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Your search term(s) "intestinal pseudo-obstruction" returned 13 results.

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Gastrointestinal Motility Disorders in Adolescent Patients: Transitioning to Adult Care. Gastroenterology Clinics of North America. 36(3): pp 749-764. September 2007.

This article on gastrointestinal (GI) motility disorders in adolescent patients is from a special issue of Gastroenterology Clinics of North America that focuses on GI motility. The authors review the pediatric presentations and sequelae of childhood GI motility disorders and discuss long-term management issues for these children as they progress into adulthood. Disorders discussed include motor disorders of the esophagus, tracheoesophageal fistula and atresia, gastric emptying disorders, chronic intestinal pseudo-obstruction syndrome, childhood constipation, and Hirschprung’s disease. The goal is to optimize medical care and ensure the adequate nutritional status essential for neurocognitive and psychosocial development of the child. They conclude that multidisciplinary care from specialists, including gastroenterologists, psychologists, and pain specialists, is often required to optimize the lives of these patients. 2 figures. 1 table. 78 references.

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Oral Mucosal Neuromas Leading to the Diagnosis of Multiple Endocrine Neoplasia Type 2B in a Child With Intestinal Pseudo-Obstruction. Gastroenterology and Hepatology. 3(3): 208-226. March 2007.

This article presents the case of a patient in whom oral mucosal neuromas led to the diagnosis of multiple endocrine neoplasia type 2B (MEN2B). MEN2B is an autosomal dominant disorder characterized by medullary thyroid cancer (MTC). The disorder can also include mucosal neuromas, which are often located on the lips and tongue. Patients with MEN2B frequently have disturbances of colonic motility, including intestinal pseudo-obstruction. The authors present the case of a 3-month-old boy who was followed for approximately 8 years. The child experienced chronic constipation; intestinal pseudo-obstruction, diagnosed at age 3; mucosal neuromas, diagnosed at age 7; thyroidectomy and reimplantation of the left inferior parathyroid gland, also diagnosed at age 7; and dysphonia due to a left vocal cord tumor, diagnosed at age 8. The authors conclude by reminding gastroenterologists to consider the diagnosis of MEN2B when evaluating patients with pseudo-obstruction of unknown etiology. Appended to the article is a commentary by Rangwalla and Gariepy. 4 figures. 1 table. 34 references.

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Pseudo-Obstruction (Ogilvie’s), Cathartic Colon-Laxative Abuse, and Melanosis IN: Wexner, S.; Stollman, N., eds. Diseases of the Colon. . New York, NY: Informa Healthcare USA. 2007. pp 449-462.

This chapter about pseudo-obstruction, cathartic colon due to laxative abuse, and melanosis is from a comprehensive text that offers chapters about each of the major colonic disorders. Each chapter is coauthored by at least one surgeon and one gastroenterologist to reflect the in-depth collaboration between these fields that is required for managing diseases of the colon. In this chapter, the authors first discuss acute colonic pseudo-obstruction (ACPO), covering presentation and etiology, pathophysiology, diagnosis, conservative management, endoscopic management, drug therapy, and surgical options. They note that drug therapy with neostigmine has become an accepted, safe means of decompression that requires fewer repeat procedures than colonoscopy and carries a lower complication and mortality rate. The second section considers laxative abuse and melanosis. The authors describe the five categories of laxatives in current use and consider whether laxative abuse syndrome could be considered a type of Munchausen syndrome. Melanosis coli is a nonspecific marker of increased apoptosis in the colon, which may result from laxative abuse or may be from numerous other etiologies. The authors caution that the treatment of laxative abuse is extremely difficult and recommend a team approach that includes psychiatric input and support from the patient’s family. The chapter includes black-and-white photographs and illustrations and concludes with an extensive list of references. 6 figures. 2 tables. 50 references.

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Dysmotility of the Small Intestine and Colon. In: Textbook of Gastroenterology. 4th ed. [2-volume set]. Hagerstown, MD: Lippincott Williams and Wilkins. 2003. p. 1486-1529.

Dysmotility of the small intestine and colon has a wide range of clinical manifestations, regardless of the underlying cause of the disorder. Patients at one end of the spectrum may be asymptomatic and, at the other, may have chronic intestinal pseudo-obstruction, a syndrome characterized by symptoms that suggest obstruction in the absence of structural occlusion of the lumen. Between the two extremes, patients may have dyspeptic symptoms, including intermittent postprandial epigastric or abdominal pain, bloating, nausea, vomiting, and diarrhea. This chapter on dysmotility of the small intestine and colon is from a lengthy, two-volume textbook that integrates the various demands of science, technology, expanding information, good judgment, and common sense into the diagnosis and management of gastrointestinal patients. In this chapter, the authors focus their initial discussion on the small intestine; motility disorders of the colon are manifested predominantly as constipation and megacolon and are discussed in the latter half of the chapter. Other topics include epidemiology of these dysmotility problems, the neural control of small intestinal and colonic motility, and ontogeny of the enteric nervous system. 32 figures. 10 tables. 449 references.

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Chronic Intestinal Pseudo-Obstruction. In: Feldman, M.; Friedman, L.S.; Sleisenger, M.H. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 7th ed. [2-volume set]. St. Louis, MO: Saunders. 2002. p. 2140-2150.

Chronic intestinal pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. This chapter on chronic intestinal pseudo-obstruction is from a comprehensive and authoritative textbook that covers disorders of the gastrointestinal tract, biliary tree, pancreas, and liver, as well as the related topics of nutrition and peritoneal disorders. Topics include causes and pathology, clinical manifestations, laboratory findings, radiographic findings, manometric abnormalities, examples of specific syndromes, diagnosis, treatment, and prognosis. Specific syndromes covered include familial visceral myopathies, familial visceral neuropathies, sporadic visceral neuropathies, developmental disorders of the myenteric plexus, and pseudo-obstruction associated with neurologic disorders. The chapter includes a mini-outline with page citations, illustrations, and extensive references. 9 figures. 3 tables. 50 references.

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Disorders of Defecation. In: Corman, M.L.; Allison, S.I.; Kuehne, J.P. Handbook of Colon and Rectal Surgery. Philadelphia, PA: Lippincott Williams and Wilkins. 2002. p.225-245.

Chronic idiopathic constipation and abdominal pain are among the most common reasons for patients to solicit medical advice. This chapter addresses a number of conditions associated with bowel evacuation problems, the presenting complaint of which is often constipation. The chapter is from a handbook that addresses the entire range of diseases affecting the colon, rectum, and anus. Topics include physiology of the colon (absorption and propulsion), etiology of chronic constipation, clinical presentations, evaluation of the constipated patient, medical management (diet, exercise, laxatives, enemas, and suppositories), spastic pelvic floor syndrome, obstructed defecation, anismus, Hirschprung's disease, surgery in the management of constipation, intestinal pseudo-obstruction, proctalgia fugax, and coccygodynia. 1 figure. 1 table.

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Increasing Our Understanding: New Diagnostic Criteria for Pediatric Functional Gastrointestinal Disorders. Milwaukee, WI: International Foundation for Functional Gastrointestinal Disorders (IFFGD). 2002. [2 p.].

Childhood functional gastrointestinal disorders include a variable combination of often age-dependent chronic or recurrent symptoms that are not explained by anatomic, biochemical, or psychiatric abnormality (disease). Like shivering when leaving a swimming pool, or a runner's leg cramp, the symptoms are real, but are not due to disease. This fact sheet helps parents understand the diagnostic criteria for pediatric functional gastrointestinal disorders. The fact sheet describes the biopsychosocial approach to symptoms, which was introduced in the 1970s. This approach believes that symptoms arise from the simultaneous interaction of complex systems including cells, tissues, organs, as well as interpersonal and social environments. The biopsychosocial clinician focuses on alleviating suffering and returning the patient to function; including, but not limited to, the approach of finding and fixing disease. The fact sheet describes the pediatric Rome Criteria used for the classification and diagnosis of functional disorders such as chronic intestinal pseudo-obstruction and irritable bowel syndrome (IBS). The fact sheet also describes continuing work on the validation of these criteria and in research areas including better care for children, childhood functional gastrointestinal disorders, and on how childhood disorders may affect the development of adult functional gastrointestinal disorders. One chart lists 13 pediatric functional gastrointestinal disorders. The fact sheet includes the contact information for the International Foundation for Functional Gastrointestinal Disorders (IFFGD, www.iffgd.org). 1 figure.

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Mini Guides. Practical Gastroenterology. 26(5): 81-84. May 2002.

This section of a professional journal of gastroenterology offers mini-guides on some gastroenterological conditions, including intestinal pseudo-obstruction, Barrett esophagus, rapid gastric emptying, Hirschsprung disease, short bowel syndrome, NSAID (nonsteroidal antiinflammatory drugs) and peptic ulcers, and primary biliary cirrhosis. For each condition, the author defines the illness, describes the symptoms, considers the etiology (cause), lists the diagnostic tests used to confirm the condition, and briefly reviews treatment options. When available, the article notes the contact information for any related support group or resource organizations. These guides are designed to be photocopied and distributed to patients by their physicians.

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Quality of Life Outcomes in Congenital Chronic Intestinal Pseudo-Obstruction. Digestive Diseases and Sciences. 47(9): 1965-1968. September 2002.

This article reports on a study undertaken to assess the quality of life for children with chronic intestinal pseudo-obstruction (CIP). The authors used a retrospective chart review to identify children with congenital CIP, the a structured telephone interview with parents that included the Child Health Questionnaire to gather information about the current status and quality of life for each patient and family. Children with CIP had less freedom from pain, depression, and anxiety than healthy children or children with juvenile rheumatoid arthritis. Parents of children with CIP had poorer emotional status than parents of healthy children or children with juvenile rheumatoid arthritis. The time required for parents to care for children with CIP was greater than the time required to care for healthy children or children with juvenile rheumatoid arthritis. The authors conclude that the quality of life for children with CIP lags behind that of healthy children and children with another chronic illness. Appropriate treatment of chronic pain may improve the quality of life for children with CIP and their families. In addition, attention to reducing each family's burden of time and emotional distress may help them cope better with their chronically ill child. 3 tables. 9 references.

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Chronic Intestinal Pseudo-Obstruction in Children: An Overview. Milwaukee, WI: International Foundation for Functional Gastrointestinal Disorders (IFFGD). 2001. [2 p.].

This fact sheet helps parents understand chronic intestinal pseudo-obstruction (CIP) in children, the name given to a number of rare disorders that cause impaired gastrointestinal motility (movement in the digestive tract). A diagnosis of CIP is based on symptoms and changes that occur when the intestine is blocked and surgery is needed. However, in pseudo-obstruction, the symptoms are caused not by a surgically correctable tumor, twist, or ulcer in the bowel, but by a problem having to do with the strength or coordination of the contractions that move along the contents of the bowel. Children with CIP often complain of poor appetite, nausea, vomiting, heartburn, abdominal pain, and constipation. The fact sheet reviews the symptoms of CIP, the diagnostic tests used to confirm the condition, and treatment options. About 10 percent of infants with CIP improve spontaneously over months or years. For the remaining 90 percent, there are no cures for the neuromuscular diseases that cause CIP, but there are nutritional, medical, and surgical options available to promote normal growth and development. Treatment options include supplemental feeding, total parenteral nutrition, surgery, and drug therapy. The fact sheet includes the contact information for the International Foundation for Functional Gastrointestinal Disorders (IFFGD, www.iffgd.org).

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