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El término seudo-obstrucción colónica aguda se utiliza para definir un cuadro sugestivo de obstrucción intestinal sin obstrucción mecánica y en ausencia de cualquier oclusión intestinal demostrable, aunque el autor aclara que también existe un cuadro crónico. Los dos casos presentados por Ogilvie se debieron a la invasión y destrucción del plexo celíaco y del ganglión semilunar asociado con una malignidad retroperitoneal. Con los años, dicen los autores, muchos casos publicados avalaron esta descripción, para un sindrome de difícil diagnóstico y tratamiento.
Según recientes informes, se adjudica eficacia a los inhibidores de la acetilcolinesterasa, lo que ha llevado a los autores a la realización de la presente revisión bibliográfica, con el fin definir las perspectivas actuales del tratamiento farmacológico de estos pacientes.
*Traducción y resumen objetivo: Dra. Marta Papponetti. Especialista Medicina Interna. Asociación Interdisciplinaria de Medicina Interna