Ogilvie (íleo)

The Ogilvie Score Calculator is a clinical tool to assess the severity of Ogilvie syndrome (pseudo-obstructive ileus). It evaluates parameters such as abdominal distension, absent bowel sounds, abdominal pain, and abdominal gas patterns. The score ranges from 0 (no symptoms) to 15 (severe condition).

The calculation uses objective criteria like abdominal circumference (5 cm above 100 cm adds points) and subjective symptom intensity. The result helps determine the need for interventions, such as neostigmine use or endoscopic decompression in severe cases.

This tool is particularly useful for emergency physicians, gastroenterologists, and internists. It is recommended when a patient presents with severe abdominal pain, bloating, and constipation without signs of mechanical obstruction. It should be used alongside imaging tests and lab results for a complete diagnosis.

Cautions: the score does not replace CT or ultrasound diagnosis. It is not valid for real obstructions (e.g., due to stones). Other causes of abdominal pain, like pancreatitis or appendicitis, must be ruled out before applying the Ogilvie Score.