Primary or idiopathic intestinal pseudo-obstruction

Primary or idiopathic intestinal pseudo-obstruction is a condition characterized by symptoms of intestinal obstruction without physical evidence of such a blockage.

Alternative Names

Intestinal pseudo-obstruction; Idiopathic intestinal pseudo-obstruction; Ogilvie's syndrome

Causes, incidence, and risk factors

The cause is unknown. This disorder is usually seen in teenagers and young adults. In this condition, the intestine becomes distended for some reason, but no obstruction is found. Risk factors are unknown.

Signs and tests

  • Abdominal X-ray
  • Barium swallow
  • Malabsorption
  • (inadequate absorption of nutrients from the intestinal tract)
  • Intestinal radionuclide scan
  • Esophageal manometry

    • Treatment

  • Nasogastric suction: A tube placed through the nose and down the esophagus (nasogastric tube) is used to decompress the bowel.
  • Intravenous
  • fluids will replace fluids lost from
    • vomiting or diarrhea .
  • Special diets are usually ineffective, 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.

    • Expectations (prognosis)

    The disease may be recurrent and can persist over many years.

    Complications

  • Weight loss
  • Diarrhea
  • Vitamin
  • deficiencies

    • Calling your health care provider

    Call your health care provider if persistent abdominal pain or other symptoms of this disorder develop.

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