What is the recommended treatment for Ogilvie syndrome?

• A. Foley catheter insertion
• B. Laparotomy
• C. Colonoscopy with rectal tube decompression
• D. IVF administration

Answer: (C)

Ogilvie syndrome, also known as acute colonic pseudo-obstruction, is characterized by a distended colon in the absence of a mechanical obstruction. The treatment focuses on decompression of the distended bowel to relieve symptoms and prevent complications such as perforation.

Colonoscopy with rectal tube decompression is the recommended treatment as it allows for direct visualization of the colon and the ability to decompress the bowel effectively. During the procedure, the colonoscope can also facilitate the removal of any potential impactions or air accumulation, which may alleviate symptoms rapidly. Furthermore, if any obvious cause of pseudo-obstruction is identified during the colonoscopy, it can be addressed right away.

Other options like Foley catheter insertion, laparotomy, and intravenous fluid administration are either not effective in treating the colonic distention associated with Ogilvie syndrome or are considered more invasive or supportive measures rather than direct treatment. Thus, colonoscopy with rectal tube decompression remains the preferred and most effective intervention for managing Ogilvie syndrome.