Abstract
Objective: To carry out a bibliographic analysis about Ogilvie Syndrome, considering its main aspects regarding epidemiology, clinical manifestations, diagnosis, therapy and prognosis, through a narrative review using the most recent literature found, addressing concepts about pathophysiology , clinical presentation, diagnostic methods, therapeutic options and expected prognosis. Bibliographic review: Ogilvie Syndrome is a form of acute obstructive abdomen whose clinical findings are due to colon dilation, with no identifiable mechanical causes. It arises due to the imbalance of the autonomic nervous system, occurring mainly in men in the sixth decade of life. Abdominal pain, nausea and vomiting are frequent, but not specific, manifestations, which generates a wide variety of differential diagnoses. Over the years, several changes have been made aiming at a more satisfactory treatment and with fewer complications for the patient. Supportive therapy is still the priority approach and research suggests neostigmine and, in cases of refractoriness, decompressive colonoscopy as highly effective second-line treatments. Final considerations: Recognizing the complications of Ogilvie Syndrome, it is necessary to have greater knowledge about this pathology by professionals, in order to provide an early intervention for affected patients.