علاج الانسداد الكاذب الحاد للقولون بدون إقفار أو انثقاب أو التهاب الصفاق

References

DOI: 10.1016/j.gie.2019.09.007

ACPO, synonymous with Ogilvie’s syndrome, is characterized by an acute presentation of massive dilation of the large intestine in the absence of a mechanical etiology.

In patients with uncomplicated ACPO (absence of ischemia, peritonitis, cecal diameter >12 cm, and/or significant abdominal pain), conservative management remains first-line therapy.

For patients with ACPO who do not respond to a first dose of neostigmine, we suggest the administration of a second dose of neostigmine.

In patients who fail an initial dose of neostigmine, are partial responders, or have recurrence, a second dose has been associated with clinical response in 40% to 100%.