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Your search term(s) "intestinal pseudo-obstruction" returned 4 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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Intestinal Pseudo-Obstruction. Bethesda, MD: National Digestive Diseases Information Clearinghouse. 2008. 4 p.
This fact sheet describes intestinal pseudo-obstruction, a rare condition with symptoms that mimic those caused by a bowel obstruction or blockage. The symptoms of pseudo-obstruction are caused by nerve or muscle problems that affect the movement of food, fluid, and air through the intestines. Written in a question-and-answer format, the fact sheet addresses the causes of intestinal pseudo-obstruction, symptoms, diagnostic approaches, and treatment options. Symptoms may include cramps, abdominal pain, nausea, vomiting, bloating, constipation, and occasionally, diarrhea. Treatment depends on the type and severity of intestinal pseudo-obstruction and may involve nutritional support, medications, surgery, or other procedures. Readers are referred to three resource organizations for more information: the Association of Gastrointestinal Motility Disorders, Inc., at www.agmd-gimotility.org or 781–275–1300, the International Foundation for Functional Gastrointestinal Disorders, Inc., at www.iffgd.org or 1–888–964–2001, and the National Digestive Diseases Information Clearinghouse at www.digestive.niddk.nih.gov or 1–800–891–5389. A final section describes the goals and work of the National Digestive Diseases Information Clearinghouse. 1 figure.
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