| Acute pseudo-obstruction in critically ill patients with burns. | |
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MedLine Citation:
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PMID: 7775506 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute pseudo-obstruction of the colon (Ogilvie's syndrome) is a rare but potentially morbid complication of burn injury. Two thousand seven hundred three consecutive critically ill patients with burns were reviewed for findings consistent with pseudo-obstruction. Eight (0.29%) patients were identified. Mean age was 63.5 years, and mean burn size was 24.6% total body surface area. All patients were undergoing mechanical ventilation at the time of diagnosis. Six had a previous cardiac condition or complication, and five were on digoxin. Diagnosis was suspected in seven patients before colonoscopy or surgery. Six patients were treated with colonoscopy alone with one treatment failure. Two deaths occurred during hospitalization. Two late deaths were due to underlying cardiac conditions. The preferred treatment of Ogilvie's syndrome is nasogastric suction, colonic decompression, and close observation with surgery reserved for treatment failures or when diagnosis is in doubt. The incidence of Ogilvie's syndrome in patients with burns appears to be related to nonburn medical conditions, especially cardiopulmonary complications and age, rather than to the burn itself. |
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Authors:
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K Kadesky; G F Purdue; J L Hunt |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of burn care & rehabilitation Volume: 16 ISSN: 0273-8481 ISO Abbreviation: J Burn Care Rehabil Publication Date: 1995 Mar-Apr |
Date Detail:
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Created Date: 1995-07-12 Completed Date: 1995-07-12 Revised Date: 2006-08-15 |
Medline Journal Info:
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Nlm Unique ID: 8110188 Medline TA: J Burn Care Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 132-5 Citation Subset: IM |
Affiliation:
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University of Texas Southwestern Medical Center, Dallas 75235-9031, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Aged Aged, 80 and over Burns / complications* Colonic Pseudo-Obstruction / diagnosis, etiology*, therapy Critical Illness Female Humans Male Middle Aged Retrospective Studies Risk Factors |
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