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Ogilvie syndrome

Abstract

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NORD is very grateful to Prospere Remy, MD, Assistant Professor of Medicine, Albert Einstein College of Medicine, Bronx-Lebanon Hospital, GI Division, for assistance in the preparation of this report.

Synonyms of Ogilvie syndrome

  • ACPO
  • acute colonic pseudo-obstruction
  • colonic pseudo-obstruction
  • Ogilvie's syndrome

Disorder Subdivisions

  • No subdivisions found.

General Discussion

Summary
Ogilvie syndrome is a rare, acquired disorder characterized by abnormalities affecting the involuntary, rhythmic muscular contractions (peristalsis) within the colon. Peristalsis propels food and other material through the digestive system through the coordination of muscles, nerves and hormones. The colon is often significantly widened (dilated). Symptoms are similar to other forms of intestinal pseudo-obstruction and can include nausea, vomiting, abdominal bloating or swelling and constipation. The symptoms of Ogilvie syndrome mimic those of mechanical obstruction of the colon, but no such physical obstruction is present. Mechanical obstruction refers to something (e.g., tumor, scar tissue, etc.) physically blocking the passage of food and other material through the GI tract. Ogilvie syndrome is usually associated with an underlying disorder, trauma or surgery. Ogilvie syndrome can be managed with conservative treatment, but if unrecognized and untreated can lead to serious, potentially life-threatening complications.

Introduction
Ogilvie syndrome was first described in the medical literature in 1948 by a British surgeon named Sir William Ogilvie. The disorder is also known as acute colonic pseudo-obstruction (ACPO). It is not the same as chronic intestinal pseudo-obstruction, a similar, but distinct disorder.

Organizations related to Ogilvie syndrome

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