neostigmine required colonoscopic decompression for recurrence of colonic distention; one eventually underwent subtotal colectomy. Side effects of neostigmine included abdominal pain, excess salivation, and vomiting. Symptomatic bradycardia developed in two patients and was treated with atropine. CONCLUSIONS: In patients with acute colonic pseudo-obstruction who have not had a response to conservative therapy, treatment with neostigmine rapidly decompresses the colon.  (+info)

Review article: the pharmacological treatment of acute colonic pseudo-obstruction. (3/26)

Acute colonic pseudo-obstruction (Ogilvie's syndrome) can be defined as a clinical condition with symptoms, signs and radiological appearance of acute large bowel obstruction unrelated to any mechanical cause. Recent reports of the efficacy of cholinesterase inhibitors in relieving acute colonic pseudo-obstruction have fuelled interest in the pharmacological treatment of this condition. The aim of the present review is to outline current perspectives in the pharmacological treatment of patients with acute colonic pseudo-obstruction. The best documented pharmacological treatment of Ogilvie's syndrome is intravenous neostigmine (2-2.5 mg), which leads to quick decompression in a significant proportion of patients after a single infusion. However, the search for new colokinetic agents for the treatment of lower gut motor disorders has made available a number of drugs that may also be therapeutic options for Ogilvie's syndrome. Among these agents, the potential of 5-hydroxytryptamine-4 receptor agonists and motilin receptor agonists is discussed.  (+info)

Polymyositis as a cause of total gut failure. (4/26)

BACKGROUND: Gastrointestinal manifestations are seen in systemic sclerosis and mixed connective tissue disorders but are rare in pure polymyositis. CASE REPORT: A 44 year old woman with polymyositis who developed total gut failure requiring treatment with total parenteral nutrition is described. RESULTS: The patient's polymyositis is now fully controlled biochemically, but her gastrointestinal symptoms persist.  (+info)

Ogilvie's syndrome treatment. (5/26)

INTRODUCTION: Ogilvie's Syndrome (OS) is a rare condition caused by parasympathetic dysfunction of large bowel characterized by acute and massive colon distension without mechanical obstruction. Rarely this disease has to be treated by the surgeon but operations may be indicated in case of medical treatment failure. METHODS: A retrospective analysis was carried out at the Emergency Surgery DPT of St Orsola-Malpighi University Hospital Bologna Italy. From 1995 to 2002 11 patients were treated for severe OS: they were 8 males and 3 females and the mean age was 68 yrs. All these subjects had large bowel distension with caecum diameter more than 8 cm without any evidence of mechanical obstruction. RESULTS: In 4 patients (36%) OS was caused by trauma or surgical procedures whereas in 7 cases (64%) was produced by other conditions. Only in 3 cases (27%) conservative treatment was successful; the remaining 8 patients were submitted to surgical therapy. 6 patients were submitted to decompressive caecostomy and in 2 cases a subtotal colectomy was done. Mortality was 36%. DISCUSSION AND CONCLUSIONS: Surgical treatment of OS is indicated when there is a conservative treatment failure. The high mortality is related to diagnostic and therapeutic delays, advanced age and comorbidities.  (+info)

Systematic review: acute colonic pseudo-obstruction. (6/26)

Acute colonic pseudo-obstruction is the clinical syndrome of acute large bowel dilatation without mechanical obstruction that is an important cause of morbidity and mortality. Acute colonic pseudo-obstruction occurs in hospitalized or institutionalized patients with serious underlying medical and surgical conditions. The pathogenesis of acute colonic pseudo-obstruction is not completely understood but likely results from an imbalance in the autonomic regulation of colonic motor function. Metabolic or pharmacological factors, as well as spinal or retroperitoneal trauma, may alter the autonomic regulation of colonic function, leading to excessive parasympathetic suppression or sympathetic stimulation. This imbalance results in colonic atony and dilatation. Early recognition and appropriate management are critical to minimizing morbidity and mortality. The mortality rate is estimated at 40% when ischaemia or perforation occurs. The best-studied treatment of acute colonic pseudo-obstruction is intravenous neostigmine, which leads to prompt colon decompression in the majority of patients after a single infusion. In patients failing or having contraindications to neostigmine, colonoscopic decompression is the active intervention of choice. Surgery is reserved for those with peritonitis or perforation.  (+info)

Effect of polyethylene glycol electrolyte balanced solution on patients with acute colonic pseudo obstruction after resolution of colonic dilation: a prospective, randomised, placebo controlled trial. (7/26)

BACKGROUND AND AIMS: Conservative therapy for patients with acute colonic pseudo obstruction (Ogilvie's syndrome) may be successful initially but relapses are common. The aim of the present study was to evaluate the effect of polyethylene glycol (PEG) electrolyte balanced solution on the relapse rate of the syndrome after initial resolution with neostigmine or endoscopic decompression. PATIENTS AND METHODS: The study was performed on 30 consecutive patients who presented with abdominal distension and radiographic evidence of colonic dilation, with a caecal diameter > or = 10 cm, that resolved conservatively. Patients then were randomised to receive daily 29.5 g of PEG (n = 15) or similar placebo (n = 15). Patients were monitored daily for a seven day period for stool and flatus evacuations, and colonic diameter on abdominal radiographs. Administration of the test solutions and assessment of patient symptoms and x rays were performed in a blinded fashion. A caecal diameter > or = 8 cm with a concomitant > or =10% increase after initial successful therapeutic intervention was considered as a relapse and these patients, after a second therapeutic intervention, were eligible to receive open label PEG. RESULTS: Twenty five patients received neostigmine as the initial therapeutic intervention which resulted in resolution of colonic dilation in 88% of cases. Eight patients had successful endoscopic decompression. Five (33.3%) patients in the placebo group had recurrent caecal dilation compared with none in the PEG group (p = 0.04). Therapy with PEG resulted in a significant increase in stool and flatus evacuations (p = 0.001 and 0.032, respectively) as well as in a significant decrease in the diameter of caecum, ascending and transverse colon, and abdominal circumference (p = 0.017, 0.018, 0.014, and 0.008, respectively). CONCLUSIONS: Administration of PEG in patients with Ogilvie's syndrome after initial resolution of colonic dilation may increase the sustained response rate after initial therapeutic intervention.  (+info)

Treatment of pediatric Ogilvie's syndrome with low-dose erythromycin: a case report. (8/26)

Acute colonic pseudo-obstruction is a poorly understood syndrome, characterized by the signs, symptoms and radiological pattern of a large bowel obstruction without evidence for a mechanical obstruction. We report a case of a 2-year old boy who presented with progressive abdominal distention, vomiting and abdominal pain on postoperative d 3. Plain abdominal z-ray showed markedly dilated large bowel. Mechanical colonic obstruction was ruled out with hypaque enema. Ogilvie's syndrome was suspected. The patient received treatment with oral erythromycin which had an immediate beneficial effect. During the 6 mo follow-up, no recurrences of symptoms were observed. We provide a safe and effective therapy for Ogilvie's syndrome in pediatric individuals.  (+info)

Definition of Colonic pseudo-obstruction with photos and pictures, translations, sample usage, and additional links for more information.
The ESGE commissioned this Guideline (Guideline Committee chair, J.v.H.) and appointed a Guideline leader (B.W.), who identified six clinical conditions of abnormal GI motility in which therapeutic endoscopy is one of the treatment possibilities: Zenkers diverticulum, achalasia, GERD, gastroparesis, intractable constipation, and Ogilvies syndrome. These six areas were at a later stage agreed on by the Guideline committee members.. In March 2018, an email was sent out to several key opinion leaders in the field of therapeutic endoscopy to identify potential Guideline committee members. Individual ESGE members were informed about this Guideline and were asked to apply if they were interested in participating with this Guideline. Three individual members (V.L.-Z., H.L., and F.P.) were selected based on their expertise and scientific output. In addition, the European Society of Neurogastroenterology and Motility (ESNM) was approached for collaboration and scientific input. As a result, the ESNM ...
Сравнительный анализ лечения больных с острой обтурационной толстокишечной непроходимостью опухолевого генеза
Colon deseases - Diverticular Disease: Imaging Update: Acute Colonic.... Bowtrol is formulated to maximize ones elimination without causing loose stools or uncomfortable cramping.
TY - JOUR. T1 - Waardenburg syndrome type IV De Novo SOX10 variant causing chronic intestinal Pseudo-Obstruction. AU - Hogan, Anthony R.. AU - Rao, Krishnamurti A.. AU - Thorson, Willa L.. AU - Neville, Holly L.. AU - Sola, Juan E.. AU - Perez, Eduardo A.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Waardenburg syndrome (WS) type IV is characterized by pigmentary abnormalities, deafness and Hirschsprungs disease. This syndrome can be triggered by dysregulation of the SOX10 gene, which belongs to the SOX (SRY-related high-mobility group-box) family of genes. We discuss the first known case of a SOX10 frameshift mutation variant defined as c.895delC causing WS type IV without Hirschsprungs disease. This female patient of unrelated Kuwaiti parents, who tested negative for cystic fibrosis and Hirschsprungs disease, was born with meconium ileus and malrotation and had multiple surgical complications likely due to chronic intestinal pseudo-obstruction. These complications included small intestinal necrosis ...
Pseudo-obstruction is a syndrome characterized by signs and symptoms of a mechanical obstruction of the small or large bowel in the absence of an anatomic lesion that obstructs the flow of intestinal contents. Pseudo-obstruction may be acute or chron
Malignant pheochromocytoma associated with pseudo-obstruction of the colon. Murakami, Soichi; Okushiba, Shun-ichi; Ohno, Koichi; Ito, Kiyotaka; Satou, Kousaku; Sugiura, Hiroshi; Morikawa, Toshiaki; Furukawa, Koji; Kondo, Satoshi; Katoh, Hiroyuki; Nihei, Kazuyoshi // Journal of Gastroenterology;2003, Vol. 38 Issue 2, p175 Effective treatment has not yet been established for intestinal pseudo-obstruction, a rare complication of malignant pheochromocytoma. We report the case of a 41-year-old man who presented with malignant pheochromocytoma associated with pseudo-obstruction of the colon. His serum catecholamine... ...
The main treatment is nutritional support to prevent malnutrition and antibiotics to treat bacterial infections. Disorders that may coexist and worsen symptoms of pseudo-obstruction--such as gastroparesis (delayed stomach emptying), gastroesophageal reflux, or bacterial overgrowth--need to be identified and treated.. The challenges of treating chronic pseudo-obstruction are often multifaceted and involve the patient and family as well as the physician. The physician may suggest a multidisciplinary approach to treatment. A management team might include the childs pediatric gastroenterologist, a pediatric pain management specialist, a behavioral specialist, and others.. Chronic abdominal pain or the fear of pain is a common complaint in children with chronic intestinal pseudo-obstruction and may be treated with behavioral or relaxation therapy as well as with non-narcotic medicines.. Some children are able to benefit from small, frequent meals. Others are unable or unwilling to eat because of the ...
The term intestinal pseudo-obstruction denotes a syndrome characterized by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction in the intestine. On the basis of the clinical presentation, pseudo-obstruction syndromes can be divided into acute and chronic forms.
운동 기능의 저하는 넓게 분류해서 장 폐쇄 혹은 소장 무력증 혹은 마비 때문으로 나눌 수 있다. 하지만, 장 폐쇄의 증상이 있으면서 물리적인 장 폐쇄는 없는 경우가 있는데 이를 급성 대장성 거짓폐쇄증 (acute colonic pseudoobstruction), 또는 오길비 증후군 (Ogilvies syndrome)이라고 한다.. 장폐쇄 (bowel obstruction)는 위장관이 어떤 물리적인 요인으로 막한 것을 말한다.. 소장의 마비는 마비성 장폐색 (paralytic ileus)이라고 하는데, 완전 마비일 필요는 없으나 내용물이 이동하지 못해 장 폐색을 일으킬 정도로 운동 기능이 저하되어있어야한다. 마비성 장폐색은 특정 수술 후에 흔하게 발생하는 부작용으로, 이때는 수술 후 장폐색 (postsurgical ileus)이라고도 한다. 약이나 외상, 또는 질환 (급성 췌장염 (acute pancreatitis) 등) 역시 원인 중 하나다. 마비성 장폐색은 변비와 ...
CIIPS in children has been reported under a variety of names; megacystis-microcolon-intestinal hypoperistalsis syndrome, intestinal pseudo-obstruction, chronic adynamic ileus, pseudo-Hirschsprungs disease, adynamic bowel syndrome, colonic neuronal dysplasia, and hollow visceral myopathy.17-25 It is the result of a heterogeneous group of disorders of the enteric neuromusculature that cause severe intestinal dysmotility, resulting in functional obstruction.26-30 Analysis of published studies has shown that most patients develop symptoms early in life.31 In this series, 32 of 44 children developed symptoms during the 1st year of life. At birth they may present with obstruction of either the gut or urinary tract, or both. A persistent bilious aspirate can indicate an associated midgut malrotation. Later, the main presentation is with chronic constipation and/or abdominal distension associated with obstruction and episodic vomiting, which may be bile stained. Previous studies have either been of ...
Discussion Chronic intestinal pseudo-obstruction (CIPO) is a rare, severe syndrome with impaired gastro-intestinal motility leading to functional obstruction resembling mechanical obstruction. It usually affects elderly people with underlying co-morbidities, and early recognition and appropriate management are essential to reduce life-threatening complications.1 The condition may be idiopathic or secondary to other conditions. Most cases are sporadic. Familial forms with either dominant or recessive autosomal inheritance have been described. Histologically, it is classified into neuropathies, mesenchymopathies and myopathies, according to the predominant involvement of enteric neurons, interstitial cells of Cajal or smooth-muscle cells, respectively.2 Hollow visceral myopathy (HVM) is a myopathic cause of CIPO. HVM is a rare clinical entity characterised by impaired intestinal function and motility secondary to a smooth-muscle defect.3,4 Familial visceral myopathy is the most common type, with ...
Learn more about Intestinal Pseudo-obstruction at Atlanta Outpatient Surgery Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
A clinicopathologic study was made of 16 patients with amyloidosis and with clinical signs of intestinal pseudo-obstruction. amyloid deposits in the small intestine were proved in all cases by endoscopic or intra-operative biopsies, and immunohistochemical study identified the chemical types of amyloid protein: amyloid A protein (AA) in 13 cases, light chain protein (AL) in two, and beta 2-microglobulin (AH) in one. Clinically, an acute self limiting obstructive condition was evident in 13 cases with AA, and 12 of them returned to normal bowel function after receiving total parenteral nutrition. Two cases with AL and one with AH presented chronic, intermittent, obstructive symptoms, and medical treatment, including total parenteral nutrition, was ineffective with no recovery of intestinal propulsion. Pathological examination of the necropsy specimens in seven cases showed considerable differences in the preferential sites of gastrointestinal deposits between the chemical types of amyloid; ...
Discusses chronic and acute forms of intestinal pseudo-obstruction and briefly describes symptoms, diagnosis, and treatment of this rare condition.
A collection of disease information resources and questions answered by our Genetic and Rare Diseases Information Specialists for Intestinal pseudo-obstruction
Ogilvie syndrome is the acute dilation of the colon in the absence of any mechanical obstruction in severely ill patients. Colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal X-ray. It is a type of megacolon, sometimes referred to as acute megacolon, to distinguish it from toxic megacolon. The condition carries the name of the British surgeon Sir William Heneage Ogilvie (pl) (1887-1971), who first reported it in 1948. Usually the patient has abdominal distention, pain and altered bowel movements. There may also be nausea and vomiting. Ogilvie syndrome may occur after surgery, especially following coronary artery bypass surgery and total joint replacement. Drugs that disturb colonic motility (e.g., anticholinergics or opioid analgesics) contribute to the development of this condition. The exact mechanism is not known. The probable explanation is imbalance in the regulation of colonic motor activity by the autonomic ...
Dr. Contreras responded: Labs and X-rays. First you have to make sure there arent any other causes of true obstruction. This is done with a combination of x-rays or scans, physical examination, review of the medical history, and laboratory tests. After other causes have been eliminated, then the patient is treated for pseudo-obstruction, also called ogilves syndrome.
Treatment. There is no specific treatment for individuals with CIP. Treatment is directed toward the specific symptoms that are apparent in each individual, and to support adequate nutritional needs. Treatment may require the coordinated efforts of a team of specialists. Pediatricians, pediatric gastroenterologists, surgeons, pain management specialists, psychologists, dietitians, and other healthcare professionals may need to systematically and comprehensively plan an affect individual's treatment.. The specific therapeutic procedures and interventions for individuals with CIP will vary, depending upon numerous factors including the specific symptoms present, the site and extent of the affected portion of the GI tract, an individual's age and overall health, tolerance of certain medications or procedures, personal preference and other factors. Decisions concerning the use of particular therapeutic interventions should be made by physicians and other members of the healthcare team in ...
Authors: G Ravenscroft, S Pannell, G OGrady, R Ong, HC Ee, F Faiz, L Marns, H Goel, P Kumarasinghe, E Sollis, P Sivadorai, M Wilson, A Magoffin, S Nightingale, M-L Freckmann, EP Kirk, R Sachdev, DA Lemberg, MB Delatycki, MA Kamm, C Basnayake, PJ Lamont, DJ Amor, K Jones, J Schilperoort, MR Davis, NG Laing
This cross sectional study has characterised the spectrum of clinical, pathological, and prognostic features of the syndrome of CIIP in adults attending a tertiary referral hospital. It was designed to give an overview of the condition which case reports cannot do, because of their focus on individual patients and their inherent bias in reporting unusual features. It demonstrates that in a specialised centre, using our diagnostic criteria, most patients have a visceral myopathy, with a prolonged but disabling course.. The condition of CIIP is rare. We do not believe that our patients are completely typical of affected patients in the community. However only a limited number of tertiary referral centres are likely to manage enough patients with this condition to enable a report such as this to be composed. Some patients will have a relatively benign course with limited symptoms and no need for nutritional supplementation, as occurred in some of the relatives of patient 14. Although this family ...
Andrews JM, Brierley SM, Blackshaw LA. Small intestinal motor and sensory function and dysfunction. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtrans Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 96.. Camilleri M. Disorders of gastrointestinal motility. In: Goldman L, Schafer AI, eds. Goldmans Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 136.. Fry RD, Mahmoud NN, Maron DJ, Bleier JIS. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 52. ...
Degenerative leiomyopathy (DL) is a distinctive form of acquired degenerative visceral myopathy of uncertain etiology that occurs largely in Africa and results in intestinal pseudo-obstruction (IP). In this review of 39 patients from the Western Cape region of South Africa, the mean age at presentation was 9.5 years (range 6 months to 16 years). Characteristic clinical features included a chronic, insidious history of repeated attacks of abdominal distension, abdominal pain, and vomiting. Marked gaseous distension with atony and IP, especially of the colon, was noted on X-ray films. Megacolon was the most common radiologic feature, but pseudo-obstruction extended proximally into the small intestine in some patients with advanced disease. In the majority of cases the condition was progressive and eventually affected the entire gastrointestinal (GI) tract. Histologic features included smooth-muscule degeneration with vacuolated cytoplasm, extracellular edema, and increased fibrosis of both ...
Approval date: Aug. 30,2012. 851199-59-2 CAS NO. L-Cysteinyl-L-cysteinyl-L-glutamyl-L-tyrosyl-L-cysteinyl-L-cysteinyl-L-asparaginyl-L-prolyl-L-alanyl-L-cysteinyl-L-threonylglycyl-L-cysteinyl-L-tyrosine cyclo(1-6),(2-10),(5-13)-tris(disulfide). Linaclotide is a peptide consisting of 14 amino acids. The sequence is. H-Cys1-Cys2-Glu3-Tyr4-Cys5-Cys6-Asn7-Pro8-Ala9-Cys10-Thr11-Gly12-Cys13-Tyr14-OH. There are three disulfide bonds: Between Cys1 and Cys6, between Cys2 and Cys10, and between Cys5 and Cys13.[8]. Linaclotide (marketed under the trade name Linzess) is an experimentalpeptide agonist of guanylate cyclase 2C that is undergoing clinical trials for use in treating abdominal pain in patients with irritable bowel syndrome (IBS) accompanied by constipation. The drug also looks promising in the treatment of gastroparesis, chronic intestinal pseudo-obstruction (CIPO), andinertia coli as well.[1] The drug was developed by Ironwood Pharmaceuticals, based in Cambridge, Massachusetts.. Linaclotide was ...
Temperatures on dry land hovered near 50 degrees this weekend, but according the National Weather Service Weather Forecast Office, Lake Michigans water temperature was a chilly 32 degrees. So if you thought the 15th annual Lakeview Polar Bear Club polar plunge was made easier by a relatively balmy day, youd be wrong. There was still plenty of shrinkage going on.. Organizers say Saturdays polar plunge drew over 300 participants and has raised over $24,000 so far for two local families.. All of the donations will go toward the Garcia family, whose son Dominic has Chronic Intestinal Pseudo-Obstruction (CIPO), and the Linblad family, whose son Nicholas is battling a congenital heart disease. Both families are burdened with mounting medical expenses, and the Lakeview Polar Club hopes to raise $32,000 to help ease some of the financial pressures both families are under.. The organization is still short of their hoped for goal and will be updating their website with news of further donations over ...
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Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features can include abdominal pain, nausea, severe distension, vomiting, dysphagia, diarrhea and constipation, depending upon the part Specialty: Gastroenterology ...
Causes of secondary intestinal pseudo-obstruction include abdominal or pelvic surgery, infections, medications such as opiates and antidepressants that affect muscles and nerves.
Oxidative Phosphorylation, Phosphorylation, Genes, DNA, Mitochondrial DNA, Mutations, Intestinal Pseudo-obstruction, Mitochondrial Disorders, Patients, Acidosis, Arrhythmia, ATP, Birth, Cardiomyopathies, Cardiomyopathy, Counseling, Dependency, Diagnosis, Disease, Genetic Counseling
Poly(ADP-ribose) polymerases (PARP) comprise a family of enzymes which catalyse poly(ADP-ribosyl)ation of DNA-binding proteins. Multiple researches indicate the importance of PARP in promoting cell recruitment and thereby inducing organ injury in various forms of inflammation, such as colitis. We have evaluated the effects of two PARP inhibitors, nicotinamide and 1,5-dihydroxyisoquinoline, in acute colitis induced by trinitrobenzensulfonic acid (TNBS) in rats. Nicotinamide (20-40 mg/kg) and 1,5-dihydroxyisoquinoline (4-8 mg/kg) were administered 48, 24 and 1 h prior to the induction of colitis as well as 24 h later. 48 h after colitis induction the lesions were blindly scored and quantified as ulcer index. Histological study and colonic inflammation were assessed by gross appearance and myeloperoxidase (MPO) activity. Prostaglandin E2 (PGE2) synthesis and, cyclooxygenase-1 and cyclooxygenase-2 expressions by Western blotting and immunohistochemistry were also performed. Inflammation following TNBS
One of his best-known accomplishments was to include vulgar slang for copulation and female genitalia. But he also frequently bragged of being far less opposed than previous editors to including foreign words. According to Dr. Ogilvies book, he once told Newsweek, It seemed obvious to me that the vocabulary of all English-speaking countries abroad should receive proper attention ...
A wise woman with the name of Christy Beam and her family seem to have the answer. She told us all about it, in riveting details, in her book titled Miracles from Heaven: A Little Girl, Her Journey to Heaven, and Her Amazing Story of Healing.. The book is a memoir of how her daughter Annabel, then 10 years of age, recovered from a rare intestinal disease called pseudo-obstruction motility disorder. For a layman like me, it means the disability to digest food. After many months of medical treatment, and continual pain and suffering on that little body, she was basically sent home to die. While playing in her backyard with her older sister, they climbed up a huge but dead cottonwood tree that measured almost 3 stories high. She fell head-down into the hollow of the trunk. It took rescuers 3 hours before they could hoist her out of that narrow pit and flew her to a nearby hospital. She woke up shortly with no serious injuries: no broken bones, no neurological damage, none whatsoever.. After she was ...
A slowing of gastrointestinal motility that is not associated with mechanical obstruction. Most commonly presents following surgery and usually lasts 2 to 4 days. Prolonged postoperative ileus contributes significantly to longer hospitalisation and increased healthcare costs. Treatment includes b...
Bowel obstruction occurs when the normal flow of intraluminal contents is interrupted. Obstruction can be functional (due to abnormal intestinal physiology) or due to a mechanical obstruction, which can be acute or chronic. Advanced small bowel obstr
Gastroparesis is a long-standing disorder of the stomach characterized by delayed emptying of the stomach in the absence of mechanical obstruction. Simply put, the stomach takes too long to empty its contents. Gastroparesis may present with a variety of symptoms, which include early satiety, nausea, vomiting, bloating, and upper abdominal discomfort. Related terms:hyperglycemia and gastroparesisprokinetic […]. ...
Yes. Gastroparesis is defined by delayed gastric emptying in the absence of any mechanical obstruction. To put it more simply, food stays in the stomach lo...
In some individuals with primary intestinal pseudo-obstruction, the condition is caused by mutations in the FLNA gene. This gene provides instructions for producing the protein filamin A, which helps build the network of protein filaments (cytoskeleton) that gives structure to cells and allows them to change shape and move. Filamin A attaches (binds) to another protein called actin and helps it form the branching network of filaments that make up the cytoskeleton.. Some individuals with primary intestinal pseudo-obstruction have FLNA gene mutations that result in an abnormally short filamin A protein. Others have duplications or deletions of genetic material in the FLNA gene. Researchers believe that these genetic changes may impair the function of the filamin A protein, causing abnormalities in the cytoskeleton of nerve cells (neurons) in the gastrointestinal tract. These abnormalities interfere with the nerves ability to produce the coordinated waves of muscle contractions (peristalsis) that ...
TY - JOUR. T1 - Can intestinal pseudo-obstruction drive recurrent stroke-like episodes in late-onset MELAS syndrome? A case report and review of the literature. AU - Gagliardi, Delia. AU - Mauri, Eleonora. AU - Magri, Francesca. AU - Velardo, Daniele. AU - Meneri, Megi. AU - Abati, Elena. AU - Brusa, Roberta. AU - Faravelli, Irene. AU - Piga, Daniela. AU - Ronchi, Dario. AU - Triulzi, Fabio. AU - Peverelli, Lorenzo. AU - Sciacco, Monica. AU - Bresolin, Nereo. AU - Comi, Giacomo Pietro. AU - Corti, Stefania. AU - Govoni, Alessandra. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a maternally inherited mitochondrial disorder that is most commonly caused by the m. 3243A,G mutation in the MT-TL1 mitochondrial DNA gene, resulting in impairment of mitochondrial energy metabolism. Although childhood is the typical age of onset, a small fraction (1-6%) of individuals manifest the disease after 40 years of age and usually ...
A 2-year-old boy presented to our childrens hospital with a 5-day history of fever and 2 days prior to admission he progressively developed a maculopapular rash in thorax and genitals, had erythema and edema in palms and soles, bilateral conjunctival injection, swollen red lips, and a strawberry tongue. On the day of admission he developed a distended and painful abdomen, diarrhea, and vomiting. On examination he was febrile (39.8 C), heart rate was 180 beats/minute, met 5 major clinical diagnostic criteria for KD, and also presented a diffusely distended tender but soft abdomen, with no rebound sign. He received 1 dose of IVIG [2 g/Kg] and was started on acetylsalicylic acid (ASA) [100 mg/Kg/day]. Because of persistent abdominal distention and vomiting, a plain abdominal radiograph was performed which showed air fluid levels with diffuse small bowel loops distention, all of these consistent with an intestinal pseudoobstruction. An abdominal ultrasound revealed gallbladder hydrops, fluid-filled ...
ABSTRACT. African degenerative leiomyopathy (ADL) is a rare incurable disorder seen in African children, predominantly in southern and south-eastern Africa. ADL presents as chronic intestinal pseudo-obstruction. Management is traditionally conservative, with surgery restricted to the management of complications. We have placed Malone antegrade continence enema (MACE) stomas in the grossly dilated colon to vent accumulated gas and administer antegrade bowel enemas. This is done mainly for relief of gaseous distension and constipation in an attempt to provide symptomatic relief and improve quality of life. In this article, we present our preliminary results of laparoscopically assisted technique to insert a Mic-Key gastrostomy device as a button colostomy in 8 patients over the past 6½ years.. ...
Chronic Intestinal Pseudo-obstruction Pediatric and Adolescent Gastrointestinal Motility & Pain Program Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, Louisiana
Before more settlements could be established, The Quebec - Ontario boundary north of Lake Timiskaming had to be accurately surveyed. Earlier surveys by Quebec and Ontario resulted in a boundary dispute, so the Canadian government sent a survey team to resolve the issue in 1890. William Ogilvie, who had recently distinguished himself by accurately surveying the Canada - Alaska boundary, led the expedition. A benchmark near Mattawa was used to establish an accurate benchmark north of Lake Timiskaming, using astronomical methods. From the head of Lake Timiskaming, they proceeded north to James Bay, fixing accurate positions of the provincial boundary at regular intervals using geodesy data derived from star transits. Ogilvies journal describe conditions in this area and the early settlers he met. His report on this expedition describes the details of this expedition.[9]. William Murray (1840-1906) and Irvin Heard (1871-1956) were the first European settlers in the New Liskeard area, arriving in ...
Understanding how dietary components alter the healthy baseline colonic microenvironment is important in determining their roles in influencing gut health and gut-associated diseases. Dietary flaxseed (FS) has demonstrated anti-colon cancer effects in numerous rodent models, however, exacerbated acute colonic mucosal injury and inflammation in a colitis model. This study investigates whether FS alters critical aspects of gut health in healthy unchallenged mice, which may help explain some of the divergent effects observed following different gut-associated disease challenges. Four-week-old C57Bl/6 male mice were fed an AIN-93G basal diet (BD) or an isocaloric BD+10% ground FS diet for 3 weeks. FS enhanced colon goblet cell density, mucus production, MUC2 mRNA expression, and cecal short chain fatty acid levels, indicative of beneficial intestinal barrier integrity responses. Additionally, FS enhanced colonic regenerating islet-derived protein 3 gamma (RegIIIγ) and reduced MUC1 and resistin-like ...
The diagnosis of this condition is not always straightforward due to sometimes unspecific and subtle initial symptoms and having a high level of suspicion in patients with a history of cholelithiasis is key. Beside the clinical symptoms of obstructive gastric ileus, the diagnosis nowadays is mainly made by endoscopy, abdominal ultrasound, and/or x-ray and/or CT-scan. While upper endoscopy has a very high success rate in diagnosing the mechanical obstruction, it fails to correctly identify an impacted gallstone as the cause in almost one-third of patients (as the stone can be deeply embedded within the mucosa and blood and clots may obstruct the view). A diagnostic aid is the presence of Riglers triad on plain abdominal x-ray films, consisting of a dilated stomach, pneumobilia (air in the biliary tree) and a radio-opaque shadow in the region of the duodenum representing the migrated gallstone. If further migration of the gallstone can be detected on follow up x-ray films, then this completes ...
Product Constituents. URINALYSIS, URIC ACID, BUN, CREATININE, BUN/CREATININE RATIO, TOTAL PROTEIN, ALBUMIN, GLOBULIN, ELECTROLYTES. Category. KIDNEY RELATED DISORDERS. Prerequisite. No special preparation required. Report Availability. Same Day. Info. Creatinine and electrolyte levels help to detect kidney disorders. increased BUN level indicates kidney disease, heart failure, gout, and pregnancy diseases. urea is the principle waste product of protein catabolism. BUN is most commonly measured in the diagnosis and treatment of certain renal and metabolic diseases. increased BUN concentration may result from increased production of urea due to (1) diet or excessive destruction of cellular proteins as occurs in massive infection and fevers, (2) reduced renal perfusion resulting from dehydration or heart failure, (3) nearly all types of kidney disease, and (4) mechanical obstruction to urine excretion such as is caused by stones, tumors, infection, or stricture. decreased urea levels are less ...
The patient with congenital heart disease who presents for noncardiac surgery requires careful evaluation and planning to avoid adverse perioperative events. This chapter presents a physiological approach to the management of anesthesia for the most common congenital heart lesions. The various congenital heart defects are categorized into lesions resulting in: (1) left-to-right shunting; (2) right-to-left shunting; (3) complete mixing of pulmonary and systemic circulation; (4) complete separation of the pulmonary and systemic circulations; (5) increased myocardial work; and (6) mechanical obstruction of the airway.
In patients with MS, several studies have demonstrated that LA enlargement is a marker of increased thromboembolic risk (4,6,7,9,11,25,26). However, the great majority of studies considered LA size or volume as an indicator of risk. This study aimed to look specifically at LA shape and not just LAVs and LA function in predicting stroke. As LA dilation may not occur in a uniform fashion, LA shape might be a better measure of the pattern of LA remodeling and a better predictor of embolic risk than absolute LAV.. The results of this study show that the atrial shape adds incremental value in predicting embolic events. Additionally, in agreement with a recently published study (27), we found that LA reservoir function was also associated with an increased risk for ECE. Although the LA has 3 major roles that affect LV filling, its reservoir function represents the most important component of the LA function in MS. LA contractile force cannot overcome the mechanical obstruction across the valve and ...
Now, some details about venous or passive hyperaemia. Passive hyperaemia or venous congestion is increased blood supply to an organ or tissue due to reduced blood outflow through the veins. In venous congestion, blood velocity always decreases, decelerates. The etiology of venous congestion is related either to mechanical obstruction of blood flow in the veins. It can be thrombi or emboli, or it is resulted from external compression of the veins by ligation, by tumor, sometimes by pregnant uterus, if we speak about veins or abdominal cavity in pregnant women. It can be also some adhesions prevailing from normal venous outflow. And, here, you can see an illustration of the situation of total venous congestion in many vascular areas. It can occur in heart failure because of increase of venous pressure due to disorder of pumping functions, and it may occur simultaneously in many vascular beds, for example, with right heart failure or cor pulmonale. It may be observed in the greater circulation ...
The complex model of the lower part of the urinary consists of the detrusor smooth muscle cell model and the detailed 1D model of the urethra flow. In future this model will allow to simulate the influence of different drugs and mechanical obstructions in the bladder neck and urethra. A general muscle model involving the calcium dynamics in the smooth muscle cell and the growth and remodelling theory will be shortly introduced. The main part is devoted to the development of a simple bladder model and the detrusor contraction during voiding together with the detailed model of the urethra flow ...
Background. the genetic diversity of human immunodeficiency virus type 1 (HIV-1) raises the question of whether vaccines that include a component to elicit antiviral T cell immunity based on a single viral genetic clade could provide cellular immune protection against divergent HIV-1 clades. Therefore, we quantified the cross-clade reactivity, among unvaccinated individuals, of anti-HIV-1 T cell responses to the infecting HIV-1 clade relative to other major circulating clades.Methods. Cellular immune responses to HIV-1 clades A, B, and C were compared by standardized interferon-gamma enzyme-linked immunospot assays among 250 unvaccinated individuals, infected with diverse HIV-1 clades, from Brazil, Malawi, South Africa, Thailand, and the United States. Cross-clade reactivity was evaluated by use of the ratio of responses to heterologous versus homologous ( infecting) clades of HIV-1.Results. Cellular immune responses were predominantly focused on viral Gag and Nef proteins. Cross-clade ...
Colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal ... "Neostigmine for the treatment of acute colonic pseudo-obstruction". N. Engl. J. Med. 341 (3): 137-41. doi:10.1056/ ... Drugs that disturb colonic motility (e.g., anticholinergics or opioid analgesics) contribute to the development of this ... Normal colonic motility requires integration of myogenic, neural, and hormonal influences. The enteric nervous system is ...
Another indication for use is the conservative management of acute colonic pseudo-obstruction, or Ogilvie's syndrome, in which ... Maloney, Nell; Vargas, H. David (2005-05-01). "Acute Intestinal Pseudo-Obstruction (Ogilvie's Syndrome)". Clinics in Colon and ... patients get massive colonic dilatation in the absence of a true mechanical obstruction. Hospitals sometimes administer a ...
... intestinal pseudo-obstruction MeSH C06.405.469.531.492.500.217 --- colonic pseudo-obstruction MeSH C06.405.469.531.568 --- ... colonic diseases, functional MeSH C06.405.469.158.272.217 --- colonic pseudo-obstruction MeSH C06.405.469.158.272.608 --- ... colonic MeSH C06.405.469.158.587.500 --- diverticulitis, colonic MeSH C06.405.469.158.701 --- megacolon MeSH C06.405.469.158. ... intestinal obstruction MeSH C06.405.469.531.099 --- afferent loop syndrome MeSH C06.405.469.531.311 --- duodenal obstruction ...
... colonic pseudo-obstruction, bypass enteropathy, volvulus with mechanical small bowel obstruction Extra-intestinal ... The colonic absorption of oxalate has been attributed to: Exposure of colonic mucosa to excessive bile salts and possibly bile ... Calcium oxalate renal stones occur commonly following JIB, along with increased colonic absorption of oxalate. ... acids, increasing colonic permeability to oxalate, or Excessive quantities of fatty acids in the gut form soaps with calcium, ...
Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food ... Saunders MD (October 2004). "Acute colonic pseudoobstruction". Current Gastroenterology Reports. 6 (5): 410-6. doi:10.1007/ ... Secondary chronic intestinal pseudo-obstruction can occur as a consequence of a number of other conditions, including Kawasaki ... Secondary chronic intestinal pseudo-obstruction is managed by treating the underlying condition. There is no cure for primary ...
Surgery may also be used to treat some causes of bowel obstruction. The normal thickness of the small intestinal wall is 3-5 mm ... Functional colonic diseases refer to disorders without a known cause, and include irritable bowel syndrome and intestinal ... Other causes of illness include intestinal pseudoobstruction, and necrotizing enterocolitis. Diseases of the intestine may ... "Small-Bowel Obstruction Imaging". Medscape. Retrieved 2017-03-07. Updated: Sep 22, 2016 Fernandes, Teresa; Oliveira, Maria I.; ...
하지만, 장 폐쇄의 증상이 있으면서 물리적인 장 폐쇄는 없는 경우가 있는데 이를 "급성 대장성 거짓폐쇄증" (acute colonic pseudoobstruction), 또는 오길비 증후군 (Ogilvie's syndrome) ... 장폐쇄 (bowel obstruction)는 위장관이 어떤 물리적인 요인으로 막한 것을 말한다.. 소장의 마비는 마비성 장폐색 (paralytic ileus)이라고 하는데, 완전 마비일 필요는 없으나 내용물이 이동하지 못해 장 ... Intestinal Obstruction and Ileus. 8/e. Elsevier Saunders, 2006.. *↑ Kitabchi, AE, Umpierrez, GE, Murphy, MB, et al. Management ...
... mainly in acute colonic pseudo-obstruction, Ogilvie's syndrome. A bowel obstruction is generally a mechanical obstruction of ... However, instances with symptoms and signs of a bowel obstruction occur, but with the absence of a mechanical obstruction, ... MedlinePlus Encyclopedia Intestinal Obstruction Patient UK: Intestinal Obstruction and Ileus PubMed Health: Intestinal ... Although ileus originally referred to any lack of digestive propulsion, including bowel obstruction, up-to-date medical usage ...
Small bowel obstruction on ultrasound. Differential diagnoses of bowel obstruction include: Ileus Pseudo-obstruction or ... Diverticulosis Hernias Inflammatory bowel disease Colonic volvulus (sigmoid, caecal, transverse colon) Adhesions Constipation ... Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which ... Small bowel obstructions are most often due to adhesions and hernias while large bowel obstructions are most often due to ...
Obstructing disorders Pyloric obstruction Small bowel obstruction Colonic obstruction Superior mesenteric artery syndrome ... diseases Cholecystitis Pancreatitis Appendicitis Hepatitis Sensorimotor dysfunction Gastroparesis Intestinal pseudo-obstruction ... An obstruction further down in the intestine or colon will cause delayed vomiting. An infectious cause of nausea and vomiting ... Bits of fecal matter in the emesis indicate obstruction in the distal intestine or the colon. Emesis that is of a bilious ...
The drug has also been tested for the treatment of chronic intestinal pseudo-obstruction. Prucalopride, a first in class ... Prucalopride alters colonic motility patterns via serotonin 5-HT4 receptor stimulation: it stimulates colonic mass movements, ... Smart, C. J.; Ramesh, A. N. (2011). "The successful treatment of acute refractory pseudo-obstruction with Prucalopride". ... Oustamanolakis, P.; Tack, J. (2012). "Prucalopride for chronic intestinal pseudo-obstruction". Alimentary Pharmacology & ...
In approximately 80 percent of colonic obstructions, an invasive carcinoma is found to be the cause of the obstruction. This is ... Other rare syndromes, including Ogilvie's syndrome, chronic constipation and impaction may cause a pseudo obstruction. ... Ulcerative colitis or Crohn's disease may cause colonic obstruction. The obstruction may be acute or chronic after years of ... Although diverticulitis may be the source of a colonic obstruction, it more commonly causes an ileus, which appears to be a ...
Functional colonic disease (IBS, Intestinal pseudoobstruction/Ogilvie syndrome) - Megacolon/Toxic megacolon · Diverticulitis/ ... Bowel obstruction: Ileus · Intussusception · Volvulus · Fecal impaction - மலச்சிக்கல் · வயிற்றுப்போக்கு (இரையகக்குடலிய அழற்சி) ...
Functional colonic disease (IBS, Intestinal pseudoobstruction/Ogilvie syndrome) - Megacolon/Toxic megacolon · Diverticulitis/ ... Bowel obstruction: Ileus · Intussusception · Volvulus · Fecal impaction - மலச்சிக்கல் · வயிற்றுப்போக்கு (இரையகக்குடலிய அழற்சி) ...
Appendicitis · Colitis (Pseudomembranous, Ulcerative, Ischemic, Microscopic, Collagenous, Lymphocytic) · Functional colonic ... Bowel obstruction: Ileus · Intussusception · Volvulus · Fecal impaction - Constipation · Diarrhea (Infectious) · Intestinal ... disease (IBS, Intestinal pseudoobstruction/Ogilvie syndrome) - Megacolon/Toxic megacolon · Diverticulitis/Diverticulosis. Large ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... Outlet obstruction[edit]. Outlet obstruction is a sub-type of large bowel obstruction and refers to conditions affecting the ... Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which ... Large bowel obstruction[edit]. Upright abdominal X-ray of a person with a large bowel obstruction showing multiple air fluid ...
Intestinal pseudo-obstruction is a syndrome caused by a malformation of the digestive system, characterized by a severe ... Colonic Transit Study Technique and Interpretation: Can These Be Uniform Globally in Different Populations With Non-uniform ... There is no cure for intestinal pseudo-obstruction. Different types of surgery and treatment managing life-threatening ... ISBN 0-323-01639-1. Sarna, S.K. (2010). "Introduction". Colonic Motility: From Bench Side to Bedside. San Rafael, California: ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... Long-term complications of medical NEC include bowel obstruction and anemia. In the United States of America it caused 355 ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... "Simultaneous measurement of gastric emptying, small bowel residence and colonic filling of a solid meal by the use of the ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... People typically present with either an intermittent mass, localized pain, or signs of bowel obstruction.[1] ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... or bowel obstruction.[1] ... Iron deficiency anemia, volvulus, bowel obstruction[1]. Types. ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... Depending on the severity of the obstruction, a partial obstruction may relieve itself with conservative medical intervention. ... Small bowel obstruction (SBO) is a significant consequence of post-surgical adhesions. A SBO may be caused when an adhesion ... Besides intestinal obstructions caused by adhesions that may be seen in an X-ray, there are no diagnostic tests available to ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... Solid dysphagia is due to obstruction such as esophageal cancer, esophageal web, or stricture. ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... but biopsy specimens must be examined under a microscope to determine whether cells are gastric or colonic in nature. Colonic ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... Plain abdominal X-ray may show signs of a thickened wall, ileus, constipation, small bowel obstruction or free air in the case ... "Clinical manifestations and diagnosis of colonic diverticular disease". Literature review.. *^ Stefánsson T, Ekbom A, Sparèn P ... These are outpockets of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall.[1] They ...
Functional colonic disease *IBS. *Intestinal pseudoobstruction / Ogilvie syndrome. *Megacolon / Toxic megacolon. * ... which is the area of connective tissue between colonic glands. Radiological tests, such as a barium enema are also typically ...
The drug has also been tested for the treatment of chronic intestinal pseudo-obstruction.[11][12] ... Prucalopride alters colonic motility patterns via serotonin 5-HT4 receptor stimulation: it stimulates colonic mass movements, ... Smart, C. J.; Ramesh, A. N. (2011). "The successful treatment of acute refractory pseudo-obstruction with Prucalopride". ... Oustamanolakis, P.; Tack, J. (2012). "Prucalopride for chronic intestinal pseudo-obstruction". Alimentary Pharmacology & ...
lower colonic pH (i.e., raises the acidity level in the colon) which protects the lining from formation of colonic polyps and ... or obstruction. ... Pseudo tannins. *Synthetic tannins. *Tannin uses *Enological. * ... SCFAs that are absorbed by the colonic mucosa pass through the colonic wall into the portal circulation (supplying the liver), ... Butyric acid appears to be used as a fuel by the colonic mucosa as the preferred energy source for colonic cells. ...
Intestinal pseudo-obstruction is a syndrome caused by a malformation of the digestive system, characterized by a severe ... Sarna, S.K. (2010). "Introduction". Colonic Motility: From Bench Side to Bedside. San Rafael, California: Morgan & Claypool ... There is no cure for intestinal pseudo-obstruction. Different types of surgery and treatment managing life-threatening ... "Commensal microbe-derived butyrate induces the differentiation of colonic regulatory T cells". Nature. 504 (7480): 446-450. doi ...
... caused colonic ileus, ureteral obstruction and hypertension]" [A case report. Endometriosis caused colonic ileus ... Some women have recurrences after surgery or pseudo-menopause. In most cases, treatment will give women significant relief from ... ureteral obstruction and hypertension]. Lakartidningen (in Swedish). 98 (18): 2208-12. PMID 11402601. Ueda Y, Enomoto T, ... in late menopause or early menarche obstruction of menstrual outflow - for example, in Müllerian anomalies Several studies have ...
Definition of Colonic pseudo-obstruction with photos and pictures, translations, sample usage, and additional links for more ... colonic fistula. colonic flora. colonic irrigation. colonic polyp. colonic pseudo-obstruction (current term). colonic smear. ... Colonic Pseudo-obstruction Images Lexicographical Neighbors of Colonic Pseudo-obstruction. colonializing. colonially. ... colonic. colonic angiodysplasia. colonic diverticula. colonic diverticular haemorrhage. colonic diverticulitis. colonic ...
Megacolon denotes dilatation of the colon that is not caused by mechanical obstruction. ... Colonic decompression reduces proximal acute colonic pseudo-obstruction and related symptoms. Dis Colon Rectum. 2020 Jan. 63 (1 ... Acute Colonic Pseudoobstruction (Acute Megacolon, Ogilvie Syndrome) * Sections Acute Colonic Pseudoobstruction (Acute Megacolon ... encoded search term (Acute Colonic Pseudoobstruction (Acute Megacolon%2C Ogilvie Syndrome)) and Acute Colonic Pseudoobstruction ...
Colonic pseudo-obstruction (CPO) is defined as marked colonic distension in the absence of mechanical obstruction. We aimed to ... Full text: Available Index: WPRIM (Western Pacific) Main subject: Aged, 80 and over / Colonic Pseudo-Obstruction / Aged / ... Adolescent , Adult , Aged , Aged, 80 and over , Child , Colon/pathology , Colonic Pseudo-Obstruction/diagnosis , Constipation/ ... The Clinical Characteristics of Colonic Pseudo-obstruction and the Factors Associated with Medical Treatment Response: A Study ...
Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food ... Saunders MD (October 2004). "Acute colonic pseudoobstruction". Current Gastroenterology Reports. 6 (5): 410-6. doi:10.1007/ ... Secondary chronic intestinal pseudo-obstruction can occur as a consequence of a number of other conditions, including Kawasaki ... Secondary chronic intestinal pseudo-obstruction is managed by treating the underlying condition. There is no cure for primary ...
Intestinal Pseudo-obstruction. (Colonic Ileus; Ogilvies Syndrome; Acute Colonic Pseudo-obstruction; Acute Nontoxic Megacolon) ... In intestinal pseudo-obstruction, foods and liquids are unable to pass through the intestine, causing a build-up of food, fluid ... Intestinal pseudo-obstruction is caused by problems with the muscles and nerves of the intestine. ... Many cases of intestinal pseudo-obstruction cannot be prevented. But certain measures can be taken after surgery to help avoid ...
Acute Colonic Pseudo-obstruction in a Pediatric Patient. Shukla, Mayank MD; Barros, Romina MD; Majjiga, Venkata S MD; More ...
1.3 Acute colonic pseudoobstruction. *2 Pathogenesis *2.1 Inhibitory neural reflexes. *2.2 Inflammation ... Bowel obstruction. References. *^ Salim AS (March 1991). "Duration of intravenous fluid replacement after abdominal surgery: a ... Intestinal Obstruction and Ileus. 8/e. Elsevier Saunders, 2006.. *^ Lundin C, Sullins KE, White NA and al. Induction of ... Some mechanical obstructions are misnomers, such as gallstone ileus and meconium ileus, and are not true examples of ileus by ...
Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any ... Primary intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo- ... In intestinal pseudo-obstruction, the intestine is unable to contract and push food, stool, and air through the digestive tract ... Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any ...
Colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal ... "Neostigmine for the treatment of acute colonic pseudo-obstruction". N. Engl. J. Med. 341 (3): 137-41. doi:10.1056/ ... Drugs that disturb colonic motility (e.g., anticholinergics or opioid analgesics) contribute to the development of this ... Normal colonic motility requires integration of myogenic, neural, and hormonal influences. The enteric nervous system is ...
Management of Colonic Pseudo-Obstruction. Pages 217-219. Kulaylat, Audrey S. (et al.) ...
Colonic pseudo-obstruction. Diarrhea. Signs and symptoms, Digestive. Additional relevant MeSH terms: ... Colonic diseases. Colonic diseases, functional. Digestive system disease. Gastrointestinal disease. Intestinal disease. ... Colonic Diseases, Functional. Colonic Diseases. Intestinal Diseases. Gastrointestinal Diseases. Digestive System Diseases. ... Patient has a history of intestinal obstruction, stricture, toxic megacolon, GI perforation, fecal impaction, gastric banding, ...
Acute Colonic Pseudo-obstruction Keith Chapple. Pages 439-449 * Colonic Volvulus Lesley M. Hunt ...
Colonic Pseudo-obstruction With Transition Zone: A Peculiar Eastern Severe Dysmotility Colonic Pseudo-obstruction With ... Colonic Pseudo-Obstruction / Intestinal Pseudo-Obstruction / Humans / Male / Cell Count / Follow-Up Studies / Colectomy Country ... Cell Count , Colectomy , Colon , Colonic Pseudo-Obstruction , Cytomegalovirus Infections , Eosinophils , Follow-Up Studies , ... Previous studies from Korea have described chronic intestinal pseudo-obstruction (CIPO) patients with transition zone (TZ) in ...
Ogilvie syndrome [acute colonic pseudo-obstruction] represents a clinical condition with symptoms of colonic obstruction ... Idiopathic dilatation of the colon in a nursing home resident, with a suspected acute colonic pseudo-obstruction [Ogilvie ... Idiopathic dilatation of the colon in a nursing home resident, with a suspected acute colonic pseudo-obstruction [Ogilvie ... with a suspected acute colonic pseudo-obstruction [Ogilvie Syndrome], J. Coll. Physicians Surg. Pak. 2019; 29 (2): 178-180 ...
... following confirmation of an acute colonic pseudo-obstruction on computed tomography scan and she made a full recovery. ... Mechanical obstruction should be excluded by radiological imaging including X-ray and computed tomography scan. A prompt ... known as Ogilvie syndrome is a condition characterized by massive colonic distension in the absence of mechanical obstruction. ... Acute colonic pseudo-obstruction is characterized by acute colonic dilatation in the absence of any identifiable mechanical ...
Diagnosis depends on the gross dilatation of caecum and ascending colon and exclusion of distal mechanical obstruction. Failure ... is acute massive functional dilatation of bowel without a distal mechanical obstruction. It is a rare, relatively unknown but ... acute colonic pseudo-obstruction) is acute massive functional dilatation of bowel without a distal mechanical obstruction. It ... KEYWORDS: Ogilvies syndrome; colonic pseudo-obstruction, caesarean section, perforation. REFERENCES:. * Reeves M, Frizelle F, ...
Ogilvie Syndrome (Acute Colonic Pseudo-Obstruction). Please note that any information or feedback on this website is not ... Chronic Intestinal Pseudo-Obstruction. This occurs when intestinal motility is affected at a portion of the small intestine. ... Primary idiopathic intestinal pseudo-obstruction may be a result of unknown causes (idiopathic), familial or congenital ... Causes of Colon Obstruction. Many of the causes of small intestine obstruction may also affect the large intestine. This ...
Acute colonic pseudo-obstruction after cesarean section and gastrointestinal symptoms. Christensen, K., Ostersen, L. H., ...
Colonic pseudo-obstruction: Colonic pseudo-obstruction occurs in the absence of a mechanical cause of obstruction. It could ... Mechanical obstruction in the intestines: Obstruction to the passage of stools in the intestines can be caused by conditions ... results in pseudo obstruction and constipation. It could be a result of electrolyte abnormalities, complication of surgery, ... obstruction in blood supply to the intestines, intra-abdominal infection, kidney or lung disease or the use of certain ...
Ileus occurs from hypomotility of the gastrointestinal tract in the absence of mechanical bowel obstruction. Although the exact ... Acute colonic pseudo-obstruction. Gastrointest Endosc Clin N Am. 2007 Apr. 17(2):341-60, vi-vii. [Medline]. ... Assessment of predictors of response to neostigmine for acute colonic pseudo-obstruction. Am J Gastroenterol. 2002 Dec. 97(12): ... Ogilvie pseudo-obstruction in a septic elderly patient. Note the massive dilatation of the colon, especially the right colon ...
Neostigmine for acute colonic pseudo-obstruction: A meta-analysis.. Valle RG, Godoy FL. ...
Constipation and Bowel Obstruction. Ileus, bowel obstruction, and colonic pseudoobstruction have occurred. Marqibo can cause ... Institute a prophylactic bowel regimen to mitigate potential constipation, bowel obstruction, and/or paralytic ileus, ...
Frequency not reported: Abdominal pain, ileus/colonic pseudo-obstruction[Ref]. General. Side effects that have resulted in non- ... Other side effects include: asthenia, increased serum aspartate aminotransferase, and intestinal obstruction. See below for a ...
Uncommon (0.1% to 1%): Colonic pseudo-obstruction. Very rare (less than 0.01%): Parotitis[Ref] ...
Colonic pseudo-obstruction. Hemoperitoneum/ pneumoperitoneum. Ascites. 3. Factors that increase capillary leak/ fluid overload ... Nasogastric/colonic decompression. Promotility agents. Enemas. Colonoscopic decompression. Evacuation of abdominal collections ...
Colonic Decompression Reduces Proximal Acute Colonic Pseudo-obstruction and Related Symptoms.. Mankaney GN, Sarvepalli S, Arora ...
Ogilvies Syndrome or Colonic Pseudo-Obstruction pp. e38-e39(2) Authors: Shahait, Awni D.; Mostafa, Gamal ...
... an older man developed acute colonic pseudo-obstruction refractory to conservative management. During a decompression ... Acute colonic pseudo-obstruction (ACPO) is severe dilation of the colon without the presence of a mechanical obstruction. ACPO ... The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. ... Radiograph of Acute Colonic Pseudo-obstruction. (Image courtesy of Radiopaedia.org. From case rID: 11684.). ...
Endoscopic decompression for acute colonic pseudo-obstruction. Gastrointest Endosc. 1996 Aug; 44 (2):144-50 View PubMed ... Detection of occult colonic perforation before CT colonography after incomplete colonoscopy: perforation rate and use of a low- ... Efficacy of colonic submucosal saline solution injection for the reduction of iatrogenic thermal injury. Gastrointest Endosc. ... Use of a duodenoscope to identify and treat a colonic vascular malformation. Gastrointest Endosc. 2004 Feb; 59 (2):323-5 View ...
  • Treat the underlying cause if possible, such as correction of any electrolyte/metabolic abnormalities and removal of medications that may decrease colonic motility (eg, narcotics, anticholinergic agents, calcium channel antagonists). (medscape.com)
  • Primary (idiopathic) intestinal pseudo-obstruction is diagnosed based on motility studies, x-rays and gastric emptying studies. (wikipedia.org)
  • In contrast, motility disorders that result from structural abnormalities are termed mechanical bowel obstruction . (thefullwiki.org)
  • Drugs that disturb colonic motility (e.g., anticholinergics or opioid analgesics) contribute to the development of this condition. (wikipedia.org)
  • Normal colonic motility requires integration of myogenic, neural, and hormonal influences. (wikipedia.org)
  • She was managed conservatively with a prokinetic (drug which enhances gastrointestinal motility) following confirmation of an acute colonic pseudo-obstruction on computed tomography scan and she made a full recovery. (edoriumjournals.com)
  • Paralytic ileus, a condition where the motility of the intestines is inhibited, results in pseudo obstruction and constipation. (medindia.net)
  • He was treated conservatively with placement of a nasogastric tube, discontinuation of all oral intake, administration of intravenous fluids, and cessation of all medications that can impair colonic motility. (ahrq.gov)
  • Prucalopride, a serotonin type 4 receptor agonist, is a gastrointestinal prokinetic agent that stimulates colonic peristalsis, increasing bowel motility. (thefreedictionary.com)
  • Background -Chronic idiopathic intestinal pseudo-obstruction, a syndrome of ineffectual motility due to a primary disorder of enteric nerve or muscle, is rare. (bmj.com)
  • Patients with chronic idiopathic intestinal pseudo-obstruction (CIIP) have a variety of underlying pathologies which result in defective gut motility. (bmj.com)
  • Chronic intestinal pseudo-obstruction (CIPO) is a rare, severe syndrome with impaired gastro-intestinal motility leading to functional obstruction resembling mechanical obstruction. (scielo.org.za)
  • Visceral Hypersensitivity and Altered Colonic Motility in Type 2 Diabetic Rat. (koreamed.org)
  • Absence or reduction in the number of ICCs has been implicated in several disorders of human gastrointestinal motility, including hypertrophic pyloric stenosis, Hirschsprung disease, intestinal pseudo-obstruction , and slow-transit constipation. (thefreedictionary.com)
  • Some mechanical obstructions are misnomers, such as gallstone ileus and meconium ileus , and are not true examples of ileus by the classic definition [ 4 ] . (thefullwiki.org)
  • Intestinal Obstruction and Ileus. (thefullwiki.org)
  • Other forms of megacolon include pseudo-obstruction, acute colonic ileus, or congenital colonic dilation. (medlineplus.gov)
  • Intestinal pseudo-obstruction, such as Ogilvie's syndrome, or adynamic ileus, may mimic intestinal obstruction clinically, even though there is no distinct physical obstruction. (psychiatryadvisor.com)
  • Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. (mountsinai.org)
  • As Ogilvie syndrome can demonstrate a presentation similar to ileus, small bowel obstruction, mechanical large bowel obstruction, and perforated viscus, it is important to note the distinguishing characteristics of acute colonic pseudo-obstruction in order to make a timely and accurate diagnosis with appropriate intervention. (reproductivemedicine.com)
  • The symptoms of this condition act like a mechanical bowel obstruction , but no blockage is found when doctors examine the intestine. (epnet.com)
  • Obstruction within the small intestine (small bowel obstruction or SBO) is more common than a blockage elsewhere in the gastrointestinal tract. (healthhype.com)
  • Most cases of small bowel obstruction are due to mechanical causes. (healthhype.com)
  • Polyps may also cause small bowel obstruction although it is more likely to occur in the large intestine. (healthhype.com)
  • In renal transplant candidates with a history of peritoneal dialysis treatment, prior to transplantation, carefully evaluate for symptoms of intermittent bowel obstruction. (medscape.com)
  • Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon . (radiopaedia.org)
  • Symptoms are that of a large bowel obstruction: constipation, abdominal bloating, nausea and/or vomiting. (radiopaedia.org)
  • ConclusionUsing the obstruction protocol in patients with bowel obstruction reduced emergency surgery and postoperative morbidity and mortality in this pilot study. (medworm.com)
  • The condition was first recognised by Dudley et al in 1958 who described 13 patients with clinical features of bowel obstruction in the absence of a mechanical cause in whom recurring symptoms of pain, vomiting, and distension led to multiple laparotomies. (bmj.com)
  • Large Bowel Obstruction (LBO) can lead to bowel ischemia, perforation, sepsis. (oncologynurseadvisor.com)
  • Diagnostic Confirmation: Are you sure your patient has a large bowel obstruction? (oncologynurseadvisor.com)
  • C. History Part III: Competing diagnoses that can mimic Large Bowel Obstruction. (oncologynurseadvisor.com)
  • Management of adhesive small bowel obstruction: A distinct paradigm shift in the United States J Trauma Acute Care Surg. (usc.edu)
  • but currently in the Western world, adhesions have become the most frequent cause of adult small bowel obstruction, accounting for 74% of cases in a series by Miller. (psychiatryadvisor.com)
  • The most frequent etiology of bowel obstruction varies by age. (psychiatryadvisor.com)
  • Chilaiditi syndrome is a rare entity and therefore, is often misdiagnosed in clinical practice, however, it may be accompanied by a series of severe complications, such as bowel obstruction and perforation. (semanticscholar.org)
  • Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. (medscape.com)
  • X-rays of the abdomen are important in diagnosing the presence of small bowel obstruction. (mountsinai.org)
  • Bowel obstruction is the interruption of the normal passage of bowel contents either due to a functional decrease in peristalsis or mechanical obstruction. (amboss.com)
  • Symptoms are less severe in partial bowel obstruction. (amboss.com)
  • Bowel obstruction and perforation of viscus may have a similar presentation. (reproductivemedicine.com)
  • Sigmoid volvulus is a common cause of large bowel obstruction in western countries and Africa. (ebscohost.com)
  • It accounts for 25% of the patients admitted to the hospital for large bowel obstruction. (ebscohost.com)
  • 장폐쇄 (bowel obstruction)는 위장관이 어떤 물리적인 요인으로 막한 것을 말한다. (wikipedia.org)
  • Large bowel obstruction: predictive factors for postoperative mortality. (springer.com)
  • The association of Coloproctology of Great Britain and Ireland study of large bowel obstruction caused by colorectal cancer. (springer.com)
  • Predictive factors for successful colonic stenting in acute large-bowel obstruction: a 15-year cohort analysis. (springer.com)
  • Tan CJ, Dasari BV, Gardiner K. Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction. (springer.com)
  • Blowhole colostomy for the urgent management of distal large bowel obstruction. (springer.com)
  • A volvulus occurs when a portion of the bowel, either large or small, rotates and the twisting causes an obstruction and leads to strangulation with ischemia. (healthhype.com)
  • Obstruction to the passage of stools in the intestines can be caused by conditions like cancer, stricture formation (an abnormal narrowing by fibrous or other tissues), foreign bodies, hernia and volvulus (twisting of the intestine). (medindia.net)
  • Large bowel volvulus accounts for ~5% of all large bowel obstructions, with ~60% of intestinal volvulus involving the sigmoid colon 6 . (radiopaedia.org)
  • Diagnosis of colonic volvulus: findings on multidetector CT with three-dimensional reconstructions. (radiopaedia.org)
  • 8. Clinical Practice Guidelines for Colon Volvulus and Acute Colonic Pseudo-Obstruction. (radiopaedia.org)
  • Fellows will learn how to endoscopically treat Ogilvie's syndrome (colonic pseudo-obstruction) and colonic volvulus. (uhhospitals.org)
  • Ogilvie's syndrome (acute colonic pseudo-obstruction) is acute massive functional dilatation of bowel without a distal mechanical obstruction. (jcog.com.tr)
  • Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie's syndrome). (jcog.com.tr)
  • Jayaram P, Mohan M, Lindow S, Konje J. Postpartum acute colonic pseudo-obstruction (Ogilvie's syndrome): a systematic review of case reports and case series. (jcog.com.tr)
  • Ogilvie's syndrome is an acute dilatation of a part or all of the colon and rectum without mechanical obstruction. (scirp.org)
  • Ogilvie's syndrome or acute colonic pseudo-obstruction (ACPO) is defined as an important dilation of the colon in the absence of mechanical or functional obstruction. (scirp.org)
  • A Rare Cause of Acute Colonic Pseudo-obstruction: Ogilvie's Syndrome Caused by Herpes Zoster. (koreamed.org)
  • 하지만, 장 폐쇄의 증상이 있으면서 물리적인 장 폐쇄는 없는 경우가 있는데 이를 "급성 대장성 거짓폐쇄증" (acute colonic pseudoobstruction), 또는 오길비 증후군 (Ogilvie's syndrome)이라고 한다. (wikipedia.org)
  • CPO was diagnosed as colonic dilatation without mechanical obstruction by using radiologic and/or endoscopic examinations. (bvsalud.org)
  • Mariusz Chabowski ,Bartosz Bieganski ,Jakub Kobecki ,Mateusz Szponder ,Dariusz Janczak , Idiopathic dilatation of the colon in a nursing home resident, with a suspected acute colonic pseudo-obstruction [Ogilvie Syndrome], J. Coll. (who.int)
  • Diagnosis depends on the gross dilatation of caecum and ascending colon and exclusion of distal mechanical obstruction. (jcog.com.tr)
  • That showed an important dilatation of all of the colon and rectum without sharp transition or mechanical obstruction ( Figure 1 ) and without signs of gravity ( Figure 2 ). (scirp.org)
  • Abdominal CT in coronal and sagittal sections, showing the dilatation of all of the colon (arrows) and rectum (arrowhead), without sharp transition or mechanical obstruction. (scirp.org)
  • Colonic dilatation can be seen on imaging proximal to the point of obstruction. (oncologynurseadvisor.com)
  • Diffuse colonic dilatation, which may extend to the small bowel if there is an incompetent ileocecal valve. (oncologynurseadvisor.com)
  • Prompt treatment is important to reduce the risk of complications, including colonic ischemia and/or perforation. (ahrq.gov)
  • The risk of perforation depends on the acuity, severity, and duration of colonic distention. (ahrq.gov)
  • An abdominal radiograph revealed free air, consistent with a colonic perforation. (ahrq.gov)
  • Because the cecum has the greatest colonic radius, the cecum is the most common site of colonic ischemia or perforation in patients with functional ileocecal valves. (oncologynurseadvisor.com)
  • Colonic perforation remained an absolute contraindication to therapeutic colonoscopy which is analogous to diagnostic colonoscopy. (scirp.org)
  • An iatrogenic duodenal perforation during a diagnostic procedure led to an emergent exploratory laparotomy in which the dilated colonic segment was resected. (openarchives.gr)
  • The most common emergencies related to primary colorectal cancer are perforation and obstruction. (springer.com)
  • [ 21 ] A 2020 retrospective (2000-2016), propensity-matched study that evaluated the efficacy of colonic decompression with standard medical therapy (supportive care, pharmacotherapy) for treatment of inpatients with first diagnosis of ACPO versus standard medical therapy alone found no significant differences in mid or distal colon diameter reduction between the two groups. (medscape.com)
  • 1. Functional obstruction of the colon. (lexic.us)
  • In intestinal pseudo-obstruction, foods and liquids are unable to pass through the intestine, causing a build-up of food, fluid, and gas in all or part of the colon. (epnet.com)
  • Ogilvie syndrome is the acute dilation of the colon in the absence of any mechanical obstruction in severely ill patients. (wikipedia.org)
  • Previous studies from Korea have described chronic intestinal pseudo-obstruction (CIPO) patients with transition zone (TZ) in the colon . (bvsalud.org)
  • Acute colonic pseudo-obstruction (ACPO) is severe dilation of the colon without the presence of a mechanical obstruction. (ahrq.gov)
  • Diagnosis of ACPO is secured with imaging showing a dilated colon in the absence of a mechanical obstruction ( Figure ). (ahrq.gov)
  • Once mechanical obstruction is excluded (typically requires a CT scan or a water-soluble contrast enema study), management of ACPO is focused on reversal and treatment of precipitating factors and decompression of the colon. (ahrq.gov)
  • Abdominal radiography showed a large amount of gas in the colon, and a computed tomography scan also showed colonic gas and a large stool mass blocking the rectum (Figure 1 ). (hindawi.com)
  • A mechanical obstruction (intrinsic or extrinsic) of the colon leads to luminal stasis, allowing more anerobic bacteria to proliferate, leading to fermentation and increased gas production. (oncologynurseadvisor.com)
  • A quiz related to intestinal obstruction after a diverting colostomy of the descending colon is presented. (ebscohost.com)
  • Twenty-two horses with colic, referred to the University of Liverpool Equine Hospital (1992-1998), were found at laparotomy to have a partial obstruction of the large colon caused by a segmental mural lesion located in the left dorsal colon. (surrey.ac.uk)
  • Colonic stent as bridge to surgery in patients with obstructive left-sided colon cancer. (springer.com)
  • Clinical features of intestinal pseudo-obstruction can include abdominal pain, nausea, severe distension, vomiting, dysphagia, diarrhea and constipation, depending upon the part of the gastrointestinal tract involved. (wikipedia.org)
  • It could be a result of electrolyte abnormalities, complication of surgery, obstruction in blood supply to the intestines, intra-abdominal infection, kidney or lung disease or the use of certain medications. (medindia.net)
  • This abdominal X-ray shows a stomach filled with fluid and a swollen (distended) small bowel, caused by a blockage (pseudo-obstruction) in the intestines. (mountsinai.org)
  • This abdominal X-ray shows thickening of the bowel wall and swelling (distention) caused by a blockage (pseudo-obstruction) in the intestines. (mountsinai.org)
  • This abdominal X-ray shows an intestinal condition in which a loop of bowel has slipped into another section of bowel (intussusception), causing swelling, reduced blood flow, obstruction, and tissue damage. (mountsinai.org)
  • Contrast enemas play an important role in the diagnosis of abdominal emergencies such as appendicitis, intestinal obstruction in neonates and children, inflammatory bowel disease and ischemic colitis and are also useful in screening for colorectal polyps and cancer. (ispub.com)
  • Management of acute colonic pseudoobstruction (ACPO) (acute megacolon, Ogilvie syndrome) can be divided into a conservative or interventional approach. (medscape.com)
  • Conservative management is preferred when the patient with acute colonic pseudoobstruction (ACPO) (acute megacolon, Ogilvie syndrome) is clinically stable. (medscape.com)
  • Colonic decompression appears to be effective for proximal colonic dilation or ACPO-related symptoms relative to standard medical care alone. (medscape.com)
  • Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome is a condition characterized by massive colonic distension in the absence of mechanical obstruction. (edoriumjournals.com)
  • We highlight the significance of the Acute colonic pseudo-obstruction (ACPO) particularly postoperatively after cesarean section. (edoriumjournals.com)
  • It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. (wikipedia.org)
  • Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any physical blockage. (medlineplus.gov)
  • Ogilvie syndrome [acute colonic pseudo-obstruction] represents a clinical condition with symptoms of colonic obstruction without a distinct mechanical factor. (who.int)
  • Intestinal obstruction should always be ruled out upon the presentation of these signs and symptoms. (healthhype.com)
  • Despite conservative treatment, his symptoms progressed and computed tomography (CT) of the abdomen revealed acute colonic pseudo-obstruction (sometimes referred to as Ogilvie syndrome). (ahrq.gov)
  • The condition is called pseudo-obstruction because the symptoms will be similar to those that would be brought on by a blockage in the digestive system, despite the fact that there is no physical blockage. (medic8.com)
  • If you have symptoms that suggest intestinal pseudo-obstruction, your doctor will examine you and advise you have an X-ray. (medic8.com)
  • Colonic Decompression Reduces Proximal Acute Colonic Pseudo-obstruction and Related Symptoms. (helsinki.fi)
  • Chilaiditi syndrome refers to a medical condition that is indicated by the presence of Chilaiditi sign, the radiological observation of a colonic interposition between the liver and the diaphragm, and is associated with other clinical symptoms. (semanticscholar.org)
  • Surgery may be needed to relieve the obstruction if the tube does not relieve the symptoms. (mountsinai.org)
  • There are many possible causes of intestinal pseudo-obstruction, which includes illnesses and health conditions, such as diabetes, hypothyroidism (underactive thyroid gland) and muscular dystrophy and neurological conditions, including Parkinson's disease. (medic8.com)
  • The diagnosis is based on computed tomography (CT) that exclude s organic or functional colonic obstruction and ensures the detection of signs of severity. (scirp.org)
  • Rapid diagnosis leads to conservative measures and the resolution of obstruction. (scirp.org)
  • Given its length and structure, it is more prone to a number of causes that can result in a partial or complete obstruction. (healthhype.com)
  • A complete obstruction is present if there is no passage of intestinal contents beyond the point of obstruction, whereas a partial obstruction allows for the passage of some contents distal to the obstruction. (psychiatryadvisor.com)
  • This almost always occurs in the setting of complete obstruction and is more frequently seen with closed-loop obstructions. (psychiatryadvisor.com)
  • One exception to this is a Richter's hernia, in which strangulation may occur without complete obstruction. (psychiatryadvisor.com)
  • The proximal small bowel is normally relatively sterile, but with a high grade or complete obstruction, bacterial overgrowth with anaerobes such as Bacteroides may result in feculent vomiting. (psychiatryadvisor.com)
  • A unique phenotype, secretory diarrhea and hypokalemia with colonic pseudoobstruction (SD-CPO), requires a distinct approach for management, as this condition is more difficult to treat and carries a higher mortality as compared to the classic constipation-predominant form. (medscape.com)
  • He visited the emergency department and was diagnosed with acute colonic obstruction caused by severe constipation. (hindawi.com)
  • Molecular and Cellular Characteristics of the Colonic Pseudo-obstruction in Patients With Intractable Constipation. (koreamed.org)
  • Both benign and malignant tumors of the small intestine may cause intestinal obstruction. (healthhype.com)
  • Methods -Cross sectional study of all patients with clinical and radiological features of intestinal obstruction in the absence of organic obstruction, associated with dilated small intestine (with or without dilated large intestine), being actively managed in one tertiary referral centre at one time. (bmj.com)
  • As the stomach and small intestine proximal to the obstruction dilate, patients experience nausea and vomiting and cease oral intake. (psychiatryadvisor.com)
  • clinical manifestations falsely suggesting obstruction of the small intestine, usually occurring in patients with multiple jejunal diverticula. (thefreedictionary.com)
  • Endoscopic stenting versus surgical colostomy for the management of malignant colonic obstruction: comparison of hospital costs and clinical outcomes. (ebscohost.com)
  • Background: Although stent placement is increasingly performed, colostomy still is considered the gold standard for emergent relief of malignant colonic obstruction (MCO). (ebscohost.com)
  • Preoperative colonic stents versus emergency surgery for acute left-sided malignant colonic obstruction: a meta-analysis. (springer.com)
  • Emergency preoperative stenting versus surgery for acute left-sided malignant colonic obstruction: a multicenter randomized controlled trial. (springer.com)
  • Oncological outcome of malignant colonic obstruction in the Dutch Stent-In 2 trial. (springer.com)
  • Intestinal obstruction is a partial or complete blockage of the bowel. (mountsinai.org)
  • Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. (wikipedia.org)
  • Total parenteral nutrition (TPN) is a form of long-term nutritional treatment needed for patients that have severe pseudoobstruction. (wikipedia.org)
  • In severe cases of intestinal pseudo-obstruction, surgery to remove part or your entire intestine may be necessary. (epnet.com)
  • Compromised blood flow to the bowel causing ischemic necrosis is referred to as strangulated obstruction. (psychiatryadvisor.com)
  • Obstruction within the small or large intestine occurs for several possible reasons. (healthhype.com)
  • Colonic pseudo-obstruction occurs in the absence of a mechanical cause of obstruction. (medindia.net)
  • Pain is usually colicky and poorly localized due to visceral distention of the intestine that occurs as it contracts against an obstruction. (psychiatryadvisor.com)
  • When obstruction occurs, both fluid and gas collect in the intestine. (mountsinai.org)
  • Complications with these rectal tubes include tube obstruction and colonic/rectal ulceration. (medscape.com)
  • [ 19 ] In patients with secretory diarrhea and hypokalemia with colonic pseudoobstruction (SD-CPO) a trial of concomitant colonic decompression and aldactone is warranted. (medscape.com)
  • Moreover, the 30-day all-cause mortality for the colonic decompression group was lower versus the standard medical therapy group (8.4% vs 14.8%, respectively). (medscape.com)
  • All of these features are also similar in true mechanical obstruction of the bowel. (wikipedia.org)
  • Patients may have nausea and vomiting, though this is less common with LBOs as compared to small bowel obstructions. (oncologynurseadvisor.com)
  • Most cases of acute pseudo-obstruction get better in a few days with treatment. (medlineplus.gov)
  • In this case, the acute pseudo-obstruction of the large intestine was recognised late. (who.int)
  • Colonic obstruction secondary to adhesions -- 3. (umsystem.edu)
  • In a simple obstruction there is a single point of obstruction, whereas a closed-loop obstruction is caused by two distinct points of obstruction. (psychiatryadvisor.com)
  • An innovative technique using a percutaneously placed guidewire allows for higher success rate for ERCP compared to balloon enteroscopy assistance in Roux-en-Y gastric bypass anatomy. (mayo.edu)
  • Colonic pseudo-obstruction (CPO) is defined as marked colonic distension in the absence of mechanical obstruction. (bvsalud.org)
  • Mechanical obstruction should be excluded by radiological imaging including X-ray and computed tomography scan. (edoriumjournals.com)
  • The laparoscopic approach results in a lower incidence of adhesive obstruction in many procedures but not in appendectomy and not clearly in colorectal surgery. (psychiatryadvisor.com)
  • In contrast there is a group of patients with a similar pseudo-obstructive syndrome in whom there is no recognised underlying non-gastrointestinal disease. (bmj.com)
  • Laparoscopic diverting colostomy in the therapeutic management of large bowel obstructions in neoplastic elderly patients. (ebscohost.com)
  • Intestinal Obstruction after Colostomy Closure. (ebscohost.com)