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 olgilvie syndrome  



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Author17 Posts
  #1

What is it ?




  #2

Ogilvie's syndrome may be?


  #3

chronic paralisis of the bowel due to neurologic condition or extended narcotic use.


  #4

"mdwannabe" wrote:
chronic paralisis of the bowel due to neurologic condition or extended narcotic use.


Hatts of to you Mdwannabe smiling face ,you are great .

Yes seen in elderly pts/post op cases .


  #5

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.


  #6

agree smiling face


  #7

how do we treat it?


  #8

Conservative treatment is appropriate first step with minimal symtoms
And aggresively teratment of underlying illness


  #9

:arrow: withdraw narcotics and anticholinergics

:arrow: endoscopic colonic decompression


  #10

:-) 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????


  #11

smiling face


  #12

endoscopic colonic decompression - it's conservative not invasive :-)


  #13

but what about aggressive?
And I'd say sticking a long tube up my butt would be rather invasive and quite radical :-) :-) :-)


  #14

yes we have to do cautiously ,otherwwise it can become invasive smiling face


  #15

INDEED YOUR ARE RIGHT !!!

DMNZ grin/


  #16

hey can anyone tell me the diff B/w pseudoileus , paralytic ileus & gall stone ileus ?


  #17

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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