Document Detail


Chronic idiopathic intestinal pseudo-obstruction treated by near total small bowel resection: a 20-year experience.
MedLine Citation:
PMID:  20872085     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Patients suffering from chronic idiopathic intestinal pseudo-obstruction (CIIPO) clearly benefit from home parenteral nutrition (HPN) to maintain adequate nutritional status and general health. But intestinal dismotility can seriously disturb their quality of life (QOL) to the point of making it intolerable.
AIM: Report our clinical experience on the management of chronic severe occlusive symptoms in CIIPO by near total small bowel resection.
METHODS: A 20-year retrospective study of eight patients with end-stage CIIPO maintained on HPN and suffering of chronic occlusive symptoms refractory to medical treatment underwent extensive small bowel resection preserving less than 70 cm of total small bowel and less than 20 cm of ileum. The jejunum was anastomosed either to the ileum or to the colon.
RESULTS: Six patients were completely relieved from obstructive symptoms. Two patients needed a second operation to remove the residual ileum because of recurrent symptoms. Two were significantly improved. There was no post-operative death. All patients experienced a significant improvement in their QOL.
CONCLUSION: Near total small bowel resection appears to be a safe and effective procedure in end-stage CIIPO patients, refractory to optimal medical treatment.
Authors:
Roch Lapointe
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Publication Detail:
Type:  Journal Article     Date:  2010-09-25
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1937-42     Citation Subset:  IM    
Affiliation:
Department of Surgery, Hôtel-Dieu de Québec, Centre Hospitalier Universitaire de Québec, Université Laval, Québec, Canada. rmlapointe@videotron.ca
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