Bloch P, Contou J F
Unité de pathologie digestive, Hôpital Américain de Paris, Neuilly-sur-Seine.
Rev Prat. 1993 Mar 15;43(6):711-5.
Ogilvie's syndrome and chronic intestinal pseudo-obstructions are two aspects of non-mechanical obstruction. The syndrome consists of acute colonic obstruction due to multiple causes and is characterized by passive dilatation of the colon without downstream obstacle. Treatment is primarily medical, except in cases with complications such as perforation by symptomatic treatment and, sometimes, by decompression colonoscopy. The most severe complication is perforation of the colon which may require colonic excision. Chronic intestinal pseudo-obstruction is characterized by chronic disorders mostly due to abnormalities of nervous plexuses and smooth muscle of the small and large bowels. It occurs in children and surgical abstention may lead to repeated but unfortunately ineffective operations. The only treatment recognized is digestive tract bypass combined with total parenteral feeding.
奥吉尔维综合征和慢性肠道假性梗阻是非机械性梗阻的两个方面。该综合征由多种原因引起的急性结肠梗阻组成，其特征是结肠被动扩张且无下游梗阻。治疗主要是药物治疗，有穿孔等并发症的情况除外，此时需进行对症治疗，有时还需进行减压结肠镜检查。最严重的并发症是结肠穿孔，可能需要进行结肠切除。慢性肠道假性梗阻的特征是慢性疾病，主要是由于小肠和大肠神经丛及平滑肌异常所致。它发生于儿童，避免手术可能导致反复手术但遗憾的是效果不佳。唯一公认的治疗方法是消化道旁路联合全胃肠外营养。
