Acute colonic pseudo-obstruction (Ogilvie syndrome) after arthroplasty in the lower extremity

The Journal of Bone and Joint Surgery. American Volume
Joshua D NelsonKevin L Garvin

Abstract

Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is an uncommon postoperative complication of total hip and total knee arthroplasty that is characterized by massive colonic dilatation and the potential for substantial morbidity and mortality. We conducted a retrospective case-control study of 1170 total hip and knee arthroplasties performed by one surgeon from 1995 to 2002, and identified eighteen patients with Ogilvie syndrome. Radiographs and medical records were analyzed for risk factors and treatment effectiveness. Eleven (1.6%) of 708 patients who had a total hip arthroplasty and seven (1.5%) of 462 patients who had a total knee arthroplasty had Ogilvie syndrome develop postoperatively. Seventeen of these patients had preoperative conditions and/or had received medications identified as risk factors for Ogilvie syndrome. The use of patient-controlled analgesia was associated with an earlier development of symptoms. Colonic decompression was performed in seven patients and was associated with a significantly shorter hospital stay (p = 0.019). Acute colonic pseudo-obstruction was equally prevalent after total hip and total knee arthroplasties. Most patients who had Ogilvie syndrome had risk factors that coul...Continue Reading

Citations

Jun 21, 2011·Updates in Surgery·Alberto VannelliErmanno Leo
Mar 25, 2008·The Journal of Arthroplasty·Javad ParviziRichard H Rothman
Apr 29, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Alan H DanielsLee E Rubin
Nov 30, 2014·Der Unfallchirurg·T KusmenkovW Mutschler
Dec 30, 2014·Journal of Neurogastroenterology and Motility·Tae Hee LeeJi Sung Lee
Jan 22, 2013·Journal of Critical Care·Tiffany NguyenSalmaan Kanji
Dec 31, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Lisa A MandlSusan M Goodman
Jul 15, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Nezih Ziroglu, Sevinç Ödül Oruç

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