Surgical treatment of chronic intestinal pseudo-obstruction: Report of three cases

Chikashi Shibata, Hiroo Naito, Yuji Funayama, Kohei Fukushima, Akihiko Hashimoto, Taku Kitayama, Munenori Nagao, Seiki Matsuno, Iwao Sasaki

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

We report the cases of three patients with chronic intestinal pseudo-obstruction (CIP) whose quality of life (QOL) was improved by palliative surgery in combination with home parenteral nutrition (HPN). Loop enterostomy and shortening of the gastrointestinal tract was performed with good results in all three patients to relieve abdominal distension that was progressive despite treatment with prokinetic drugs. Oral intake was also improved after surgical treatment in one patient who underwent massive resection of the jejunoileum. HPN maintained a satisfactory nutritional state in all patients. These three case reports serve to demonstrate that surgical intervention to improve QOL should be considered for patients with CIP if medication is not effective and symptoms are progressive.

Original languageEnglish
Pages (from-to)58-61
Number of pages4
JournalSurgery today
Volume33
Issue number1
DOIs
Publication statusPublished - 2003 Mar 1

Keywords

  • Chronic intestinal pseudo-obstruction
  • Enterostomy
  • Home parenteral nutrition

ASJC Scopus subject areas

  • Surgery

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    Shibata, C., Naito, H., Funayama, Y., Fukushima, K., Hashimoto, A., Kitayama, T., Nagao, M., Matsuno, S., & Sasaki, I. (2003). Surgical treatment of chronic intestinal pseudo-obstruction: Report of three cases. Surgery today, 33(1), 58-61. https://doi.org/10.1007/s005950300011