[Treatment of acute colonic pseudo-obstruction (Ogilvie's Syndrome). Systematic review].
Identifieur interne : 000218 ( Main/Exploration ); précédent : 000217; suivant : 000219[Treatment of acute colonic pseudo-obstruction (Ogilvie's Syndrome). Systematic review].
Auteurs : Hazem Ben Ameur ; Salah Boujelbene ; Mohamed Issam BeyroutiSource :
- La Tunisie medicale [ 0041-4131 ] ; 2013.
Descripteurs français
- KwdFr :
- Caecostomie (statistiques et données numériques), Coloscopie (statistiques et données numériques), Endoscopie (statistiques et données numériques), Humains (MeSH), Maladie aigüe (MeSH), Perforation intestinale (complications), Perforation intestinale (thérapie), Perforation intestinale (épidémiologie), Pseudo-obstruction colique (complications), Pseudo-obstruction colique (thérapie), Pseudo-obstruction colique (épidémiologie), Résultat thérapeutique (MeSH).
- MESH :
- statistiques et données numériques : Caecostomie, Coloscopie, Endoscopie.
- thérapie : Perforation intestinale, Pseudo-obstruction colique.
- épidémiologie : Perforation intestinale, Pseudo-obstruction colique.
- complications : Humains, Maladie aigüe, Perforation intestinale, Pseudo-obstruction colique, Résultat thérapeutique.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Cecostomy (statistics & numerical data), Colonic Pseudo-Obstruction (complications), Colonic Pseudo-Obstruction (epidemiology), Colonic Pseudo-Obstruction (therapy), Colonoscopy (statistics & numerical data), Endoscopy (statistics & numerical data), Humans (MeSH), Intestinal Perforation (complications), Intestinal Perforation (epidemiology), Intestinal Perforation (therapy), Treatment Outcome (MeSH).
- MESH :
- complications : Colonic Pseudo-Obstruction, Intestinal Perforation.
- epidemiology : Colonic Pseudo-Obstruction, Intestinal Perforation.
- statistics & numerical data : Cecostomy, Colonoscopy, Endoscopy.
- therapy : Colonic Pseudo-Obstruction, Intestinal Perforation.
- Acute Disease, Humans, Treatment Outcome.
Abstract
BACKGROUND
Ogilvie's syndrome is acute colonic dilatation without organic obstacle in a previously healthy colon. Surgery is the only treatment of cases complicated by necrosis or perforation. In contrast, treatment of uncomplicated forms is not unanimous, and is the subject of this literature review.
AIMS
Determine the results of different therapeutic methods of uncomplicated forms of Ogilvie's syndrome in terms of efficiency of removal of colonic distension, recurrence, morbidity and mortality. Clarify their respective indications.
METHODS
An electronic literature search in the "MEDLINE" database, supplemented by hand searching on the reference lists of articles, was conducted for the period between 1980 and 2012.
RESULTS
Conservative treatment is effective in 53 to 96% of cases with a risk of colonic perforation less than 2.5% and a mortality of 0 to 14% % (level of evidence 4, recommendation grade C). Neostigmine is effective in 64 to 91% of cases after a first dose, with a risk of recurrence of 0 to 38%. It remains effective in 40 to 100% of cases after a second dose (evidence level 2, grade recommendation B). Endoscopic decompression is a safe and effective technique with a success rate of 61 to 100% at the first attempt , a recurrence rate of 0 to 50%, a rate of colonic perforation less than 5% and a mortality less than 5% (level evidence 4, recommendation grade C). PEG may be recommended for the prevention of recurrence of the ACPO after successful treatment with neostigmine or endoscopic decompression (evidence level 2, recommendation grade B). The cecostomy is more effective and safer than conventional colostomy (level of evidence 4, recommendation grade C). The cecostomy is highly effective in colonic decompression but associated with a high mortality (level of evidence 4, recommendation grade C).
CONCLUSION
Conservative treatment is recommended in first intention. In case of failure, neostigmine should be tried. If unsuccessful, the endoscopic decompression is proposed. The cecostomy is indicated as a last resort after failure of endoscopic decompression.
PubMed: 24281995
Affiliations:
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Systematic review].</title><author><name sortKey="Ben Ameur, Hazem" sort="Ben Ameur, Hazem" uniqKey="Ben Ameur H" first="Hazem" last="Ben Ameur">Hazem Ben Ameur</name></author><author><name sortKey="Boujelbene, Salah" sort="Boujelbene, Salah" uniqKey="Boujelbene S" first="Salah" last="Boujelbene">Salah Boujelbene</name></author><author><name sortKey="Beyrouti, Mohamed Issam" sort="Beyrouti, Mohamed Issam" uniqKey="Beyrouti M" first="Mohamed Issam" last="Beyrouti">Mohamed Issam Beyrouti</name></author></analytic><series><title level="j">La Tunisie medicale</title><idno type="ISSN">0041-4131</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Cecostomy (statistics & numerical data)</term><term>Colonic Pseudo-Obstruction (complications)</term><term>Colonic Pseudo-Obstruction (epidemiology)</term><term>Colonic Pseudo-Obstruction (therapy)</term><term>Colonoscopy (statistics & numerical data)</term><term>Endoscopy (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Intestinal Perforation (complications)</term><term>Intestinal Perforation (epidemiology)</term><term>Intestinal Perforation (therapy)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Caecostomie (statistiques et données numériques)</term><term>Coloscopie (statistiques et données numériques)</term><term>Endoscopie (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Maladie aigüe (MeSH)</term><term>Perforation intestinale (complications)</term><term>Perforation intestinale (thérapie)</term><term>Perforation intestinale (épidémiologie)</term><term>Pseudo-obstruction colique (complications)</term><term>Pseudo-obstruction colique (thérapie)</term><term>Pseudo-obstruction colique (épidémiologie)</term><term>Résultat thérapeutique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Colonic Pseudo-Obstruction</term><term>Intestinal Perforation</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Colonic Pseudo-Obstruction</term><term>Intestinal Perforation</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Cecostomy</term><term>Colonoscopy</term><term>Endoscopy</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Caecostomie</term><term>Coloscopie</term><term>Endoscopie</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Colonic Pseudo-Obstruction</term><term>Intestinal Perforation</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Perforation intestinale</term><term>Pseudo-obstruction colique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Perforation intestinale</term><term>Pseudo-obstruction colique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Humans</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Humains</term><term>Maladie aigüe</term><term>Perforation intestinale</term><term>Pseudo-obstruction colique</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Ogilvie's syndrome is acute colonic dilatation without organic obstacle in a previously healthy colon. Surgery is the only treatment of cases complicated by necrosis or perforation. In contrast, treatment of uncomplicated forms is not unanimous, and is the subject of this literature review.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>Determine the results of different therapeutic methods of uncomplicated forms of Ogilvie's syndrome in terms of efficiency of removal of colonic distension, recurrence, morbidity and mortality. Clarify their respective indications.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>An electronic literature search in the "MEDLINE" database, supplemented by hand searching on the reference lists of articles, was conducted for the period between 1980 and 2012.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Conservative treatment is effective in 53 to 96% of cases with a risk of colonic perforation less than 2.5% and a mortality of 0 to 14% % (level of evidence 4, recommendation grade C). Neostigmine is effective in 64 to 91% of cases after a first dose, with a risk of recurrence of 0 to 38%. It remains effective in 40 to 100% of cases after a second dose (evidence level 2, grade recommendation B). Endoscopic decompression is a safe and effective technique with a success rate of 61 to 100% at the first attempt , a recurrence rate of 0 to 50%, a rate of colonic perforation less than 5% and a mortality less than 5% (level evidence 4, recommendation grade C). PEG may be recommended for the prevention of recurrence of the ACPO after successful treatment with neostigmine or endoscopic decompression (evidence level 2, recommendation grade B). The cecostomy is more effective and safer than conventional colostomy (level of evidence 4, recommendation grade C). The cecostomy is highly effective in colonic decompression but associated with a high mortality (level of evidence 4, recommendation grade C).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Conservative treatment is recommended in first intention. In case of failure, neostigmine should be tried. If unsuccessful, the endoscopic decompression is proposed. The cecostomy is indicated as a last resort after failure of endoscopic decompression.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Ben Ameur, Hazem" sort="Ben Ameur, Hazem" uniqKey="Ben Ameur H" first="Hazem" last="Ben Ameur">Hazem Ben Ameur</name><name sortKey="Beyrouti, Mohamed Issam" sort="Beyrouti, Mohamed Issam" uniqKey="Beyrouti M" first="Mohamed Issam" last="Beyrouti">Mohamed Issam Beyrouti</name><name sortKey="Boujelbene, Salah" sort="Boujelbene, Salah" uniqKey="Boujelbene S" first="Salah" last="Boujelbene">Salah Boujelbene</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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