Tube to Freedom: Use of a Venting Jejunostomy in a Patient with Chronic Intestinal Pseudo-Obstruction

Chun, Carlene L.; Aulakh, Sabreen; Komlos, Fabio; Triadafilopoulos, George

doi:10.1007/s10620-012-2111-x

Cited by 12 publications

(5 citation statements)

References 13 publications

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“…Decompression of distended GI segments via intermittent nasogastric suction, rectal tubes, or endoscopy in both adults and children is an important therapeutic target . In some cases a “venting” enterostomy, typically placed endoscopically in the intestine, may be necessary. Recently, repetitive colonoscopic decompression has been successfully used as a bridge therapy before surgery in a pregnant woman with CIPO .…”

Section: Therapymentioning

confidence: 99%

Chronic intestinal pseudo‐obstruction in children and adults: diagnosis and therapeutic options

Nardo¹,

Lorenzo

Lauro

et al. 2016

Neurogastroenterology Motil

106

139

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The present article aims to provide pediatric and adult gastroenterologists with an up to date review about clinical features, diagnosis and therapeutic options for CIPO. Although pediatric and adult CIPO share many clinical aspects distinctive features can be identified. There is no single diagnostic test or pathognomonic finding of CIPO, thus a stepwise approach including radiology, endoscopy, laboratory, manometry, and histopathology should be considered in the diagnostic work-up. Treatment of patients with CIPO is challenging and requires a multidisciplinary effort with participation of appropriately experienced gastroenterologists, pathologists, dieticians, surgeons, psychologists, and other subspecialists based on the presence of comorbidities. Current treatment options invariably involve surgery and specialized nutritional support, especially in children. Medical therapies are mainly aimed to avoid complications such as sepsis or intestinal bacterial overgrowth and, where possible, restore intestinal propulsion. More efficacious therapeutic options are eagerly awaited for such difficult patients.

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Section: Therapymentioning

confidence: 99%

Chronic intestinal pseudo‐obstruction in children and adults: diagnosis and therapeutic options

Nardo¹,

Lorenzo

Lauro

et al. 2016

Neurogastroenterology Motil

106

139

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“…In the longer term, percutaneous gastrostomy with a double‐lumen jejunal extension has been performed in CIPO patients with a gastric port for venting and a jejunal extension port also for decompression and ‘lavage’ of the proximal small bowel for refractory small bowel bacterial overgrowth . Venting gastrostomy and enterostomy can be useful palliative interventions which can be combined with HPN . Percutaneous endoscopic colostomy tubes have also been inserted for successful intermittent decompression in CIPO …”

Section: Classification Aetiology and Clinical Presentationsmentioning

confidence: 99%

Review article: the assessment and management of chronic severe gastrointestinal dysmotility in adults

Paine

McLaughlin

Lal

2013

Aliment Pharmacol Ther

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“…Colonoscopy can be used to decompress an overly distended colon, albeit transiently 108 . Ostomies can provide safe and effective detention of symptomatic segmental bowel distention: percutaneous endoscopic gastrostomy or gastrojejunostomy 109 or percutaneous jejunostomies by interventional radiologist 110 can be performed for decompressive purposes and to facilitate enteral feeding.…”

Section: Treatmentmentioning

confidence: 99%

Chronic intestinal pseudo‐obstruction in adults: A practical guide to identify patient subgroups that are suitable for more specific treatments

Basilisco,

Marchi,

Coletta

2023

Neurogastroenterology Motil

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Chronic intestinal pseudo‐obstruction is a rare and heterogeneous syndrome characterized by recurrent symptoms of intestinal obstruction with radiological features of dilated small or large intestine with air/fluid levels in the absence of any mechanical occlusive lesion. Several diseases may be associated with chronic intestinal pseudo‐obstruction and in these cases, the prognosis and treatment are related to the underlying disease. Also, in its “primary or idiopathic” form, two subgroups of patients should be determined as they require a more specific therapeutic approach: patients whose chronic intestinal pseudo‐obstruction is due to sporadic autoimmune/inflammatory mechanisms and patients whose neuromuscular changes are genetically determined. In a context of a widely heterogeneous adult population presenting chronic intestinal pseudo‐obstruction, this review aims to summarize a practical diagnostic workup for identifying definite subgroups of patients who might benefit from more specific treatments, based on the etiology of their underlying condition.

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Tube to Freedom: Use of a Venting Jejunostomy in a Patient with Chronic Intestinal Pseudo-Obstruction

Cited by 12 publications

References 13 publications

Chronic intestinal pseudo‐obstruction in children and adults: diagnosis and therapeutic options

Chronic intestinal pseudo‐obstruction in children and adults: diagnosis and therapeutic options

Review article: the assessment and management of chronic severe gastrointestinal dysmotility in adults

Chronic intestinal pseudo‐obstruction in adults: A practical guide to identify patient subgroups that are suitable for more specific treatments

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