Pyridostigmine for Treatment of Acute Colonic Pseudo-obstruction(Ogilvie's syndrome) in a Older Patient on CAPD.
- Author:
Joon Hyouk CHOI
1
;
Yang Hoon NAM
;
In Seok SEO
;
Ji Whan LIM
;
Yoo Hyun JANG
;
Bong Ryong KIM
;
Su Jin YOON
;
Hyug Chung KIM
Author Information
1. Department of Internal Medicine, and Radiology1, Seoul Medical Center, Seoul, Korea. eoot35@hanmail.net
- Publication Type:Case Report
- Keywords:
Colonic pseudo-obstruction;
Pyridostigmine;
Continuous Ambulatory Peritoneal Dialysis(CAPD)
- MeSH:
Aged;
Cholinergic Agents;
Colon*;
Colonic Pseudo-Obstruction;
Humans;
Korea;
Neostigmine;
Peritoneal Dialysis, Continuous Ambulatory*;
Pyridostigmine Bromide*
- From:Journal of the Korean Geriatrics Society
2007;11(3):162-166
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In acute colonic pseudo-obstruction(Ogilvie's syndrome, 1948), there is no distal obstruction but colonic obstruction symptom and distended colon is shown radiologicaly and clinically. The etiology of this syndrome are complex of any medical and surgical problem. Elderly patients who are undergoing CAPD have multiple medical problems. But among them only one case which was diagnosed with this syndrome was reported in Korea. Neostigmine is unstable medicine due to muscarinic effects if neostigmine(anticholinesterase inhibitor) has side effects to the CAPD patients with multiple medical problems, it can be fatal. We use pyridostigmine, which has less muscarinic effect, and has similiar potency compared to neostigmine to acute colonic pseudo-obstruction, and thus achieved radiological improvement.
