Acute Colonic Pseudo-Obstruction with Feeding Intolerance in Critically Ill Patients: A Study according to Gut Wall Analysis
Table 1
Characteristics of the study population.
Characteristics
ACPO-NT ()
ACPO-T ()
Age (year)
48.38 ± 14.47
57.16 ± 11.46
0.007
Sex, male, n (%)†
14 (29.2)
18 (20.0)
0.224
BMI
23.73 ± 2.32
23.33 ± 2.65
0.536
APACHE II
8.25 ± 5.04
11.82 ± 5.22
0.008
SOFA
3.54 ± 3.04
6.47 ± 3.04
<0.001
Primary diagnosis, n (%)†
Abdominal/multitrauma
22 (45.83)
18 (20.00)
Vascular surgery
10 (20.83)
4 (4.44)
Pancreatic surgery
4 (8.33)
6 (6.67)
Gastrointestinal surgery
2 (4.17)
12 (13.33)
SAP
0 (0.00)
14 (15.56)
Biliary surgery
0 (0.00)
8 (8.89)
Peritonitis
0 (0.00)
8 (8.89)
Hepatic surgery
0 (0.00)
6 (6.67)
Others
10 (20.83)
4 (4.44)
Reason for intensive care, n (%)†
IAH/ACS
18 (37.50)
24 (26.67)
Sepsis
10 (20.83)
20 (22.22)
Gastrointestinal hemorrhage
4 (8.33)
8 (8.89)
Intra-abdominal hemorrhage
4 (8.33)
6 (6.67)
Acute renal failure
2 (4.17)
12 (13.33)
Others
8 (16.67)
2 (2.22)
Mechanically ventilated, n (%)†
10 (20.83)
56 (62.22)
<0.001
Sepsis, n (%)†
6 (12.50)
32 (35.56)
0.004
Receiving vasoactive drugs, n (%)†
6 (12.50)
32 (35.56)
0.004
Receiving IV opioid, n (%)†
18 (37.50)
46 (51.11)
0.127
Receiving pharmacologic paralysis, n (%)†
4 (8.33)
12 (13.33)
0.578
ACPO-NT: acute colonic pseudo-obstruction without obvious thickening of the colonic gut wall; ACPO-T: acute colonic pseudo-obstruction with obvious acute thickening of the colonic gut wall; BMI: body mass index; APACHE II: Acute Physiology and Chronic Health Evaluation II; SOFA: Sequential Organ Failure Assessment; SAP: severe acute pancreatitis; IAH/ACS: intra-abdominal hypertension/abdominal compartment syndrome. Values are expressed as ; †values are expressed as n (%).
