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Distal intestinal obstruction in CF patients
Acta Gastro-Enterologica Belgica
|June 30, 2015
Summary
Distal intestinal obstruction syndrome (DIOS) is common in cystic fibrosis (CF) patients, causing bowel obstruction. Treatment focuses on laxatives, with surgery reserved for severe cases due to high risks in CF patients.
Area of Science:
- Gastroenterology
- Pediatrics
- Pulmonology
Background:
- Distal intestinal obstruction syndrome (DIOS) is a frequent complication in cystic fibrosis (CF) patients.
- It involves obstruction of the terminal ileum and proximal colon by intestinal contents.
Observation:
- Diagnosis relies on right lower quadrant abdominal pain, a palpable mass, and radiographic signs of obstruction.
- This article reviews three clinical cases of DIOS.
Findings:
- Conservative management with laxatives and enemas is the primary treatment.
- Surgical intervention is a last resort due to significant peri- and postoperative morbidity in CF patients.
Implications:
- Understanding DIOS is crucial for managing CF patients.
- Effective non-surgical management strategies can mitigate the need for high-risk surgeries.
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