Your browser doesn't support javascript.
loading
Tres casos de síndrome de ogilvie en manejo crónico con clozapina. Clínica San Juan de Dios, Chía, Colombia / Three cases of ogilvie´s syndrome in patients with chronic medication with clozapine - Clínica San Juan de Dios, Chía, Colombia
Quintero, Carlos Andrés; Álvarez, Juliana.
  • Quintero, Carlos Andrés; Fundación Universitaria de Ciencias de la Salud. Clínica San Juan de Dios de Chía. Universidad de la Sabana. Bogotá. CO
  • Álvarez, Juliana; Hospital Regional de la Dorada. Bogotá. CO
Repert. med. cir ; 23(1): 67-71, 2014. tab
Article in Spanish | LILACS | ID: lil-795659
RESUMEN
El síndrome de Ogilvie es una condición clínica con signos, síntomas y hallazgos radiográficos de obstrucción intestinal sin una causa mecánica. La fisiopatología es aún desconocida, se sugiere un disbalance entre la inervación simpática y parasimpática del colon. Se asocia con una extensa gama de comorbilidades incluyendo trauma, cirugía pélvica (ortopédica, ginecológica, urológica), alteraciones metabólicas o del sistema nervioso central, así como medicamentos en especial antipsicóticos atípicos como clozapina. Sin el diagnóstico y tratamiento oportunos puede progresar a perforación intestinal, peritonitis e incluso la muerte. Se analizan las historias clínicas de tres pacientes tratados por pseudoobstrucción intestinal (síndrome de Ogilvie) en la Clínica San Juan de Dios de Chía, Colombia, en 2011, que requirieron remisión para manejo médico o quirúrgico. Se consideró como causa desencadenante el uso crónico del antipsicótico clozapina...
ABSTRACT
Ogilvie´s syndrome is a clinical condition with signs, symptoms and radiographic appearance of intestinal obstruction without a mechanical cause. Pathophysiology is still unknown. An imbalance between sympathetic and parasympathetic colonic innervation is suggested. It is associated with an extent range of comorbidities including trauma, pelvic surgery (orthopedic, gynecologic, urologic), metabolic alterations or central nervous system alterations, as well as in patients receiving medication especially atypical anti-psychotic agents such as clozapine. Prompt diagnosis and treatment are critical to avoid progression to bowel perforation, peritonitis and even death. Clinical records of 3 patients treated for bowel pseudo-obstruction (Ogilvie´s Syndrome) at San Juan de Dios Clinic in Chía, Colombia, in 2011, who needed referral for medical or surgical treatment, were analyzed. Chronic use of clozapine, an antipsychotic agent, was considered the triggering cause. Peritonitis and bowel perforation was the most serious complication. There was no mortality attributable to this syndrome or its management...
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Colonic Pseudo-Obstruction / Intestinal Obstruction Limits: Humans Country/Region as subject: South America / Colombia Language: Spanish Journal: Repert. med. cir Journal subject: Cirurgia Geral / Medicina Year: 2014 Type: Article Affiliation country: Colombia Institution/Affiliation country: Fundación Universitaria de Ciencias de la Salud/CO / Hospital Regional de la Dorada/CO

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: LILACS (Americas) Main subject: Colonic Pseudo-Obstruction / Intestinal Obstruction Limits: Humans Country/Region as subject: South America / Colombia Language: Spanish Journal: Repert. med. cir Journal subject: Cirurgia Geral / Medicina Year: 2014 Type: Article Affiliation country: Colombia Institution/Affiliation country: Fundación Universitaria de Ciencias de la Salud/CO / Hospital Regional de la Dorada/CO