medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2025, Number 2

<< Back Next >>

Cir Gen 2025; 47 (2)

Gastrointestinal dysfunction in the burn patient: characterization and evaluation

Robledo-Madrid P, Uscanga MI, Vélez-Palafox M

Language: Spanish
References: 17
Page: 71-75
PDF size: 266.49 Kb.


ABSTRACT

Introduction: to determine and evaluate the predisposing factors for gastrointestinal dysfunction in burned patients. Objective: to evaluate clinical data of gastrointestinal dysfunction in burned patients, as well as to describe the clinical findings during their medical care. Material and methods: observational, longitudinal study conducted in the burn intensive care unit over a nine-month period. Enrolled patients provided informed consent, and their data was collected from institutional clinical records. Results: during the study period, 28 patients diagnosed with burns of various etiologies were treated. The most prevalent symptom was constipation (71.4%), followed by abdominal distension (60.7%) and high gastric residual volume (46.4%). In this group, the most frequent type of acute-onset intestinal failure and the reported intestinal alterations corresponded to the initial stage of the injury within the first 24 hours. Conclusions: current studies for the evaluation of gastrointestinal dysfunction have limited value, and therefore, there is a need to find new reliable markers. It is essential to recognize associated factors early and implement therapeutic interventions to avoid such situations in patients.


REFERENCES

  1. Ng JW, Cairns SA, O'Boyle CP. Management of the lower gastrointestinal system in burn: a comprehensive review. Burns. 2016; 42: 728-737.

  2. Shirah GR, O'Neill PJ. Intra-abdominal infections. Surg Clin North Am. 2014; 94: 1319-1333.

  3. Sánchez-Álvarez C, Espinoza-Berrenguel JL, Martínez-Lozano-Aranaga F. Fallo gastrointestinal agudo en el paciente crítico. Nutr Clin Med. 2017; 11: 59-73.

  4. Mokline A, Rahmani I, Gharsallah L, Hachani A, Tlaili S, Hammouda R, Gasri B, Ksontini A, Mesadi AA. Intraabdominal hypertension in burn patients. Crit Care. 2015; 19: P387.

  5. Balogh ZJ, Lumsdaine W, Moore EF, Moore FA. Post injury abdominal compartment syndrome: from recognition to prevention. Lancet. 2014; 384: 1466-1475.

  6. Strang SG, Van-Lieshout EM, Breederveld RS, Van Waes OJ. A systematic review on intra-abdominal pressure in severely burned patients. Burns. 2014; 40: 9-16.

  7. Ivy ME, Possenti PP, Kepros J, Atweh NA, D'Aiuto M, Palmer J, et al. Abdominal compartment syndrome in patients with burns. J Burn Care Rehabil. 1999; 20: 351-353.

  8. Nielson CB, Duethman NC, Howard JM, Moncure M, Wood JG. Burns: pathophysiology of systemic complications and current management. J Burn Care Res. 2017; 38 (1): e469-e481.

  9. Rousseau AF, Losser MR, Ichai C, Berger MM. ESPEN endorsed recommendations: nutritional therapy in major burns. Clin Nutr. 2013; 32: 497-502.

  10. Pironi L, Arends J, Baxter J, Bozzetti F, Peláez RB, Cuerda C, et al. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr. 2015; 34: 171-180.

  11. Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019; 38: 48-79.

  12. Ruppé É, Lisboa T, Barbier F. The gut microbiota of critically ill patients: first steps in an unexplored world. Intensive Care Med. 2018; 44: 1561-1564.

  13. Lamarche D, Johnstone J, Zytaruk N, Clarke F, Hand L, Loukov D, et al. Microbial dysbiosis and mortality during mechanical ventilation: a prospective observational study. Respir Res. 2018; 19: 245.

  14. Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010; 11: 79-109.

  15. Trexler ST, Lundy JB, Chung KK, Nitzschke SL, Burns CJ, Shields BA, et al. Prevalence and impact of late defecation in the critically ill, thermally injured adult patient. J Burn Care Res. 2014; 35: e224-e229.

  16. Bugaev N, Bhattacharya B, Chiu WC, Como JJ, Cripps MW, Ferrada P, et al. Promotility agents for the treatment of ileus in adult surgical patients: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2019; 87: 922-934.

  17. Al-Benna S, O'Boyle C. Burn care expert and burn expertise. Burns. 2014; 40: 200-203.




2020     |     www.medigraphic.com