Acute colonic pseudo-obstruction (ACPO) is a syndrome characterized by massive dilation of the colon without mechanical obstruction and without an identifiable cause
Epidemiology
- The incidence of ACPO is estimated at 100 cases per 100,000 admissions
- In Japan, the incidence of colonic pseudo-obstruction in 2013 was 0.24 per 100,000 person-years
Prognosis
- The prognosis of ACPO is serious, with significant morbidity and mortality
- Complications such as ischemia or perforation can occur, particularly when the cecal diameter exceeds 12 cm and when the distention has been present for more than 6 days
- The mortality rate is estimated at 40% when these complications occur
In conclusion, ACPO is a serious condition with significant morbidity and mortality, characterized by massive dilation of the colon without mechanical obstruction. The incidence is relatively low, but the condition can lead to life-threatening complications if not managed appropriately.