title: [Acute colonic pseudoobstruction: physiopathology and treatment].
abstract: The acute colonic pseudo-obstruction is a rare condition. Pathophysiological knowledges, nowadays, are still discussed. Several associated pathological conditions (cardiological, neurological, metabolic) would mainly cause, with different mechanisms, a sympathetic-parasympathetic imbalance. In Authors' experience with 19 patients the sudden onset and the rapid evolution to a serious condition set the difference with a mechanical obstruction. The radiological control was essential to the therapeutic options. The endoscopic decompression was successful in 2 cases; the tube cecostomy was effective in 13; the right emycolectomy was necessary in 1 case with multiple diastasic cecal perforations. Mortality rate: 3 patients (15.70%).
authors.affiliation: Dipartimento di Scienze Chirurgiche Generali e Specialistiche Cattedra di Fisiopatologia Chirurgica I, Università degli Studi di Bari.
authors.forename: F
authors.initials: F
authors.lastname: Ferrarese
authors.forename: F
authors.initials: F
authors.lastname: De Carne
authors.forename: V
authors.initials: V
authors.lastname: Cecere
authors.forename: S T
authors.initials: ST
authors.lastname: Massa
authors.forename: E
authors.initials: E
authors.lastname: Bonadies
mesh_terms: D000208:Acute Disease; D003112:Colonic Pseudo-Obstruction / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans
vernacular_title: La pseudo-occlusione acuta del colon: fisiopatologia e trattamento.