Colonic pseudo-obstruction; Ogilvie syndrome; neostigmine; decompression; caecostomy

  • Michael K-Y Hong Colorectal Surgery, Bankstown-Lidcombe Hospital, South Western Sydney Clinical School, University of New South Wales, NSW, Australia Department of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria, Australia
  • Catherine E Turner Colorectal Surgery, Bankstown-Lidcombe Hospital, South Western Sydney Clinical School, University of New South Wales, NSW, Australia
  • David N Blomberg Colorectal Surgery, Bankstown-Lidcombe Hospital, South Western Sydney Clinical School, University of New South Wales, NSW, Australia
  • Matthew J Morgan Colorectal Surgery, Bankstown-Lidcombe Hospital, South Western Sydney Clinical School, University of New South Wales, NSW, Australia
Ariticle ID: 35
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Keywords: Colonic pseudo-obstruction, Ogilvie syndrome, review, neostigmine, decompression, caecostomy


Acute colonic pseudo-obstruction is characterised by massive colonic distension without distal mechanical obstruction. It affects a wide variety of patients who often have multiple comorbidities, which makes studies on pseudo- obstruction difficult to perform and interpret. Few advances have been made in recent years in our understanding and management, which remain challenging. This article explores and provides interpretation of the key studies and concepts that have shaped our management of this condition. 


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Review Article