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Primary or idiopathic intestinal pseudo-obstruction



Digestive system organs
Digestive system organs


Primary or idiopathic intestinal pseudo-obstruction

Alternative Names:

Intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo-obstruction; Ogilvie's syndrome
Treatment:
  • Nasogastric suction: A tube placed through the nose and down the esophagus (nasogastric tube) is used to decompress the bowel.
  • Intravenous fluids will replace fluids lost from vomiting or diarrhea.
  • Special diets are usually ineffective, although vitamin B12 supplements may be used for patients with vitamin deficiency.
  • A medication called neostigmine may be used to treat pseudo-obstruction of the large intestine.
  • In severe cases, surgery may be needed to divert or decompress the bowel.

Expectations (prognosis):


Most cases of acute pseudo-obstruction resolve over several days with conservative treatment. The disease may be recurrent and can persist over many years.


Complications:
  • Weight loss
  • Diarrhea
  • Vitamin deficiencies

Calling your health care provider:

Call your health care provider if persistent abdominal pain or other symptoms of this disorder develop.




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