KMID : 0361420120360020278
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Journal of Korean Academy of Rehabilitation Medicine 2012 Volume.36 No. 2 p.278 ~ p.281
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Occurrence of Intestinal Pseudo-obstruction in a Brainstem Hemorrhage Patient
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Lee Sang-Jee
Na In-Hun Choi Eun-Seok Jung Sung-Hee Yoon Jong-Soo
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Abstract
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Intestinal pseudo-obstruction is a massive colonic dilation with signs and symptoms of colonic obstruction, but without a mechanical cause. A 49-year-old female patient complained of nausea, vomiting, and abdominal distension 1 month after a massive brainstem hemorrhage. No improvement was seen with conservative treatments. An extended-length rectal tube was inserted to perform glycerin enema. In addition, bethanechol (35 mg per day) was administered to stimulate colonic motility. Th e patient¡¯s condition gradually improved over a 2-month period without any surgical intervention. Extended length rectal tube enema and bethanechol can be used to improve intestinal pseudo-obstruction in stroke patients.
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KEYWORD
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Intestinal pseudo-obstruction, Rectal tube, Bethanechol
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