Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients
Journal of Acute Care Surgery
;
(2): 78-82, 2017.
Article
in English
| WPRIM
| ID: wpr-648621
ABSTRACT
Paralytic ileus is a common complication in critically ill patients, and can affect all parts of the gastrointestinal tract. We report a case of paralytic ileus that improved after neostigmine administration. An 80-year-old man was transferred to the intensive care unit after a diagnosis of severe colitis due to Clostridium difficile infection while under conservative treatment for paralytic ileus . The patient's colitis resolved but the ileus did not. This prompted neostigmine administration, resulting in remarkable improvements in the abdominal physical examination and radiographic images. Bowel movements recovered, oral feeding was restarted, and the patient was transferred back to the general ward.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Patients' Rooms
/
Intestinal Pseudo-Obstruction
/
Clostridioides difficile
/
Critical Illness
/
Colitis
/
Gastrointestinal Tract
/
Ileus
/
Diagnosis
/
Intensive Care Units
Type of study:
Diagnostic study
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Journal of Acute Care Surgery
Year:
2017
Type:
Article
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