[Ogilvie's syndrome: does it have to be redefined? An analysis of 8 cases and contribution to the discussion].
The authors examine eight cases of acute pseudo-obstruction of the colon and point out that these may be inserted in the wider context of intestinal pseudo-obstructions. These comments raise questions concerning Ogilvie's syndrome since the dilatations observed do not only affect the colon, according to the classic definition, but also the ileo-jejunal tract, in spite of the fact that the main target continues to be the colon. The term Ogilvie's syndrome is still significant in the clinical identification of colic dilatation, in particular the right colon in which possible complications are more severe. The authors identify colonoscopy as the best instrumental test owing to the possibilities its offers, including therapeutic, and also underline that there does not appear to be a real risk of iatrogenic lesions if an appropriate technique is used.
Pancaldi
R
R
Divisione di Chirurgia Generale, USSL n. 44, Ospedale Civile di Montichiari, Brescia.
Balducci
D
D
Postiglione
V
V
Lippa
M
M
Tonni
M P
MP
Morandi
O
O
Diana
D R
DR
Bruni
G C
GC
D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000473:pathology / Q000601:surgery; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D009626:Terminology as Topic
La sindrome di Ogilvie: è da ridefinire? Analisi di 8 casi e contributo alla discussione.