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A Mouse Model of Intestinal Partial Obstruction
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[Chronic intestinal pseudo-obstruction].

Hidenori Ohkubo, Yumi Inoh, Akiko Fuyuki

    Nihon Rinsho. Japanese Journal of Clinical Medicine
    |May 20, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Chronic intestinal pseudo-obstruction (CIPO) is a rare digestive disease causing symptoms of obstruction without a mechanical cause. Early diagnosis and management are crucial for improving patient outcomes and nutritional status.

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    Area of Science:

    • Gastroenterology
    • Digestive Diseases
    • Rare Diseases

    Context:

    • Chronic intestinal pseudo-obstruction (CIPO) presents as a severe digestive disorder mimicking mechanical intestinal obstruction.
    • Pathophysiology involves impaired intestinal motility due to issues with smooth muscle, enteric nervous system, and interstitial cells of Cajal (ICC).
    • Complications include malabsorption, bacterial translocation, malnutrition, and sepsis.

    Purpose:

    • To discuss the challenges in diagnosing and managing Chronic Intestinal Pseudo-obstruction (CIPO).
    • To highlight the development and revision of Japanese diagnostic criteria for CIPO.
    • To introduce cine-MRI as a potential non-invasive diagnostic tool.

    Summary:

    • Management focuses on nutritional support and symptom reduction, with dietary modifications for mild cases and home parenteral nutrition (HPN) or decompression for severe cases.
    • Established diagnostic methods like manometry and scintigraphy are not widely available in Japan, necessitating alternative approaches.
    • Japanese diagnostic criteria were proposed in 2009 and revised in 2014, with cine-MRI emerging as a promising non-invasive diagnostic method.

    Impact:

    • Facilitates earlier and more accurate diagnosis of CIPO, particularly by general physicians in Japan.
    • CINE-MRI offers a non-invasive diagnostic alternative, potentially improving patient management.
    • The disease's recognition as a Specified Rare and Intractable Disease in Japan provides public funding and support.