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Chronic intestinal pseudo-obstruction: Progress in management?
- Source :
-
Neurogastroenterology & Motility . Dec2017, Vol. 29 Issue 12, pn/a-N.PAG. 6p. - Publication Year :
- 2017
-
Abstract
- Chronic intestinal pseudo-obstruction ( CIPO) is a severe form of gastrointestinal dysmotility (often due to derangement of the innervation/smooth muscle/interstitial cells of Cajal) with recurrent episodes of intestinal subocclusion mimicking a mechanical obstruction. Because of its complexity and heterogeneity, CIPO is often misdiagnosed or remains unrecognized until advanced stages. Management is a critical aspect in CIPO patient care. So far, most prokinetic drugs have not proven efficacy in restoring intestinal propulsion, thus nutritional support, fluid/electrolyte replacement, and antibiotics are the mainstay of treatment. In this issue of the journal, Ohkubo et al showed promising data indicating that percutaneous endoscopic gastro-jejunostomy ( PEG-J) can be proposed as a measure for intestinal decompression, thereby improving CIPO-associated abdominal symptoms, including pain. In addition to a concise update of clinical and diagnostic features, the present minireview tackles management options, with a major emphasis on PEG-J, for CIPO patients. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13501925
- Volume :
- 29
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Neurogastroenterology & Motility
- Publication Type :
- Academic Journal
- Accession number :
- 126261593
- Full Text :
- https://doi.org/10.1111/nmo.13231