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Dysmotility disorders: a nutritional approach.

Lore Billiauws1, Olivier Corcos, Francisca Joly

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Current Opinion in Clinical Nutrition and Metabolic Care
|July 16, 2014
PubMed
Summary
This summary is machine-generated.

Chronic intestinal pseudo-obstruction (CIPO) is a rare condition impacting peristalsis. Management focuses on improving gut function and nutrition, with intestinal manometry aiding diagnosis and transplantation considered for select cases.

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Area of Science:

  • Gastroenterology
  • Digestive System Motility Disorders

Background:

  • Chronic intestinal pseudo-obstruction (CIPO) presents as compromised peristalsis, mimicking intestinal occlusion.
  • Effective management aims to enhance intestinal propulsion and ensure adequate nutritional status.

Purpose of the Study:

  • To review the global management strategies for CIPO.
  • To discuss diagnostic methods, nutritional, pharmacological, and surgical therapies.

Main Methods:

  • Physiological assessment of the affected gastrointestinal tract.
  • Utilizing motility tests like intestinal manometry and cine-magnetic resonance imaging for diagnosis.

Main Results:

  • Home parenteral nutrition (HPN) is a common therapy for chronic intestinal failure due to CIPO, with a good long-term prognosis.
  • Outcomes of HPN and surgical interventions are discussed.

Conclusions:

  • CIPO is a rare, complex disease requiring multidisciplinary specialist collaboration.
  • Small bowel manometry is the gold standard for diagnosis, though new imaging techniques show promise.
  • Intestinal transplantation should be considered for selected CIPO patients.