{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T01:16:02Z","timestamp":1792977362061,"version":"4.5.0"},"reference-count":74,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute colonic pseudo-obstruction (ACPO) and volvulus are two disease processes that affect the colon causing abdominal distension and may necessitate operation intervention. ACPO may be associated with multiple comorbidities, infectious diseases, and cardiac dysfunction. It may be treated with conservative management including endoscopic decompression or neostigmine. If the distension is not addressed, high mortality may result if peritonitis develops. Volvulus most commonly occurs in the sigmoid colon or cecum. If left-sided, endoscopic decompression may resolve the obstruction if detorsion is successful, although sigmoid colectomy should be performed during the admission. If cecal volvulus is identified, right hemicolectomy should be performed.<\/jats:p>","DOI":"10.1055\/s-0041-1727195","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T22:32:40Z","timestamp":1626820360000},"page":"242-250","source":"Crossref","is-referenced-by-count":27,"title":["Acute Colonic Pseudo-obstruction and Volvulus: Pathophysiology, Evaluation, and Treatment"],"prefix":"10.1055","volume":"34","author":[{"given":"Joshua","family":"Underhill","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Rush University Medical Center, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Munding","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Rush University Medical Center, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Hayden","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Rush University Medical Center, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1136\/bmj.2.4579.671","article-title":"Large-intestine colic due to sympathetic deprivation; a new clinical syndrome","volume":"2","author":"H Ogilvie","year":"1948","journal-title":"BMJ"},{"issue":"30","key":"ref2","doi-asserted-by":"crossref","first-page":"5634","DOI":"10.3748\/wjg.v23.i30.5634","article-title":"Acute colonic pseudo-obstruction: a systematic review of aetiology and mechanisms","volume":"23","author":"C I Wells","year":"2017","journal-title":"World J Gastroenterol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/BF02555027","article-title":"Acute pseudo-obstruction of the colon (Ogilvie's syndrome). 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volvulus in the Middle East","volume":"32","author":"H A Hussein","year":"2008","journal-title":"World J Surg"},{"issue":"01","key":"ref58","first-page":"4","article-title":"The effects of westernisation on sigmoid volvulus","volume":"6","author":"I Segal","year":"1985","journal-title":"Trop Gastroenterol"},{"issue":"02","key":"ref59","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/BF01658160","article-title":"Acute volvulus of the right colon: an analysis of 69 patients","volume":"10","author":"J R Anderson","year":"1986","journal-title":"World J Surg"},{"issue":"04","key":"ref60","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/00004836-198708000-00023","article-title":"Sigmoid volvulus in adolescence","volume":"9","author":"S Krupsky","year":"1987","journal-title":"J Clin Gastroenterol"},{"issue":"05","key":"ref61","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1148\/rg.295095011","article-title":"Volvulus of the gastrointestinal tract: 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