Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1983 April; 76(4): 252–255.
PMCID: PMC1438989

Pseudo-obstruction of the large bowel.


Thirty patients with acute pseudo-obstruction of the large bowel are presented, and the aetiology and diagnosis of this recognized clinical entity are described. Emergency barium enema examination is recommended in patients with symptoms and signs of large bowel obstruction. When no mechanical blockage is found a diagnosis of pseudo-obstruction can be made. The management of pseudo-obstruction is conservative, with nasogastic suction, intravenous fluids and the treatment of any associated condition such as cardiac failure and inflammatory conditions. The indications for surgery in pseudo-obstruction are discussed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (860K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bardsley D. Pseudo-obstruction of the large bowel. Br J Surg. 1974 Dec;61(12):963–969. [PubMed]
  • DUDLEY HA, SINCLAIR IS, McLAREN IF, McNAIR TJ, NEWSAM JE. Intestinal pseudo-obstruction. J R Coll Surg Edinb. 1958 Mar;3(3):206–217. [PubMed]
  • Karani J, Veale D, Rake MO. Intestinal pseudo-obstruction in alcohol abuse: report of two cases. Br Med J. 1979 Dec 1;2(6202):1400–1400. [PMC free article] [PubMed]
  • MACFARLANE JA, KAY SK. Ogilvie's syndrome of false colonic obstruction; is it a new clinical entity? Br Med J. 1949 Dec 3;2(4639):1267–1269. [PMC free article] [PubMed]
  • MORTON JH, SCHWARTZ SI, GRAMIAK R. Ileus of the colon. Arch Surg. 1960 Sep;81:425–434. [PubMed]
  • Neely J, Catchpole BN. An analysis of the autonomic control of gastrointestinal motility in the cat. Gut. 1967 Jun;8(3):230–241. [PMC free article] [PubMed]
  • OGILVIE H. Large-intestine colic due to sympathetic deprivation; a new clinical syndrome. Br Med J. 1948 Oct 9;2(4579):671–673. [PMC free article] [PubMed]
  • Stephens FO. Syndrome of Intestinal Pseudo-obstruction. Br Med J. 1962 May 5;1(5287):1248–1238.2. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press