asmi
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What is it ?
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| bozhenka
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Ogilvie's syndrome may be?
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| mdwannabe
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chronic paralisis of the bowel due to neurologic condition or extended narcotic use.
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| asmi
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"mdwannabe" wrote:
chronic paralisis of the bowel due to neurologic condition or extended narcotic use.
Hatts of to you Mdwannabe  ,you are great .
Yes seen in elderly pts/post op cases .
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| mdwannabe
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basically it is a pseudo-ileus, an also be caused by surgical intervention, then such episode is acute. it is characterized by dilation with out obvious obstr.
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| asmi
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agree
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| mdwannabe
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how do we treat it?
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| bozhenka
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Conservative treatment is appropriate first step with minimal symtoms
And aggresively teratment of underlying illness
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| asmi
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:arrow: withdraw narcotics and anticholinergics
:arrow: endoscopic colonic decompression
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| mdwannabe
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:-) exellent memory asmi... consider NG tube for possible regurg and aspiration, and aid in decompression. :-)
zhenka... how would u aggressivley treat it and what is your idea of conservatism????
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| asmi
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| bozhenka
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endoscopic colonic decompression - it's conservative not invasive :-)
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| mdwannabe
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but what about aggressive?
And I'd say sticking a long tube up my butt would be rather invasive and quite radical :-) :-) :-)
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"Life not lived for others, is not worth living" Uncle Einstein
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| asmi
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yes we have to do cautiously ,otherwwise it can become invasive
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| dmnz
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INDEED YOUR ARE RIGHT !!!
DMNZ  /
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| cerebral cortex
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hey can anyone tell me the diff B/w pseudoileus , paralytic ileus & gall stone ileus ?
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| anne
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gall stone ileus :arrow: gall stone passing through choledochoduodenal fistula and getting stuck in small bowel to cause ileus.
paralytic ileus :arrow: also called adynamic ileus, is impaired GI motility secondary to either direct peritoneal irritation(as in peritonitis), or due to retroperitoneal hematoma, or nerve root compression etc.
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