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Updated: Sep 25, 2025

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Published on: March 5, 2018
Pediatric Intestinal Pseudo-Obstruction: Progress and Challenges
Marie-Catherine Turcotte1, Christophe Faure1
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Sainte-Justine University Health Centre, Université de Montréal, Montreal, QC, Canada.
Insights
Pediatric Intestinal Pseudo-Obstruction (PIPO) is a severe form of gastrointestinal dysmotility in children. This review covers PIPO
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Motility Disorders
Background:
- Chronic intestinal pseudo-obstruction (CIPO) is a severe gastrointestinal dysmotility.
- Pediatric Intestinal Pseudo-Obstruction (PIPO) is a distinct entity with unique characteristics.
- PIPO presents significant morbidity and mortality in the pediatric population.
Approach:
- This article provides a comprehensive review of PIPO.
- It covers etiology, pathophysiology, clinical features, diagnosis, and management.
- Future perspectives for PIPO diagnosis and treatment are discussed.
Key Points:
- Understanding PIPO's unique etiology and pathophysiology is crucial.
- Early recognition of clinical features aids timely diagnosis.
- Multidisciplinary management strategies are essential for improving outcomes.
Conclusions:
- PIPO requires specialized pediatric gastroenterology expertise.
- Further research is needed to advance diagnostic and therapeutic approaches.
- Improved management strategies can mitigate PIPO's impact on affected children.
Background:
Chronic intestinal pseudo-obstruction is a rare disorder and represents the most severe form of gastrointestinal dysmotility with significant morbidity and mortality. Emerging research shows considerable differences between the adult and pediatric population with intestinal pseudo-obstruction and the term Pediatric Intestinal Pseudo-Obstruction (PIPO) was recently proposed.
Purpose:
The aim of this article is to provide pediatric gastroenterologists and pediatricians with an up to date review of the etiology and underlining pathophysiology, clinical features, diagnostic and management approaches currently available for PIPO and to discuss future perspectives for the diagnosis and management of this rare disease.
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