Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy
case report and literature review
Keywords:
Intestinal pseudo-obstruction, Intestinal obstruction, Jejunostomy, Parenteral nutrition, DiagnosisAbstract
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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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.