Syndrom střevní pseudoobstrukce u nemocného s akutní polyradikuloneuritidou
Authors:
K. Šimková 1; L. Ungermann 2; E. Ehler 1,3; I. Štětkářová 4
Authors‘ workplace:
Department of Neurology Pardubice Regional Hospital, Czech Republic
1; Radiodiagnostic Department of the Pardubice Regional Hospital, Czech Republic
2; Department of Neurology, Faculty of Health Studies, University of Pardubice, Czech Republic
3; Department of Neurology, Third Faculty of Medicine, Královské Vinohrady University Hospital, Prague, Czech Republic
4
Published in:
Cesk Slov Neurol N 2026; 89(3): 199-201
Category:
Letter to Editor
doi:
https://doi.org/10.48095/cccsnn2026199
...
Sources
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2. Wells CI, O‘Grady G, Bissett IP. Acute colonic pseudo-obstruction: a systematic review of aetiology and mechanisms. World J Gastroenterol 2017; 23 (30): 5634–5644. doi: 10.3748/wjg.v23.i30.5634.
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11. Diagnosis is primarily based on imaging findings. Caecal dilatation exceeding 12 cm is associated with a high risk of ischaemia and perforation [1]. In our case, significant dilatation was observed without progression to perforation.
12. Management of ACPO is primarily conservative. Neostigmine is effective and typically produces a rapid response within 5–30 minutes. Additional prokinetic agents include metoclopramide, erythromycin, and cisapride. Prucalopride, a selective 5-HT4 receptor agonist, represents a newer therapeutic option. Endoscopic or surgical interventions are reserved for refractory cases or complications. Recurrence rates range from 18% to 33%.
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Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
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