Colonic pseudo-obstruction in burns patients.
Acute pseudo-obstruction is a rare complication in burns patients. An awareness of the factors implicated in its pathogenesis such as prolonged bed rest, narcotic medications, hypokalaemia, sepsis and surgery (all commonly associated with burns patients) is essential if this condition is to be avoided. Early diagnosis, prokinetic and cathartic agents, and aggressive endoscopic intervention are essential to halt the progression of caecal dilatation. Excisional surgery and stoma formation are necessary for salvage of complicated colonic pseudo-obstruction.
Ives
A
A
Burns Unit, Royal Brisbane Hospital, Queensland, Australia.
Muller
M
M
Pegg
S
S
D000062:Accidents, Occupational; D000208:Acute Disease; D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects; D001510:Bed Rest / Q000009:adverse effects; D002056:Burns / Q000150:complications* / Q000601:surgery; D002400:Cathartics / Q000627:therapeutic use; D002429:Cecal Diseases / Q000517:prevention & control; D003082:Colectomy; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D003113:Colonoscopy; D003125:Colostomy; D004108:Dilatation, Pathologic / Q000517:prevention & control; D018450:Disease Progression; D005769:Gastrointestinal Motility / Q000187:drug effects; D006801:Humans; D007008:Hypokalemia / Q000150:complications; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D008297:Male; D008669:Metallurgy; D008875:Middle Aged; D011183:Postoperative Complications; D018805:Sepsis / Q000150:complications; D014896:Welding
D000701:Analgesics, Opioid; D002400:Cathartics