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Management of Colonic Pseudo-Obstruction

  • Audrey S. Kulaylat
  • David B. StewartJr.Email author
Chapter

Abstract

A diagnosis of colonic pseudo-obstruction (CPO) should be suspected in patients presenting with signs of large bowel obstruction in whom other causes of obstruction (particularly mechanical) have been ruled out. In the absence of bowel perforation or ischemia, initial management strategies involve correction of electrolyte derangements and cessation of any instigating medications, followed by intravenous neostigmine and finally endoscopic decompression. For patients with perforation or nonviable colon, surgical intervention is the standard of care.

Keywords

Pseudo-obstruction Colonic obstruction Ogilvie’s syndrome Neostigmine 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA
  2. 2.Department of SurgeryBanner University Medical Center – TucsonTucsonUSA

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