Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy

case report and literature review

Authors

  • Carlos Renato dos Reis Lemos Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Pedro Popoutchi Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Rogério Serafim Parra Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • Omar Féres Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo
  • José Joaquim Ribeiro da Rocha Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Keywords:

Intestinal pseudo-obstruction, Intestinal obstruction, Jejunostomy, Parenteral nutrition, Diagnosis

Abstract

CONTEXT: Chronic idiopathic intestinal pseudo- obstruction is a very rare condition. CASE REPORT: This study describes a male patient who had presented obstructive symptoms for 24 years. He had been treated clinically and had undergone two previous operations in different services, with no clinical improvement or correct diagnosis. He was diagnosed with intestinal obstruction without mechanical factors in our service and underwent jejunostomy, which had a significant decompressive effect. The patient was able to gain weight and presented improvements in laboratory tests. Jejunostomy is a relatively simple surgical procedure that is considered pal- liative but, in this case, it was resolutive.

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Author Biographies

Carlos Renato dos Reis Lemos, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD. Resident in Discipline of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Pedro Popoutchi, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD. Resident in Discipline of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Rogério Serafim Parra, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD. Resident in Discipline of Coloproctology, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

Omar Féres, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD, PhD. Assistant professor, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

José Joaquim Ribeiro da Rocha, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

MD, PhD. Assistant professor, Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

References

Faulk DL, Anuras S, Christensen J. Chronic intestinal pseudoo- bstruction. Gastroenterology. 1978;74(5 Pt 1):922-31.

Dudley HA, Sinclair IS, McLaren IF, McNair TJ, Newsam JE. Intes- tinal pseudo-obstruction. J R Coll Surg Edinb. 1958;3(3):206-17.

Maldonado JE, Gregg JA, Green PA, Brown AL Jr. Chron- ic idiopathic intestinal pseudo-obstruction. Am J Med. 1970;49(2):203-12.

Gambarara M, Knafelz D, Diamanti A, et al. Indication for small bowel transplant in patients affected by chronic intestinal pseudo-obstruction. Transplant Proc. 2002;34(3): 866-7.

Masetti M, Di Benedetto F, Cautero N, et al. Intestinal trans- plantation for chronic intestinal pseudo-obstruction in adult patients. Am J Transplant. 2004;4(5):826-9.

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Published

2007-11-11

How to Cite

1.
Lemos CR dos R, Popoutchi P, Parra RS, Féres O, Rocha JJR da. Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy: case report and literature review. Sao Paulo Med J [Internet]. 2007 Nov. 11 [cited 2025 Oct. 16];125(6):356-8. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2187

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Section

Case Report