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Chronic idiopathic pseudo-obstructive bowel disease

J C Gibbons, J F Sullivan

    The American Journal of Gastroenterology
    |September 1, 1978
    PubMed
    Summary

    This case study details a 79-year-old man with chronic idiopathic intestinal pseudo-obstruction (CIIP), a rare condition causing recurrent bowel obstruction. Despite extensive investigation, the cause remains unknown, highlighting the diagnostic challenges of CIIP.

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    Area of Science:

    • Gastroenterology
    • Internal Medicine

    Background:

    • Chronic idiopathic intestinal pseudo-obstruction (CIIP) is a rare motility disorder.
    • It presents with symptoms mimicking mechanical bowel obstruction without an identifiable cause.

    Observation:

    • A 79-year-old male experienced recurrent small bowel obstruction over 20 years, with 19 hospitalizations.
    • Clinical presentation included abdominal pain, vomiting, distension, altered bowel sounds, and delayed gastric emptying.
    • Extensive investigations, including laparotomies, failed to reveal an etiology.

    Findings:

    • The patient's prolonged and severe symptoms led to a diagnosis of CIIP.
    • Comparison with 27 reported cases revealed similar clinical features.
    • Symptomatic management involved intestinal intubation and continuous elemental diet feeding.

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    Implications:

    • This case underscores the diagnostic difficulties in CIIP, especially in elderly patients.
    • Effective management focuses on symptomatic relief and nutritional support.
    • Further research into the pathophysiology and treatment of CIIP is warranted.