ArticleClinics in colon and rectal surgery2012
Advances and challenges in the management of acute colonic pseudo-obstruction (ogilvie syndrome).
Article in Clinics in colon and rectal surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.
- Effects of chewing gum on gastrointestinal function in patients following spinal surgery: a meta-analysis and systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Pooled it
- Acute colonic pseudo-obstruction: A systematic review of aetiology and mechanisms.World journal of gastroenterology · 2017Pooled it
- Daily laxative therapy reduces organ dysfunction in mechanically ventilated patients: a phase II randomized controlled trial.Critical care (London, England) · 2015Trial
- Enhanced Recovery after Surgery Protocol Accelerates Recovery of Lumbar Disc Herniation among Elderly Patients Undergoing Discectomy via Promoting Gastrointestinal Function.Pain research & managementTrial
- Factors Associated with Acute Colonic Pseudo-Obstruction After Cesarean Section: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2026Review
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- Article
- Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) in a Patient with Decompensated Liver Cirrhosis Secondary to Chronic Hepatitis B.International medical case reports journal · 2026Article
- Article
- Approach to the Management of Gastrointestinal Manifestations in Patients With Phaeochromocytoma and Paraganglioma.Clinical endocrinology · 2025Article
- Post Cesarean Section Peritonitis: A Case Report of Ogilvie's Syndrome.Clinical case reports · 2025Article
- Percutaneous endoscopic cecostomy for management of Ogilvie's syndrome: a case series and literature review with an update on current guidelines (with video).Surgical endoscopy · 2023Review
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- Delayed Recurrence of Acute Colonic Pseudo-Obstruction in the Setting of Acute Hypoxic Respiratory Failure.Cureus · 2022Article
- Acute Colonic Pseudo-obstruction and Volvulus: Pathophysiology, Evaluation, and Treatment.Clinics in colon and rectal surgery · 2021Review
- Bowel dysfunction after elective spinal surgery: etiology, diagnostics and management based on the medical literature and experience in a university hospital.Der Orthopade · 2021Review
- Efficacy and Safety of Neostigmine and Decompressive Colonoscopy for Acute Colonic Pseudo-Obstruction: A Single-Center Analysis.Gastroenterology research · 2021Article
- Acute colonic pseudo-obstruction and rapid septic progression after transabdominal preperitoneal hernia repair: a case report.BMC surgery · 2021Article
- The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Acute colonic pseudo-obstruction: a syndrome due to many causes.Internal and emergency medicine · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome, is a well-known clinical entity, in many respects it remains poorly understood and continues to challenge physicians and surgeons alike. Our understanding of ACPO continues to evolve and its epidemiology has changed as new conditions have been identified predisposing to ACPO with critical illness providing the common thread among them. A physician must keep ACPO high in the list of differential diagnoses when dealing with the patient experiencing abdominal distention, and one must be prepared to employ and interpret imaging studies to exclude mechanical obstruction. Rapid diagnosis is the key, and institution of conservative measures often will lead to resolution. Fortunately, when this fails pharmacologic intervention with neostigmine often proves effective. However, it is not a panacea: consensus on dosing does not exist, administration techniques vary and may impact efficacy, contraindications limit its use, and persistence and or recurrence of ACPO mandate continued search for additional medical therapies. When medical therapy fails or is contraindicated, endoscopy offers effective intervention with advanced techniques such as decompression tubes or percutaneous endoscopic cecostomy providing effective results. Operative intervention remains the treatment of last resort; surgical outcomes are associated with significant morbidity and mortality. Therefore, a surgeon should be aware of all options for decompression-conservative, pharmacologic, and endoscopic-and use them in best combination to the advantage of patients who often suffer from significant concurrent illnesses making them poor operative candidates.
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