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Epidemiology ⬇

Hospitalized pts

Course ⬆ ⬇

40% recur

Complications ⬆ ⬇

3% perforate and have 50% mortality

Lab and Xray ⬆ ⬇

Xray:KUB shows colon diameter >10 cm

Treatment ⬆

Rx:

Colonoscopic decompression helps 70%

Neostigmine 2 mg iv (Nejm 1999;341:137) helps 90%