Primary intestinal pseudo-obstruction
Alternative Names
Intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo-obstruction; Ogilvie's syndrome; Chronic intestinal pseudo-obstructionTreatment
- Nasogastric suction -- a nasogastric (NG) tube is placed thru the nose into the stomach to remove air from (decompress) the bowel.
- Intravenous fluids will replace fluids lost from vomiting or diarrhea.
- Special diets usually do not work, 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.
- Colonoscopy may be used to remove air from the intestine.
- In severe cases, surgery may be needed.
Outlook (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.
Possible Complications
- Weight loss
- Diarrhea
- Vitamin deficiencies
When to Contact a Medical Professional
Call your health care provider if persistent abdominal pain or other symptoms of this disorder develop.
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