Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients
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 c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2017-10-01
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| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-7-78.pdf |
| _version_ | 1797682305649606656 |
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| author | Nak-Jun Choi Tae-Hyun Kim Suk-Kyung Hong |
| author_facet | Nak-Jun Choi Tae-Hyun Kim Suk-Kyung Hong |
| author_sort | Nak-Jun Choi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T23:57:46Z |
| format | Article |
| id | doaj.art-035da68fb438425698bb34c306bceb6c |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:57:46Z |
| publishDate | 2017-10-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-035da68fb438425698bb34c306bceb6c2023-09-18T06:42:45ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822017-10-0172788210.17479/jacs.2017.7.2.7847Neostigmine Treatment of Paralytic Ileus in Critically Ill PatientsNak-Jun Choi0Tae-Hyun Kim1Suk-Kyung Hong2 Division of Trauma and Surgical Critical Care, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Division of Trauma and Surgical Critical Care, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Division of Trauma and Surgical Critical Care, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 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.http://www.jacs.or.kr/upload/pdf/jacs-7-78.pdfparalytic ileuscritical illnessneostigmine |
| spellingShingle | Nak-Jun Choi Tae-Hyun Kim Suk-Kyung Hong Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients Journal of Acute Care Surgery paralytic ileus critical illness neostigmine |
| title | Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients |
| title_full | Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients |
| title_fullStr | Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients |
| title_full_unstemmed | Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients |
| title_short | Neostigmine Treatment of Paralytic Ileus in Critically Ill Patients |
| title_sort | neostigmine treatment of paralytic ileus in critically ill patients |
| topic | paralytic ileus critical illness neostigmine |
| url | http://www.jacs.or.kr/upload/pdf/jacs-7-78.pdf |
| work_keys_str_mv | AT nakjunchoi neostigminetreatmentofparalyticileusincriticallyillpatients AT taehyunkim neostigminetreatmentofparalyticileusincriticallyillpatients AT sukkyunghong neostigminetreatmentofparalyticileusincriticallyillpatients |