Browsing by Author "Julio Cabrera"

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    Ogilvie Syndrome in Patients With Large Burns: Presentation of 2 Cases With Conservative Treatment
    (Başkent Üniversitesi, 2021-06) Julio Cabrera
    Ogilvie syndrome is an acute colonic dilation of a previously healthy colon, without any organic obstruction. Pathological circumstances, such as burns, opiates, and antipsychotic medication, have been identified as predisposing elements. The incidence in the evolution of burn patients varies between 0.2% and 1%. The purpose of our study was to describe its development in 2 patients with large burns who were treated at our national burn center. Our patients had the following clinical characteristics: extensive abdominal bloating, constipation, hyperleukocytosis, confusion, and increased intra-abdominal pressure, which have the potential for development of multiorgan dysfunction. Abdominal tomographies showed massive colonic dilation without mechanical obstacles. Successful results were achieved after colonoscopic deflation. Thus, we have described conservative treatments (neostigmine, polyethylene glycol, rectal catheter), colonoscopies, and the indications for eventual surgery.
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    Wilkie Syndrome Is a Rare and Not Frequently Considered Pathology: Report of 2 Cases With Favorable Evolution After Conservative Treatment
    (Başkent Üniversitesi, 2021-03) Julio Cabrera
    Wilkie syndrome, or superior mesenteric artery syndrome, is a rare and not frequently considered complication in burn patients. This clinical entity is caused by compression of the third portion of the duodenum between the abdominal aorta and superior mesenteric artery, leading to duodenal obstruction. It can also be caused by a decrease in retroperitoneal fat in cases of severe malnutrition, as observed in patients with large burns. Here, we report 2 patients with large burns who presented with significant weight loss, accompanied by upper digestive intolerance, vomiting, large volumes of gastric residual, and abdominal pain. The fundamental study for its diagnosis was abdominal computed tomography with aortic angiography, which revealed a decreased angle between the aorta and the superior mesenteric artery. In our patients, treatment consisted of nutrition by nasojejunal catheter in 1 patient, with the other patient also receiving nasojejunal nutrition by catheter after a period of parenteral nutrition. Conservative treatment was successful in both cases, with no need for surgery.