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BACKGROUND Acute colonic pseudo-obstruction (Ogilvie's syndrome) in the immunosuppressed patient is associated with increased morbidity and mortality. Renal transplant recipients possess several comorbidities that increase the risk of acute pseudo-obstruction of the colon. The aims of this study were to present our experience with this syndrome and to evaluate the potentiating factors in these patients. A review of the literature for pseudo-obstruction following renal transplantation is presented. METHODS Seven patients who developed Ogilvie's syndrome were identified in a retrospective review of 550 kidney-only transplants. Pretransplant data, potential risk factors, presentation, management, and outcome details were retrieved. The medical literature was reviewed using Medline. RESULTS Seventy-eight patients with Ogilvie's syndrome in the early posttransplant period have been reported. The associated morbidity and mortality was heightened in this immunocompromised population. Obese transplant recipients (body mass index >30 kg/m2) were at significantly increased risk for developing this syndrome. CONCLUSIONS A broad armamentarium of treatment options is available, but the key to successful resolution lies in early recognition.
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
September 1994,
The Gastroenterologist,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
July 2006,
Current treatment options in gastroenterology,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
November 2010,
The American surgeon,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
April 2015,
Journal of visceral surgery,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
February 2019,
Nederlands tijdschrift voor geneeskunde,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
August 2022,
Zeitschrift fur Orthopadie und Unfallchirurgie,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
April 2013,
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
September 2008,
Endoscopy,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
January 2007,
Gynakologisch-geburtshilfliche Rundschau,
K J O'Malley, and
S M Flechner, and
A Kapoor, and
R A Rhodes, and
C S Modlin, and
D A Goldfarb, and
A C Novick
January 2013,
Internal medicine (Tokyo, Japan),
