Pseudo-obstrucción intestinal crónica primaria debida a miopatía visceral

Villares, José Manuel Moreno

doi:10.4321/s1130-01082006000900013

Rev. esp. enferm. dig.

2006

DOI: 10.4321/s1130-01082006000900013

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Pseudo-obstrucción intestinal crónica primaria debida a miopatía visceral

José Manuel Moreno Villares

Abstract: La pseudo-obstrucción intestinal crónica (POIC) es un sín-drome poco frecuente caracterizado por episodios repetidos o continuos de vómitos y signos sugestivos de obstrucción intestinal en ausencia de obstrucción anatómica. La afectación del intestino delgado es la norma pero pueden verse afectados también el esófago, el estómago y el colon.La manometría antroduodenal y el estudio histopatológico de todo el espesor de la pared intestinal pueden ayudar al diagnósti-co, aunque en la mayoría de ocasiones no modif… Show more

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Pseudo-obstrucción intestinal crónica

Múñoz

Herruzo

2007

Rev. esp. enferm. dig.

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Chronic intestinal pseudo-obstruction (CIPO) is a syndrome characterized by the presence of recurrent episodes of clinical intestinal obstruction in the absence of obstructive lesions. Although this syndrome is rare, it causes a high morbidity. It is caused by a disturbance of the intestinal motility, that results in a failure of the progression of the intestinal content. Basically, the failure of the intestinal motility is a consequence of muscular disorder, neurological disorder or both. Usually, CIPO is secondary to other systemic disease; however, in the last years, many cases of primary CIPO have been described. The use of new manometric tecniques and specific histological procedures have allowed to clarify the pathogenesis of some of these entities including mitochondrial diseases and paraneoplasic syndromes. Clinical manifestations of CIPO are diverse, depending on the location and extension of the motility disorder. As the diagnosis of this disease is usually not an easy task, patients frecuently undergo unnecesary surgical interventions, are diagnosed of psyquiatric disorders, or the correct diagnosis is delayed several years after the first symptoms arise. The aims of the treatment are to maintain the nutritional condition and to improve symptoms using nutritional measures, drugs or, eventually, endoscopical or surgical procedures.

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Pseudo-obstrucción intestinal crónica

Múñoz

Herruzo

2007

Rev. esp. enferm. dig.

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Chronic intestinal pseudo-obstruction: a diagnosis to be considered

Muñoz-Yagüe

Solís‐Muñoz

Salces

et al. 2009

Rev. esp. enferm. dig.

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Chronic intestinal pseudoobstruction (CIPO) is a rare entity characterized by recurrent clinical episodes of intestinal obstruction in which no mechanical cause is identified. There are multiple causes for this syndrome but two main groups can be distinguished: a) secondary to a systemic non-gastrointestinal disease; and b) primary or idiopathic originated from alterations in the components of the intestinal wall. The latter forms are the most uncommon and their diagnosis is generally difficult. In the present article, we describe nine patients with CIPO that were diagnosed in our center over the last six years. Four of them were diagnosed with primary or idiopathic form of CIPO and another four were clearly secondary to a systemic disease. The ninth case, which was initially diagnosed as secondary, is probably also a primary form of the disease. The number of patients diagnosed in our center, even thought small, makes us to hypothesize that the prevalence of CIPO is probably greater than is generally believed and that the reasons of its rarity are the incomplete understanding of its physiopathology and the difficulties to achieve a correct diagnosis.

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Pseudo-obstrucción intestinal crónica primaria debida a miopatía visceral

Cited by 2 publications

References 3 publications

Pseudo-obstrucción intestinal crónica

Pseudo-obstrucción intestinal crónica

Chronic intestinal pseudo-obstruction: a diagnosis to be considered

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