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VOLUME 20 , ISSUE 3 ( 2016 ) > List of Articles

BRIEF COMMUNICATION

An obstruction not to forget: Pseudo-obstruction (Ogilvie syndrome): Single center experience

Abdurrahman Sahin, Fatih Mehmet Yazar, Burhan Hakan Kanat, Seyfi Emir, Mehmet Buõra Bozan, Yilmaz Bilgiç, Fatih Erol, Zeynep Özkan, Evrim Gül, Aykut Urfalioõlu

Keywords : Morbidity, mortality, neostigmine, Ogilvie syndrome

Citation Information : Sahin A, Yazar FM, Kanat BH, Emir S, Bozan MB, Bilgiç Y, Erol F, Özkan Z, Gül E, Urfalioõlu A. An obstruction not to forget: Pseudo-obstruction (Ogilvie syndrome): Single center experience. Indian J Crit Care Med 2016; 20 (3):164-168.

DOI: 10.4103/0972-5229.178180

License: CC BY-ND 3.0

Published Online: 00-03-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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