Pancaldi R, Balducci D, Postiglione V, Lippa M, Tonni M P, Morandi O, Diana D R, Bruni G C
Divisione di Chirurgia Generale, USSL n. 44, Ospedale Civile di Montichiari, Brescia.
Minerva Chir. 1994 Dec;49(12):1317-23.
The authors examine eight cases of acute pseudo-obstruction of the colon and point out that these may be inserted in the wider context of intestinal pseudo-obstructions. These comments raise questions concerning Ogilvie's syndrome since the dilatations observed do not only affect the colon, according to the classic definition, but also the ileo-jejunal tract, in spite of the fact that the main target continues to be the colon. The term Ogilvie's syndrome is still significant in the clinical identification of colic dilatation, in particular the right colon in which possible complications are more severe. The authors identify colonoscopy as the best instrumental test owing to the possibilities its offers, including therapeutic, and also underline that there does not appear to be a real risk of iatrogenic lesions if an appropriate technique is used.
作者研究了8例急性结肠假性梗阻病例，并指出这些病例可纳入更广泛的肠道假性梗阻范畴。这些评论引发了关于奥吉尔维综合征的问题，因为观察到的扩张不仅如经典定义所述影响结肠，尽管主要累及部位仍是结肠，但也影响回肠空肠段。奥吉尔维综合征这一术语在临床鉴别结肠扩张方面仍具有重要意义，尤其是在右半结肠，此处可能出现的并发症更为严重。作者认为结肠镜检查是最佳的器械检查方法，因为它具有多种用途，包括治疗用途，还强调如果使用适当的技术，似乎不存在医源性损伤的实际风险。
