OBJECTIVE: To assess, in a population of elderly @entity1 , the circumstances clinical and progressive characteristics and form of management of an acute @entity4391 (ACPO). METHOD: Retrospective study of the files of 40 @entity1 aged 70 and more having presented an acute @entity4391 and hospitalised in the university hospital in Dijon from January 1995 to June 2000. RESULTS: The population was composed of 24 @entity1 (60%) and 16 @entity1 (40%) with a mean age of 80.8 years. The reasons for hospitalisation were varied: only 15 @entity1 had been referred for an occlusive syndrome. 39 @entity1 presented with @entity1661 , 30 suffered from @entity490 . In this population, 17 @entity1 exhibited reduced or clearly limited mobility, 20 @entity1 had altered cognitive capacity with an MMS < 20. Thirty-eight @entity1 suffered from a progressive @entity299 and 8 @entity1 presented with advanced @entity303 . The usual treatment of these @entity1 to help the intestinal transit included diuretics in 25 cases and agents slowing the transit in 19 cases. Biologically speaking, hypokalaemia was observed in 21 cases and increased thyroid stimulating hormone (TSH) in 3 cases. An image was obtained of the abdomen without preparation in all @entity1 : the mean caecum diameter was of 9.8 cm. A colon aspiration was performed in 20 @entity1 and molecules to improve peristaltism were administered in 21 cases, with @entity1339 prescribed for 9 @entity1 . Surgery was required for 7 @entity1 and 3 of them subsequently died. In terms of progression, 20 @entity1 were cured after treatment, 13 relapsed and 7 @entity1 worsened. Unfortunately, 10 @entity1 died in our series. DISCUSSION: In our study, the clinical profiles of acute @entity4391 were similar to those described in the literature: they occurred in varying circumstances, in medical or surgical settings ina predominantly male population of elderly, heavily dependent, @entity1 . Treatment of this affection is not clearly codified for fragile @entity1 with @entity66 and the mortality rate observed should stimulate further studies, notably on pharmacological level.

[ XXXX in the elderly: retrospective study of 40 cases].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity4391 :: ('MESH:D003112', 'Disease') :: ['colonic pseudo-obstruction'] @entity66 :: ('MESH:D004194', 'Disease') :: ['multiple diseases'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal distension'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart disease'] @entity1339 :: ('MESH:D009388', 'Chemical') :: ['neostigmine']
@entity4391 :: (MESH:D003112,Disease) :: ['Ogilvie syndrome']
