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Acute Colonic Pseudo-Obstruction with Feeding Intolerance in Critically Ill Patients: A Study according to Gut Wall Analysis
Joint Authors
Zhao, Chenyan
Xie, Tingbin
Li, Jun
Cheng, Minhua
Shi, Jialiang
Gao, Tao
Xi, Fengchan
Shen, Juanhong
Cao, Chun
Yu, Wenkui
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-12
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Objective.
To compare the differences between acute colonic pseudo-obstruction (ACPO) with and without acute gut wall thickening.
Methods.
ACPO patients with feeding tolerance were divided into ACPO with no obvious gut wall thickening (ACPO-NT) group and ACPO with obvious acute gut wall thickening (ACPO-T) group according to computed tomography and abdominal radiographs.
Patients’ condition, responses to supportive measures, pharmacologic therapy, endoscopic decompression, and surgeries and outcomes were compared.
Results.
Patients in ACPO-T group had a significantly higher APACHE II (11.82 versus 8.25, p=0.008) and SOFA scores (6.47 versus 3.54, p<0.001) and a significantly higher 28-day mortality (17.78% versus 4.16%, p=0.032) and longer intensive care unit stage (4 versus 16 d, p<0.001).
Patients in ACPO-NT group were more likely to be responsive to supportive treatment (62.50% versus 24.44%, p<0.001), neostigmine (77.78% versus 17.64%, p<0.001), and colonoscopic decompression (75% versus 42.86%, p=0.318) than those in ACPO-T group.
Of the patients who underwent ileostomy, 81.25% gained benefits.
Conclusions.
ACPO patients with gut wall thickening are more severe and are less likely to be responsive to nonsurgical treatment.
Ileostomy may be a good option for ACPO patients with gut wall thickening who are irresponsive to nonsurgical treatment.
American Psychological Association (APA)
Zhao, Chenyan& Xie, Tingbin& Li, Jun& Cheng, Minhua& Shi, Jialiang& Gao, Tao…[et al.]. 2017. Acute Colonic Pseudo-Obstruction with Feeding Intolerance in Critically Ill Patients: A Study according to Gut Wall Analysis. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-11.
https://search.emarefa.net/detail/BIM-1156738
Modern Language Association (MLA)
Zhao, Chenyan…[et al.]. Acute Colonic Pseudo-Obstruction with Feeding Intolerance in Critically Ill Patients: A Study according to Gut Wall Analysis. Gastroenterology Research and Practice No. 2017 (2017), pp.1-11.
https://search.emarefa.net/detail/BIM-1156738
American Medical Association (AMA)
Zhao, Chenyan& Xie, Tingbin& Li, Jun& Cheng, Minhua& Shi, Jialiang& Gao, Tao…[et al.]. Acute Colonic Pseudo-Obstruction with Feeding Intolerance in Critically Ill Patients: A Study according to Gut Wall Analysis. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-11.
https://search.emarefa.net/detail/BIM-1156738
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156738