Publication Name	World Journal of Critical Care Medicine
Manuscript ID	102733
Country	India

Category	Critical Care Medicine
Manuscript Type	Meta-Analysis
Article Title	Outcome of colonoscopic decompression in acute colonic pseudo-obstruction: A systematic review and meta-analysis
Manuscript Source	Invited Manuscript
All Author List	Suprabhat Giri, Veeraraghavan Krishnamurthy, Devank Shah, Abel Joseph, Sravan Kumar Korrapati, Sudhir Maharshi and Sridhar Sundaram
Funding Agency and Grant Number
Corresponding Author	Sudhir Maharshi, MD, Professor, Department of Gastroenterology, SMS Medical College and Hospital, Adarsh Nagar, Jaipur 302004, Rajasthan, India. sudhir.maharshi@gmail.com
Key Words	Acute colonic pseudo-obstruction; Ogilvie's syndrome; Colonoscopy; Colonoscopic decompression; Neostigmine
Core Tip	Colonoscopic decompression for acute colonic pseudo-obstruction (ACPO) was associated with a pooled success rate of 78.8% after the first session and an overall success rate of 91.5%. The first session of colonoscopic decompression had a significantly higher success than the first dose of neostigmine with OR 3.85. The pooled incidence of perforation remained less than 1%, while one-sixth of the patients had a recurrence after clinical success. Surgery was required in 3.7% of those who had a successful procedure and 10.5% of all cases receiving colonoscopic decompression. In patients undergoing colonoscopic decompression, tube placement should be attempted with the position of the tube at least until the transverse colon to improve clinical success and reduce recurrence. However, the predictors of failure of colonoscopic decompression in ACPO need to be studied further.
Citation	Giri S, Krishnamurthy V, Shah D, Joseph A, Korrapati SK, Maharshi S, Sundaram S. Outcome of colonoscopic decompression in acute colonic pseudo-obstruction: A systematic review and meta-analysis. World J Crit Care Med 2025; In press

Received	2024-10-28 09:29
Peer-Review Started	2024-10-28 09:29
To Make the First Decision
Return for Revision	2025-02-25 07:55
Revised	2025-03-10 01:49
Second Decision	2025-03-21 03:18
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-03-21 11:25
Articles in Press	2025-03-21 11:25
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ISSN	2220-3141(online)
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