Ogilvie

Ogilvie's syndrome or Ogilvie disease is a rare, short-term condition that affects the colon. It is characterized by an abnormal dilation or enlargement of the colon, which can lead to severe abdominal pain, bloating, and constipation. The condition is named after the British surgeon Sir William Heneage Ogilvie, who first described it in 1948.

Symptoms

The most common symptoms of Ogilvie's syndrome include:

• Severe abdominal pain
• Bloating
• Constipation
• Nausea and vomiting
• Distention of the abdomen

Causes

The exact cause of Ogilvie's syndrome is unknown. However, it is often associated with certain medical conditions and treatments, including:

• Surgery, particularly abdominal or pelvic surgery
• Infections
• Certain medications, such as opioids
• Trauma
• Certain diseases, such as Parkinson's disease, diabetes, and hypothyroidism

Diagnosis

Diagnosis of Ogilvie's syndrome is typically based on the patient's symptoms and medical history, as well as the results of certain tests. These tests may include:

• Abdominal X-ray
• Computed tomography (CT) scan
• Colonoscopy

Treatment

Treatment for Ogilvie's syndrome typically involves managing the symptoms and addressing the underlying cause, if known. This may include:

• Medications to reduce the size of the colon and improve bowel function
• Surgery, in severe cases
• Dietary changes, such as increasing fiber intake

Prognosis

The prognosis for Ogilvie's syndrome is generally good, with most patients recovering fully with appropriate treatment. However, complications can occur if the condition is not treated promptly, including perforation of the colon and sepsis.

See also

• Colon (anatomy)
• Gastroenterology
• Abdominal pain

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