Colonic pseudo-obstruction in burns patients

Acute pseudo-obstruction is a rare complication in bums patients. An awareness of the factors implicated in its pathogenesis such as prolonged bed rest, narcotic medications, hypokalaemia, sepsis and surgery (all commonly associated with burns patients) is essential if this condition is to be avoided. Early diagnosis, prokinetic and cathartic agents, and aggressive endoscopic intervention are essential to halt the progression of caecal dilation. Excisional surgery and stoma formation are necessary for salvage of complicated colonic pseudo-obstruction. Copyright (C) 1996 Elsevier Science Ltd for ISBI.