What is the difference between a pseudo-obstruction and an ileus?
What is the difference between a pseudo-obstruction and an ileus?
Pseudo-obstruction is clearly limited to the colon alone, whereas ileus involves both the small bowel and colon. The right colon is involved in classic pseudo-obstruction, which typically occurs in elderly bedridden patients with serious extraintestinal illness or in trauma patients.
What is ICD 10 code for Ogilvie syndrome?
K59. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How is Ogilvie syndrome diagnosed?
Ogilvie syndrome is virtually indistinguishable from mechanical obstruction based solely on signs and symptoms. X-ray examination of the colon will be performed to rule out mechanical obstruction. Plain abdominal films (radiographs) can reveal an abnormally expanded (dilated) colon.
What causes Ogilvie?
Cause. Ogilvie syndrome may occur after surgery, especially following coronary artery bypass surgery and total joint replacement. Drugs that disturb colonic motility (such as anticholinergics or opioid analgesics) contribute to the development of this condition.
How do you treat Ogilvie syndrome?
There is no specific therapy for Ogilvie syndrome. Therapeutic options include support therapy, medications, decompression and surgery. Most therapeutic options have not undergone extensive controlled clinical study.
What is the ICD-9 for Ogilvie’s syndrome?
All patients over the age of 18 with Ogilvie’s syndrome (pseudo-obstruction of the colon ICD-9: 560.82) between January 2005 and December 2015 at the Medical University of South Carolina (MUSC), a tertiary care and academic medical center in Charleston, SC, were included in this retrospective cohort.
Is Ogilvie syndrome the same as chronic intestinal pseudo-obstruction?
Ogilvie syndrome is not the same as chronic intestinal pseudo-obstruction. The syndrome is due to nerve or muscle problems that affect peristalsis (involuntary, rhythmic muscular contractions) within the colon. Although the symptoms mimic those of mechanical blockage of the colon, no such physical obstruction is present.
How is Ogilvie’s syndrome (colonic dilation) diagnosed?
The diagnosis depends on exclusion of structural and known causes of colonic dilation, as well as clinical and radiologic evidence. [6–9] Ogilvie’s syndrome usually involves the cecum and right colon, but can involve any part or all of the colon. [10]
What are the secondary endpoints of Ogilvie’s syndrome?
Secondary endpoints included clinical complications associated with management of Ogilvie’s syndrome, defined as ischemia or perforation of the colonic wall, primary failure of treatment or recurrence of Ogilvie’s syndrome during the same inpatient admission, or severe bradycardia leading to clinical symptoms.
