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Chronic intestinal pseudo-obstruction: Report of two cases

Year 2013, Volume: 35 Issue: 4, 608 - 614, 30.12.2013

Abstract

Chronic intestinal pseudo-obstruction is a rare intestinal motility disorder. It is characterized by recurrent or persistent findings of intestinal obstruction in the absence of any mechanical obstruction. Various systemic or congenital diseases are held responsible in the etiology; moreover, it is accepted as idiopathic upon failure of detection of a true reason. We present hereby two rare cases who had been admitted with the symptoms of nausea, vomiting, constipation and tetany, and were diagnosed as chronic intestinal pseudo-obstruction.

References

  • Verne GN, Sninsky CA. Chronic intestinal pseudo-obstruction. Dig Dis Sci 1995; 13: 163-81.
  • Dudley HA, Sinclair IS, McLaren IF, McNair TJ, Newsam JE. Intestinal pseudoobstruction. J R Coll Surg Edinb 1958; 3: 206-17.
  • Maldonado JE, Gregg JA, Green PA, Brown AL Jr. Chronic idiopathic intestinal pseudo-obstruction. Am J Med 1970; 49: 203-12.
  • De Giorgio R, Cogliandro RF, Barbara G, Corinaldesi R, Stanghellini V. Chronic intestinal pseudo-obstruction: Clinical features, diagnosis, and therapy. Gastroenterol Clin North Am 2011; 40: 787-807.
  • Stanghellini V, Cogliandro RF, De Giorgio R, Barbara G, Morselli-Labate AM, Cogliandro L, Corinaldesi R. Natural history of chronic idiopthic intestinal pseudoobstruction in adults: A single center study. Clin Gastroenterol Hepatol 2005; 3: 449-58.
  • Smith DS, Williams CS, Ferris CD. Diagnosis and treatment of chronic gastroparesis and chronic intestinal pseudo-obstruction. Gastroenterol Clin N Am 2003; 32: 619-58.
  • De Giorgio R, Ricciardiello L, Camillari M, Naponelli V, Selgrad M, Piazzi G, Felicani C, Serra M, Fronzoni L, Antonucci A, Cogliandro RF, Barbara G, Corinaldesi R, Tonini M, Knowles CH, Stanghellini V. Chronic intestinal pseudo-obstruction related to viral infections. Transplant Proc 2010; 42: 9-14. Ward SM, Morris G, Reese L, Wang XY, Sanders KM. Interstitial cells of Cajal mediate enteric inhibitory neurotransmission in the lower esophageal and pyloric sphincters. Gastroenterology 1998; 115: 314-29.
  • Lennon VA, Sas DF, Busk MF, Scheithauer B, Malagelada JR, Camilleri M, Miller LJ. Enteric neuronal autoantibodies in pseudo-obstruction with small-cell lung carcinoma. Gastroenterology 1991; 100: 137-42.
  • Di Lorenzo C. Pseudo-obstruction: Current approaches. Gastroenterology 1999; 116: 980-7.
  • Schuffler MD, Rohrmann CA, Chaffee RG, Brand DL, Delaney JH, Young JH. Chronic intestinal pseudo-obstruction: A report of 27 cases and review of the literature. Medicine (Baltimore) 1981; 60: 173-96.
  • Scolapio JS, Ukleja A, Bouras EP, Romano M. Nutritional management of chronic intestinal pseudo-obstruction. J Clin Gastroenterol 1999; 28: 306-12. Camilleri M, Balm RK, Zinsmeister AR. Symptomatic improvement with oneyear cisapride treatment in neuropathic chronic intestinal dysmotility. Aliment Pharmacol Ther 1996; 10: 403-9.
  • Soudah HC, Hasler WL, Owyang C. Effect of ocreotide on intestinal motility and bacterial overgrowth in scleroderma. N Eng J Med 1991; 325: 1461-7.
  • Murr MM, Sarr MG, Camillari M. The surgeon’s role in the treatment of chronic intestinal pseudoobstruction. Am J Gastroenterol 1995; 90: 2147-51.
  • Grant D. Current results of intestinal transplantation: The International Intestinal Transplant Registry. Lancet 1999; 347: 1802.
  • Lapointe R. Chronic idiopathic intestinal pseudo-obstruction treated by near total small bowel resection: A 20-year experience. J Gastrointest Surg 2010; 14: 1937

Chronic intestinal pseudo-obstruction: Report of two cases

Year 2013, Volume: 35 Issue: 4, 608 - 614, 30.12.2013

Abstract

Kronik intestinal psödoobstrüksiyon nadir görülen bir intestinal motilite bozukluğudur. Herhangi bir mekanik obstrüksiyon olmaksızın intestinal obstrüksiyonun tekrarlayan veya devamlı bulguları ile karakterizedir. Etyolojide çeşitli sistemik veya konjenital hastalıklar yer alır, neden tesbit edilmediğinde idiopatik olarak kabul edilir. Biz burada bulantı, kusma, kabızlık ve tetani semptomları ile gelen, kronik intestinal psödoobstrüksiyon tanısı alan iki olguyu nadir görülmesi nedeniyle sunmaktayız.

References

  • Verne GN, Sninsky CA. Chronic intestinal pseudo-obstruction. Dig Dis Sci 1995; 13: 163-81.
  • Dudley HA, Sinclair IS, McLaren IF, McNair TJ, Newsam JE. Intestinal pseudoobstruction. J R Coll Surg Edinb 1958; 3: 206-17.
  • Maldonado JE, Gregg JA, Green PA, Brown AL Jr. Chronic idiopathic intestinal pseudo-obstruction. Am J Med 1970; 49: 203-12.
  • De Giorgio R, Cogliandro RF, Barbara G, Corinaldesi R, Stanghellini V. Chronic intestinal pseudo-obstruction: Clinical features, diagnosis, and therapy. Gastroenterol Clin North Am 2011; 40: 787-807.
  • Stanghellini V, Cogliandro RF, De Giorgio R, Barbara G, Morselli-Labate AM, Cogliandro L, Corinaldesi R. Natural history of chronic idiopthic intestinal pseudoobstruction in adults: A single center study. Clin Gastroenterol Hepatol 2005; 3: 449-58.
  • Smith DS, Williams CS, Ferris CD. Diagnosis and treatment of chronic gastroparesis and chronic intestinal pseudo-obstruction. Gastroenterol Clin N Am 2003; 32: 619-58.
  • De Giorgio R, Ricciardiello L, Camillari M, Naponelli V, Selgrad M, Piazzi G, Felicani C, Serra M, Fronzoni L, Antonucci A, Cogliandro RF, Barbara G, Corinaldesi R, Tonini M, Knowles CH, Stanghellini V. Chronic intestinal pseudo-obstruction related to viral infections. Transplant Proc 2010; 42: 9-14. Ward SM, Morris G, Reese L, Wang XY, Sanders KM. Interstitial cells of Cajal mediate enteric inhibitory neurotransmission in the lower esophageal and pyloric sphincters. Gastroenterology 1998; 115: 314-29.
  • Lennon VA, Sas DF, Busk MF, Scheithauer B, Malagelada JR, Camilleri M, Miller LJ. Enteric neuronal autoantibodies in pseudo-obstruction with small-cell lung carcinoma. Gastroenterology 1991; 100: 137-42.
  • Di Lorenzo C. Pseudo-obstruction: Current approaches. Gastroenterology 1999; 116: 980-7.
  • Schuffler MD, Rohrmann CA, Chaffee RG, Brand DL, Delaney JH, Young JH. Chronic intestinal pseudo-obstruction: A report of 27 cases and review of the literature. Medicine (Baltimore) 1981; 60: 173-96.
  • Scolapio JS, Ukleja A, Bouras EP, Romano M. Nutritional management of chronic intestinal pseudo-obstruction. J Clin Gastroenterol 1999; 28: 306-12. Camilleri M, Balm RK, Zinsmeister AR. Symptomatic improvement with oneyear cisapride treatment in neuropathic chronic intestinal dysmotility. Aliment Pharmacol Ther 1996; 10: 403-9.
  • Soudah HC, Hasler WL, Owyang C. Effect of ocreotide on intestinal motility and bacterial overgrowth in scleroderma. N Eng J Med 1991; 325: 1461-7.
  • Murr MM, Sarr MG, Camillari M. The surgeon’s role in the treatment of chronic intestinal pseudoobstruction. Am J Gastroenterol 1995; 90: 2147-51.
  • Grant D. Current results of intestinal transplantation: The International Intestinal Transplant Registry. Lancet 1999; 347: 1802.
  • Lapointe R. Chronic idiopathic intestinal pseudo-obstruction treated by near total small bowel resection: A 20-year experience. J Gastrointest Surg 2010; 14: 1937
There are 15 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Sabiye Akbulut

Firdevs Topal

Nurten Savaş

Ahmet Erten

Emin Altıparmak

Publication Date December 30, 2013
Published in Issue Year 2013Volume: 35 Issue: 4

Cite

AMA Akbulut S, Topal F, Savaş N, Erten A, Altıparmak E. Chronic intestinal pseudo-obstruction: Report of two cases. CMJ. December 2013;35(4):608-614.