The use of neostigmine to treat postoperative ileus in orthopedic spinal patients

P. L. Althausen, M. C. Gupta, D. R. Benson, D. A. Jones

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Ileus is a common complication of spinal surgery, affecting 5% to 12% of all patients. Often this ileus is secondary to acute colonic pseudo-obstruction. This study is a prospective clinical trial of neostigmine in seven spinal patients with ileus after surgery to demonstrate its efficacy. All patients had evidence of the Ogilvie syndrome that was unresponsive to 24 hours of conservative therapy. Patients received 2 mg neostigmine, and abdominal circumference, clinical response, and radiographic colonic measurements were recorded. Patients were followed for recurrence of ileus for their remaining time in the hospital. Six patients had prompt colonic decompression, and no patient had recurrence of colonic distension. Side effects were minimal. These results suggest that postoperative spinal patients with ileus secondary to acute colonic pseudo-obstruction that is unresponsive to conservative therapy benefit from treatment with neostigmine, resulting in safe, rapid decompression of the colon.

Original languageEnglish (US)
Pages (from-to)541-545
Number of pages5
JournalJournal of Spinal Disorders
Volume14
Issue number6
DOIs
StatePublished - 2001

    Fingerprint

Keywords

  • Acute colonic pseudo-obstruction
  • Neostigmine
  • Ogilvie syndrome
  • Postoperative ileus
  • Spinal surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this