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KMID : 0359920060250061041
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Korean Journal of Nephrology
2006 Volume.25 No. 6 p.1041 ~ p.1045
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Eosinophilic Peritonitis Followed by Acute Colonic Pseudo-obstruction (Ogilvie`s syndrome) in an ESRD Patient on CAPD
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Lee Ji-Eun
Kim Hye-Won
Lee Jae-Won
Choi Hye-Min
Hyun Young-Youl
Ko Gang-Jee
Park Sang-Weon
Kwon Young-Joo
Pyo Heui-Jung
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Abstract
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Acute colonic pseudo-obstruction (Ogilvie’s syndrome) is characterized by massive dilatation of the colon with no sign of mechanical obstruction. We report a case of eosinophilic peritonitis with severe abdominal pain followed by acute colonic pseudoobstruction in an ESRD patient on CAPD. The intravenous administration of neostigmine, an acetylcholinesterase inhibitor, resulted in safe and effective colonic decompression in our patient. In case patients with acute colonic pseudo-obstruction do not respond to conservative therapy, treatment with neostigmine can be considered even for patients on dialysis. (Korean J Nephrol 2006;25(6):1041-1045)
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KEYWORD
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Eosinophilic peritonitis, acute colonic pseudo-obstruction, Ogilvie`s syndrome, neostigmine
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