Mandarano R, Ciccone A, Rossi de Vermandois S M, Doria U
Regione Toscana-USSL n. 22, Presidio Ospedaliero, San Sepolcro, Arezzo.
Minerva Chir. 1994 Sep;49(9):853-8.
The authors report four cases of Ogilvie's syndrome, a rare cause of intestinal pseudo-obstruction. After having reviewed the pathogenetic hypotheses reported in the international literature, the authors describe the symptoms, diagnostic iter and conservative and surgical management. With regard to the latter, the authors report their own experience which differs from that reported in the literature since they advocate the use of intraoperative colonoscopy for both decompressive and diagnostic purposes, the use of the cecal fistula instead of mid-canal cecostomy, and the application of a multi-fenestrated endocolic probe inserted through the anus and as far as the left colic angle for further decompressive purposes.
作者报告了4例奥吉尔维综合征病例，这是一种罕见的肠道假性梗阻病因。在回顾了国际文献中报道的发病机制假说后，作者描述了症状、诊断流程以及保守和手术治疗方法。关于手术治疗，作者报告了他们自己的经验，这与文献报道有所不同，因为他们主张术中结肠镜检查用于减压和诊断目的，使用盲肠造瘘而不是中段回肠盲肠造口术，以及应用通过肛门插入直至左结肠角的多孔结肠内探头以进一步减压。
