title: An obstruction not to forget: Pseudo-obstruction (Ogilvie syndrome): Single center experience.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of General Surgery, Kahramanmaras Sütçü Imam University, Kahramanmaraş, Turkey.
authors.forename: Fatih Mehmet
authors.initials: FM
authors.lastname: Yazar
authors.affiliation: Department of General Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Burhan Hakan
authors.initials: BH
authors.lastname: Kanat
authors.affiliation: Department of General Surgery, Faculty of Medicine, Namik Kemal University, Tekirdag, Turkey.
authors.forename: Seyfi
authors.initials: S
authors.lastname: Emir
authors.affiliation: Department of General Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Mehmet Buğra
authors.initials: MB
authors.lastname: Bozan
authors.affiliation: Department of Gastroenterology, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Yılmaz
authors.initials: Y
authors.lastname: Bilgiç
authors.affiliation: Department of Gastroenterology, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Şahin
authors.affiliation: Department of General Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Erol
authors.affiliation: Department of General Surgery, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Özkan
authors.affiliation: Department of Emergency Medicine, Elazig Training and Research Hospital, Elazig, Turkey.
authors.forename: Evrim
authors.initials: E
authors.lastname: Gül
authors.affiliation: Department of Anesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Urfalioğlu
keywords: Morbidity; Ogilvie syndrome; mortality; neostigmine