An obstruction not to forget Pseudo obstruction Ogilvie syndrome Single center experience        
Yazarlar (9)
Fatih Mehmet Yazar
Kahramanmaraş Sütçü İmam Üniversitesi, Türkiye
Burhan Hakan Kanat
Elazig Training And Research Hospital, Türkiye
Seyfi Emir
Tekirdağ Namık Kemal Üniversitesi, Türkiye
Mehmet Buğra Bozan
Elazig Training And Research Hospital, Türkiye
Yılmaz Bilgiç
İnönü Üniversitesi, Türkiye
Prof. Dr. Abdurahman ŞAHİN Fırat Üniversitesi, Türkiye
Fatih Erol
Elazig Training And Research Hospital, Türkiye
Zeynep Özkan
Elazig Training And Research Hospital, Türkiye
Evrim Gül
Elazig Training And Research Hospital, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü ESCI dergilerinde yayınlanan tam makale
Dergi Adı Indian Journal of Critical Care Medicine
Dergi ISSN 0972-5229 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler ESCI
Makale Dili İngilizce
Basım Tarihi 03-2016
Cilt No 20
Sayı 3
Sayfalar 165 / 168
DOI Numarası 10.4103/0972-5229.178180
Makale Linki http://www.ijccm.org/text.asp?2016/20/3/164/178180
Özet
Purpose: Colonic pseudo obstruction disease commonly seen in the elderly, immobile patient group can cause serious mortality and morbidity. Our objective in this retrospective study is to share our clinical experience by evaluating patients with Ogilvie syndrome who were followed and treated in our clinic. Methods: Eleven cases with the diagnosis of Ogilvie syndrome followed up and treated between September 2010 and April 2013 were evaluated retrospectively. All the patients that had no symptoms of acute abdominal pain were initiated conservative treatment. Colonoscopic decompression was attempted for patients whose clinical pictures were not recovered. Patients underwent operation if they developed peritoneal irritation symptoms during these procedures and of their number of white blood cells seriously increased during the follow-up period. Results: A total of 11 patients were treated for Ogilvie syndrome. 6 of the patients underwent surgical treatment, and 5 were treated medically. Mortality developed in two patients. The main cause of mortality was a delay in diagnosis and additional severe underlying diseases. Seven patients were given Neostigmine. Of these, 2 patients required surgery and 3 patients responded to Neostigmine. Conclusion: Ogilvie syndrome is a rare cause of ileus of the colon. It is more common particularly in old patients with additional problems. If the disease is suspected and diagnosed early, unnecessary surgical interventions can be prevented with medical treatment choices.
Anahtar Kelimeler
Morbidity | mortality | neostigmine | Ogilvie syndrome