1.Colonic pseudoobstruction.
Korean Journal of Medicine 2008;75(5):531-532
No abstract available.
Colon
;
Colonic Pseudo-Obstruction
2.A Rare Cause of Acute Colonic Pseudo-obstruction: Ogilvie’s Syndrome Caused by Herpes Zoster.
Jae Yoon CHUNG ; Jong Seol PARK ; Yong Sung KIM
Journal of Neurogastroenterology and Motility 2017;23(4):616-617
No abstract available.
Colon*
;
Colonic Pseudo-Obstruction*
;
Herpes Zoster*
3.A Case of Pseudo-obstruction Responding to Neostigmine.
Nak Ki KWUN ; Myung Gyu CHOI ; In Seok LEE ; Se Hee KIM ; Yu Kyung CHO ; Sang Woo KIM ; In Sik CHUNG ; Doo Ho PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):197-201
Pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. A 65-year-old male who complained of abdominal pain and obspitation. (not constipation?) was admitted. Simple abdominal radiographs revealed marked colonic dilatation without mechanical obstruction suggesting pseudo-obstruction. Clinical response with conservative care failed to improve the patient. 2.0 mg of neostigmine which was recently reported to be an effective way to decompress the colon in patients with acute colonic pseudo-obstruction, was administered. Immediate clinical response was achieved without complication.
Abdominal Pain
;
Aged
;
Colon
;
Colonic Pseudo-Obstruction
;
Dilatation
;
Humans
;
Intestinal Obstruction
;
Intestinal Pseudo-Obstruction
;
Male
;
Neostigmine*
4.A Case of Pseudo-obstruction Responding to Neostigmine.
Nak Ki KWUN ; Myung Gyu CHOI ; In Seok LEE ; Se Hee KIM ; Yu Kyung CHO ; Sang Woo KIM ; In Sik CHUNG ; Doo Ho PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):197-201
Pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. A 65-year-old male who complained of abdominal pain and obspitation. (not constipation?) was admitted. Simple abdominal radiographs revealed marked colonic dilatation without mechanical obstruction suggesting pseudo-obstruction. Clinical response with conservative care failed to improve the patient. 2.0 mg of neostigmine which was recently reported to be an effective way to decompress the colon in patients with acute colonic pseudo-obstruction, was administered. Immediate clinical response was achieved without complication.
Abdominal Pain
;
Aged
;
Colon
;
Colonic Pseudo-Obstruction
;
Dilatation
;
Humans
;
Intestinal Obstruction
;
Intestinal Pseudo-Obstruction
;
Male
;
Neostigmine*
5.A Case of Acquired Zonal Aganglionosis in Adult.
Woong Jun KIM ; Chang Soo EUN ; Min Kyu LEE ; Seung Yeon MIN ; Yeon Hwa YOO ; Dong Soo HAN ; Yong Cheol JEON ; Joo Hyun SOHN
Intestinal Research 2012;10(2):210-214
A chronic intestinal pseudo-obstruction is a rare disorder and a severe digestive syndrome. It is characterized by deranged gut propulsive motility that resembles a mechanical obstruction, but no obstructive process is present. An intestinal pseudo-obstruction may be classified as acute or chronic; the chronic form may also be classified as idiopathic or secondary to a variety of diseases. Treatment of intestinal pseudo-obstruction involves nutritional, pharmacological, and surgical therapies. Surgery should be limited to patients who are refractory to medical therapy and show a deteriorating course. Despite available medical and surgical interventions, the outcome remains poor. Here, we describe a case of a 54-year-old female with chronic constipation and abdominal distension, who was subsequently found to have segmental aganglionosis. The patient was treated with a subtotal colectomy and ileosigmoidostomy without sequelae.
Adult
;
Colectomy
;
Colonic Pseudo-Obstruction
;
Constipation
;
Female
;
Fluconazole
;
Hirschsprung Disease
;
Humans
;
Intestinal Pseudo-Obstruction
;
Middle Aged
6.Treatment of Acute Colonic Pseudo-obstruction (Ogilvie's Syndrome) with Intravenous Neostigmine.
Boo Hwan HONG ; Sun Il LEE ; Keun Won RYU ; Sun Han KIM ; Bum Hwan GOO ; Hong Young MOON
Journal of the Korean Surgical Society 2000;59(1):133-136
Acute colonic pseudo-obstruction is a functional disorder that closely mimics a mechanical large-bowel obstruction. Two such patients were treated by pharmacological manipulation of the parasympathetic innervation to the colon with intravenous neostigmine infusion. The two responded to treatment with passage with flatus and stool within several minutes with complete resolution of the symptoms, although the first patient required two additional infusions and the second patient required one additional infusion for subsequent recurrence. Dizziness occurred in one patient, and no other serious side effects were apparent. This pharmacological approach to the management of acute colonic pseudo-obstruction is suggested as an alternative to the other treatment options of colonoscopic decompression or surgery when conservative management has failed.
Colon*
;
Colonic Pseudo-Obstruction*
;
Decompression
;
Dizziness
;
Flatulence
;
Humans
;
Neostigmine*
;
Recurrence
7.OGILVIE`S SYNDROME AS A COMPLICATION AFTER THE BREAST RECONSTRUCTION WITH A TRAM FLAP.
Kwon JOO ; Ik Soo CHANG ; Sang Tae AHN ; Poong LIM ; Kee Sun HAM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(2):375-379
Acute colonic pseudoobstruction was first reported in 1948 by Sir H. Ogilvie. It is characterized by an acute, abrupt right-sided colonic distention in the absence of physical reasons for obstruction. If untreated, it may progress to cecal perforation, peritonitis, and death. Although primary cases have been reported, 87 percent of cases were secondary results of medical or surgical conditions. The most common medical conditions were infections, cardiac disease, and neurologic problems. In surgical conditions, cesarean section has been reported as the most common cause of Ogilvie's syndrome. In 1995, the first case of Ogilvie's syndrome complicated after a cosmetic surgical procedure(abdominoplasty) was reported by Bradley et al. We report a case of Ogilvie's syndrome complicated after breast reconstruction with TRAM flap that developed in the postoperative third day in 35-year old woman. The complications are primarily related to decreased flap perfusion. No reference of intestinal pseudoobstruction was found in the literature conducted in regard to complications of TRAM flap breast reconstruction.
Adult
;
Breast*
;
Cesarean Section
;
Colon
;
Colonic Pseudo-Obstruction
;
Female
;
Heart Diseases
;
Humans
;
Intestinal Pseudo-Obstruction
;
Mammaplasty*
;
Perfusion
;
Peritonitis
;
Pregnancy
8.A Case of Colonic Pseudo-obstruction Two case reports.
Seung Kon HONG ; Jung hyun PARK ; Kee Hwan KIM ; Hae Myung JEON ; Jeong Soo KIM ; Seung Taek OH ; Hiun Suk CHAE ; Seung Jin YOO ; Jae Sung KIM
Journal of the Korean Society of Coloproctology 1999;15(5):443-449
Pseudo-obstruction of the colon, first described by Ogilvie1 in 1948 and usually referred to as Ogilvie's syndrome, is a specific variety of adynamic ileus. It is characterized by massive colonic dilatation with a clinical and radiologic findings very similar to mechanical large intestinal obstruction, except that there is no organic obstruction. The cecum is usually the site of greatest dilatation, though the whole large bowel may be involved, from the terminal ileum up to the rectosigmoid junction. The dilatation is rapidly progressive and, if untreated, may even cause cecal necrosis and perforation, with highly increased mortality rate. The syndrome has been associated with various metabolic and organic dysfunctions, and has been observed following gynecologic as well as simple surgical procedures; yet its occurrence has been rather uncommon. The followings are two case reports with this syndrome.
Cecum
;
Colon*
;
Colonic Pseudo-Obstruction*
;
Dilatation
;
Ileum
;
Ileus
;
Intestinal Obstruction
;
Mortality
;
Necrosis
9.A Case of Acute Colonic Pseudo-obstruction Treated by Percutaneous Endoscopic Colostomy.
Sung Joon KIM ; Suck Ho LEE ; Myung Jin KANG ; Yong Ho CHOI ; Jeong Hoon PARK ; Do Hyun PARK ; Hong Soo KIM ; Sang Heum PARK ; Sun Joo KIM
Korean Journal of Gastrointestinal Endoscopy 2007;34(3):151-155
Acute colonic pseudo-obstruction (Ogilvie's syndrome) results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is efficient. Rarely, surgery has to be performed. A surgical treatment is associated with high morbidity and mortality. However, a percutaneous endoscopic colostomy could be an interesting alternative treatment. We report the case of a 88-year-old female with colonic pseudo-obstruction for which both the conservative and the colonoscopic treatments were unsuccessful. A percutaneous endoscopic colostomy was performed, and symptomatic improvement was observed. We have shown that percutaneous endoscopic colostomy is a safe and effective treatment for acute colonic pseudo- obstruct
Aged, 80 and over
;
Colon*
;
Colonic Pseudo-Obstruction*
;
Colostomy*
;
Decompression
;
Female
;
Humans
;
Mortality
10.A Case of Colonic Pseudo-Obstruction in a Patient with Parkinson's Disease.
Kyo Young CHOO ; Myung Gyu CHOI ; Hwang CHOI ; Choon Sang BHANG ; Kyu Yong CHOI ; In Sik CHUNG ; Kyu Won CHUNG ; Hee Sik SUN
Korean Journal of Gastrointestinal Motility 2001;7(2):251-256
Colonic pseudo-obstruction (CPO) is a syndrome characterized by obstructive symptoms and signs without mechanical obstruction. Parkinson's disease is one of the various clinical situations developing CPO. Recently, one study group reported that neostigmine was significantly more effective than placebo in rapidly decreasing colonic dilatation in the majority of patients with acute CPO. We experienced a 69-year-old male patient with Parkinson's disease who complained abdominal distension. There was a marked colonic dilatation on plain abdominal radiographs without mechanical obstruction. Colonic dilatation failed to improve with conservative management. Immediate clinical response was achieved after patient received 2.0 mg of neostigmine intravenously under monitoring by electrocardiography. One month later, he had recurrent colonic dilatation, but no clinical response to second administration of neostigmine, leading to colonic decompression. After a third recurrence of colonic dilatation, the patient was refractory to conservative management, and he underwent surgical treatment.
Aged
;
Colon*
;
Colonic Pseudo-Obstruction*
;
Decompression
;
Dilatation
;
Electrocardiography
;
Humans
;
Male
;
Neostigmine
;
Parkinson Disease*
;
Recurrence