Treatment of Acute Colonic Pseudo-obstruction (Ogilvie's Syndrome) with Intravenous Neostigmine.
- Author:
Boo Hwan HONG
1
;
Sun Il LEE
;
Keun Won RYU
;
Sun Han KIM
;
Bum Hwan GOO
;
Hong Young MOON
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Ogilvie's syndrome;
Colonic decompression;
Neostigmine
- MeSH:
Colon*;
Colonic Pseudo-Obstruction*;
Decompression;
Dizziness;
Flatulence;
Humans;
Neostigmine*;
Recurrence
- From:Journal of the Korean Surgical Society
2000;59(1):133-136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute colonic pseudo-obstruction is a functional disorder that closely mimics a mechanical large-bowel obstruction. Two such patients were treated by pharmacological manipulation of the parasympathetic innervation to the colon with intravenous neostigmine infusion. The two responded to treatment with passage with flatus and stool within several minutes with complete resolution of the symptoms, although the first patient required two additional infusions and the second patient required one additional infusion for subsequent recurrence. Dizziness occurred in one patient, and no other serious side effects were apparent. This pharmacological approach to the management of acute colonic pseudo-obstruction is suggested as an alternative to the other treatment options of colonoscopic decompression or surgery when conservative management has failed.
