J Korean Geriatr Soc.  2007 Sep;11(3):162-166.

Pyridostigmine for Treatment of Acute Colonic Pseudo-obstruction(Ogilvie's syndrome) in a Older Patient on CAPD

• Choi JH
• Nam YH
• Seo IS
• Lim JW
• Jang YH
• Kim BR
• Yoon SJ
• Kim HC

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.

Keyword

Colonic pseudo-obstruction; Pyridostigmine; Continuous Ambulatory Peritoneal Dialysis(CAPD)

MeSH Terms

Aged
Cholinergic Agents
Colon*
Colonic Pseudo-Obstruction
Humans
Korea
Neostigmine
Peritoneal Dialysis, Continuous Ambulatory*
Pyridostigmine Bromide*
Cholinergic Agents
Neostigmine
Pyridostigmine Bromide