Deprem Sonrasında Enkaz Altında Kalan Hastalarda Gelişen Ogilvie Sendromu

Öz

Ogilvie sendromu organik bir neden olmaksızın kolonun psödoobtrüksiyonu olarak tanımlanan nadir görülen ve tedavi edilmediğinde kolonda iskemi ve perforasyona neden olabilen bir hastalıktır. Bu çalışmada 6 Şubat 2023 tarihinde meydana gelen Kahramanmaraş merkez üssü olan deprem sonrası enkaz altından kurtarılıp hastanemize sevk edilen ve Ogilvie sendromu tanısı konulan hastaların tanı, tedavi ve takip sonuçları değerlendirildi. Deprem bölgesinden Mersin Şehir Eğitim ve Araştırma Hastanesine sevk edilen ve takiplerinde Ogilvie sendromu tanısı konulan 23 hasta retropektif olarak incelendi. Hastalar yaş, cinsiyet, tanı yöntemi, tanı sırasında tam kan sayımı, karaciğer fonksiyon testleri, böbrek fonksiyon testleri, elektrolit düzeyleri, eş zamanlı ek patolojiler, takip süreci ve tedavileri incelendi. Ogilvie sendromu tanısı konulan 23 hastanın 21 tanesi konservatif olarak tedavi edildi. 2 hasta opere edildi. 23 hastanın 12 (%52,17)’si erkek, 11 (%47,83)’i kadındı. Hastaların tanı konulduğunda lökosit ortalaması 14,11 ± 5,41 olup normal değerin üstünde idi. İyonize kalsiyum değeri ortalaması 0,95 ± 0,14 mmol/L olarak tespit edildi ve normal değerin altında idi. Deprem gibi multitravmaya sebep olacak felaketlerde gelişecek fraktürler yanında enkaz altında immobil kalması ve hipotermi maruziyeti Ogilvie sendromu gelişimini kolaylaştırmaktadır. Erken tanı ile konservatif tedavi başarı oranı yüksektir.

Anahtar Kelimeler

• Kolon psodoobstruksiyon
• Deprem
• Ogilvie Sendrom

Ogilvie Syndrome in Patients Under Debrines After Earthquake

Öz

Ogilvie syndrome is a rare disease defined as pseudo-obstruction of the colon without anorganic cause and can cause ischemia and perforation in the colon if left untreated. In this study,the diagnosis, treatment, and follow-up results of patients diagnosed with Ogilvie syndromewho were rescued from under the rubble and referred to our hospital after the earthquake in Kahramanmaraş, the epicenter of which occurred on February 6, 2023, were evaluated. A total of 23 patients referred to our hospital from the earthquake area and diagnosed with Ogilvie syndrome during their follow-up were retrospectively examined. The patient's age,gender, diagnostic method, complete blood count at diagnosis, liver function tests, kidney function tests, electrolyte levels, concurrent additional pathologies, follow-up process, and treatments were examined. Of the 21 of 23 patients diagnosed with Ogilvie syndrome, were treated conservatively, and 2 were operated on. Of the 23 patients, 12 (52.17%) were male and 11 (47.83%) were female. When the patients were diagnosed, the average leukocyte count was 14.11 ± 5.41, above the normal value. The average ionized calcium value was determined as 0.95 ± 0.14 mmol/L and was below the normal value. In addition to fractures that may develop in multi-trauma disasters such as earthquakes, immobility under debris and exposure to hypothermia facilitate the development of Ogilvie syndrome. The success rate of conservative treatment is high with early diagnosis.

Anahtar Kelimeler

• Colon pseudoobstruction
• Earthquake
• Ogilvie syndrome

Kaynakça

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