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Topic: Intestinal pseudo obstruction

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	Dr. Koop - Intestinal obstruction
		Intestinal obstruction involves a partial or complete blockage of the bowel that results in the failure of the intestinal contents to pass through.
		Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal
		Obstruction of the bowel may be caused by ileus -- in which the bowel doesn't function correctly but there is no "mechanical" (anatomic) problem -- or by mechanical causes.
	www.drkoop.com /ency/93/000260.html (417 words)

	Intestinal Obstruction
		Obstruction of the small bowel: Small-bowel (jejunoileal) obstruction is commonly caused by incarceration in hernias or by adhesions and is less commonly caused by tumors (primary or metastatic), obturation by foreign bodies, a Meckel's diverticulum, or Crohn's disease.
		Obstruction of the duodenum: Duodenal obstruction is usually caused by cancer, primarily in the duodenum or head of the pancreas.
		Severe intestinal distention is self-perpetuating and progressive, intensifying the peristaltic and secretory derangements and increasing the risks of dehydration, ischemia, necrosis, perforation, peritonitis, and death.
	www.indiasurgeons.com /int_obs.htm (1957 words)

	Lifespan's A - Z Health Information Library - Primary or idiopathic intestinal pseudo-obstruction
		Primary or idiopathic intestinal pseudo-obstruction is a condition characterized by symptoms of intestinal obstruction without physical evidence of such a blockage.
		In this disorder, the bowels (small or large intestines) become very quiet and lose their ability to contract and push food, stool, and air through the gastrointestinal tract.
		Intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo-obstruction; Ogilvie's syndrome
	www.lifespan.org /adam/healthillustratedencyclopedia/1/000253.html (345 words)

	Section 5 Chapter 4 Intestinal Obstruction
		Intestinal obstruction is a common medical problem and accounts for a large percentage of surgical admissions for acute abdominal pain [see 5:1 Acute Abdominal Pain].
		Small intestinal ileus is the most common form of intestinal obstruction; it occurs after most abdominal operations and is a common response to acute extra-abdominal medical conditions and intra-abdominal inflammatory conditions [see Table 1].
		A decrease in intestinal gas distal to a point of obstruction coupled with an increase in proximal dilatation suggests that the obstruction is worsening; conversely, a decrease in intestinal distention coupled with the appearance of more gas distally in the colon suggests that the obstruction is being reduced.
	www.acssurgery.com /acsonline/chapters/ch0504.htm (11635 words)

	Intestinal Pseudoobstruction
		Intestinal pseudoobstruction is characterized by a lack of wave-like motions (peristalsis) of the intestinal walls, which normally move food through the digestive tract.
		Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is characterized by a massively enlarged bladder (leading to displacement of other internal organs), a smaller than normal colon, and lack of the normal wave-like motions (peristalsis) of the intestines which aid absorption and digestion of nutrients.
		Intestinal obstruction is a general term denoting any mechanical blockage of the passage of food through the intestinal tract which is detectable upon physical examination.
	hw.healthdialog.com /kbase/nord/nord452.htm (2257 words)

	Chapter 7 - Section 22: First Principles of Gastroenterology
		Idiopathic intestinal pseudo-obstruction is a disease of the muscular layer or of the enteric nervous system of the intestine.
		The myogenic form of idiopathic intestinal pseudo-obstruction is an autosomal dominant disease characterized by thinning of the intestinal musculature due to degeneration, fibrosis, malaligned smooth fibers and abnormal contractile filaments.
		All parts of the intestinal tract may be involved, but usually the small intestine, esophagus and colon are the most severely affected.
	gastroresource.com /GITextbook/en/chapter7/7-22.htm (260 words)

	Gastroparesis, I think?
		When a more extensive motility disorder is present which involves the small intestine and large intestine in addition to the stomach it implies a generalized muscle or nerve disorder of the gastrointestinal tract called chronic intestinal pseudo-obstruction.
		Chronic intestinal pseudo-obstruction results from ineffective intestinal propulsion secondary to defects in the either the enteric nervous system (specialized nerves which innervate the gastrointestinal system) or in the smooth muscle found in the intestinal wall.
		In all cases a mechanical obstruction must be excluded with x-rays of the gastrointestinal tract.
	www.medhelp.org /perl6/gastro/archive/2488.html (685 words)

	Intestinal Pseudo-Obstruction (Site not responding. Last check: 2007-10-23)
		Intestinal pseudo-obstruction (false blockage) is a condition that causes symptoms like those of a bowel obstruction (blockage).
		But when the intestines are examined, no obstruction is found.
		In severe cases, surgery to remove part of the intestine might be necessary.
	digestive.niddk.nih.gov /ddiseases/pubs/intestinalpo/index.htm (458 words)

	Bowel Dysfunction with Systemic Scleroderma by the International Scleroderma Network (ISN)
		Intestinal involvement is frequently observed in systemic sclerosis (SSc) and is associated with malnutrition and a decreased survival rate.
		Intestinal Pseudo-Obstruction Intestinal pseudo-obstruction (false blockage) is a condition that causes symptoms like those of a bowel obstruction (blockage).
		Chronic intestinal pseudo-obstruction (CIP) is a gastrointestinal motility disorder characterized by chronic symptoms and signs of bowel obstruction in the absence of a fixed, lumen-occluding lesion.
	www.sclero.org /medical/symptoms/gi/bowels.html (1954 words)

	Proctology Associates
		Abstract (AB): Chronic intestinal pseudoobstruction (CIP) is a gastrointestinal motility disturbance characterized by recurrent episodes of postprandial (after a meal) nausea and bloating in the absence of mechanical obstruction of the small bowel or colon.
		Chronic idiopathic intestinal pseudoobstruction (CIIP) is a clinical syndrome with the signs and symptoms of an intestinal obstruction but without a mechanical obstruction of the bowel lumen.
		Chronic intestinal pseudo-obstruction is characterized by recurrent bouts of abdominal distension, pain, and constipation.
	www.proctologyassoc.com /chid_obstruction.html (3597 words)

	Hemorrhoid.net - 2004 Research: Intestinal Pseudo-Obstruction
		In this chapter, the authors focus their initial discussion on the small intestine; motility disorders of the colon are manifested predominantly as constipation and megacolon and are discussed in the latter half of the chapter.
		Abstract (AB): Chronic intestinal pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen.
		This chapter on chronic intestinal pseudo-obstruction is from a comprehensive and authoritative textbook that covers disorders of the gastrointestinal tract, biliary tree, pancreas, and liver, as well as the related topics of nutrition and peritoneal disorders.
	www.hemorrhoid.net /chid2.php (3888 words)

	Intestinal obstruction - Washington, DC
		The objective of treatment is to decompress the intestine with suction, using a nasogastric (NG) tube inserted into the stomach or intestine.
		Surgery to relieve the obstruction may be necessary if decompression by NG tube does not relieve the symptoms, or if tissue death is suspected.
		Treatment of conditions (such as tumors and hernias) that are related to obstruction may reduce the risk.
	www.georgetownuniversityhospital.org /body.cfm?xyzpdqabc=0&id=555563&action=detail&AEProductIDSRC=Adam2004_1&AEArticleID=000260 (532 words)

	intestinal disorders
		Intestinal pseudo-obstruction describes an intestinal disorder that can mimic intestinal obstruction (blockage of the intestine).
		Some of the reasons are: medications, diseases that affect the muscle of the intestine (Scleroderma), or certain types of cancers.
		If episodes of severe distension are more frequent, then tubes may need to be inserted in the stomach or small bowel for venting (removal of air and secretions) and for feeding with special formulas.
	cms.clevelandclinic.org /digestivedisease/body.cfm?id=115 (295 words)

	[No title]
		The overall prevalence of chronic intestinal pseudo-obstruction is unknown.
		It is active in classification of normal motility patterns of the large and small intestine and abnormalities in specific diseases.
		It is also closely involved in the evaluation of new techniques in the study of gastrointestinal function with adults and children, and the development of new surgical techniques designed to improve continence and restore quality of life in patients who have undergone anorectal excision.
	www.abdn.ac.uk /web/test/bspghan/document/peudo-ob.doc (999 words)

	Chronic Intestinal Pseudo-Obstruction
		Chronic idiopathic intestinal pseudo-obstruction is a syndrome in which symptoms of intestinal obstruction are present in the absence of mechanical obstruction.
		Controls (large intestinal specimens from 12 patients, small intestinal specimens from six patients) were chosen from resections for Crohn's disease and colorectal neoplasia, both with and without dilatation.
		In summary, in children with a clinical diagnosis of chronic intestinal pseudo-obstruction, constipation is associated with absence of HAPCs, and the gastrocolonic response or with total absence of colonic contractions.
	www.thedoctorsdoctor.com /diseases/chronic_intestinal_pseudo-obstruction.htm (2438 words)

	Chronic Intestinal Pseudo obstruction (CIP) (Site not responding. Last check: 2007-10-23)
		Chronic intestinal pseudo-obstruction (CIP) is a rare disorder of gastrointestinal motility where coordinated contractions (peristalsis) in the intestinal tract become altered and inefficient.
		To facilitate normal digestion and the absorption of nutrients, food content is propelled through the GI tract by synchronized or coordinated contractions in a process called "peristalsis." Peristalsis is dependent upon the coordination between the muscles, nerves, and hormones in the digestive tract.
		Chronic abdominal pain or the fear of pain is a common complaint in children with chronic intestinal pseudo-obstruction and may be treated with behavioral or relaxation therapy as well as with non-narcotic medicines.
	www.aboutkidsgi.org /cip.html (1196 words)

	Annual Reviews -- Coulie and Camilleri ( Medicine 50: 37)
		of mechanical obstruction and bowel dilatation in the absence
		The major transmitters in the peristaltic reflex are shown on the right; acetylcholine and substance P are the predominant excitatory neurotransmitters, and VIP and nitric oxide are the predominant inhibitory neurotransmitters.
		The neuropathy is characterized by normal-amplitude contractions but a sustained incoordinated contractile activity in the distal duodenum, as well as a lack of consistent antral response.
	indexmedico.com /ed_prof/edicion5/especialidades/Local/Clinica/1/37.htm (2901 words)

	Chronic Intestinal Psuedo-Obstruction
		Chronic intestinal pseudo-obstruction (CIP) is the name given to a number of rare disorders that cause impaired gastrointestinal motility (movement in the digestive tract).
		Children with intestinal pseudo-obstruction are not able to eat normally because of symptoms that may include abdominal distention, nausea, vomiting, diarrhea, or constipation.
		CIP may be caused by a dysfunction of the nerves and/or muscles of the gastrointestinal tract.
	www.nicoslife.com /cip.htm (434 words)

	Rare presentation of intestinal amyloidosis with acute intestinal pseudo-obstruction and perforation -- Ng and Busmanis ...
		Rare presentation of intestinal amyloidosis with acute intestinal pseudo-obstruction and perforation -- Ng and Busmanis 55 (11): 876 -- Journal of Clinical Pathology
		Rare presentation of intestinal amyloidosis with acute intestinal pseudo-obstruction and perforation
		Intestinal pseudo-obstruction in patients with amyloidosis: clinicopathologic differences between chemical types of amyloid protein.
	jcp.bmjjournals.com /cgi/content/full/55/11/876 (350 words)

	AAP: Megacystis May Help Detect Chronic Intestinal Pseudo-obstruction Syndrome
		Results of a retrospective evaluation show that chronic intestinal pseudo-obstruction syndrome (CIPOS) is most often associated with megacystis.
		Identifying this rare disease early is the key to reducing its associated morbidity and mortality, researchers say.
		"Chronic intestinal pseudo-obstruction syndrome is a rare pathology that was described for the first time in 1976 as megacystis microcolon disease," said S. Lapointe, MD, from the department of pediatric urology at the Hôpital Ste-Justine, Montreal, Quebec, Canada.
	www.docguide.com /dg.nsf/PrintPrint/869D0C78DCD2A72F85256AED006FCEEE (528 words)

	eMedicine - Intestinal Pseudo-obstruction: Surgical Perspective : Article by Lena M Napolitano, MD, FACS, FCCP, FCCM
		The term intestinal pseudo-obstruction is used to indicate a syndrome characterized by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction in the intestine (Coulie, 1999).
		Problem: Intestinal pseudo-obstruction, acute colonic pseudo-obstruction, and Ogilvie syndrome are defined as the symptoms, signs, and radiological appearance of acute large intestinal obstruction unrelated to any mechanical cause.
		Contraindications: Contraindications to surgical correction of intestinal pseudo-obstruction are based on the patient's comorbidities and his or her ability to tolerate surgery.
	www.emedicine.com /MED/topic3570.htm (5540 words)

	Chronic intestinal pseudo-obstruction: treatment and long term follow up of 44 patients -- Heneyke et al. 81 (1): 21 ...
		Intestinal neuronal density in childhood: a baseline for the objective assessment of hypo- and hyperganglionosis.
		Megacystis-microcolon-intestinal hypoperistalsis syndrom: a new cause of intestinal obstruction in the newborn
		Functional intestinal obstruction in newborn infants with morphologically normal gastrointestinal tracts.
	adc.bmjjournals.com /cgi/content/full/81/1/21 (3962 words)

	Intestinal Pseudo-Obstruction (False Blockage)
		The symptoms of intestinal pseudo-obstruction are caused by a problem in how the muscles and nerves in the intestines work.
		The main treatment is nutritional support (intravenous feeding) to prevent malnutrition, and antibiotics to treat bacterial infections.
		In severe cases, surgery to remove part of the intestines might be necessary.
	healthlink.mcw.edu /article/930605705.html (247 words)

	Intestinal pseudo-obstruction - WrongDiagnosis.com
		Detailed information about the causes of Intestinal pseudo-obstruction including medication causes and drug interaction causes can be found in our causes pages.
		With a diagnosis of Intestinal pseudo-obstruction, it is also important to consider whether there is an underlying condition causing Intestinal pseudo-obstruction.
		Various tests are used in the diagnosis of Intestinal pseudo-obstruction.
	www.wrongdiagnosis.com /i/intestinal_pseudo_obstruction/intro.htm (433 words)

	Clinical characteristics of chronic idiopathic intestinal pseudo-obstruction in adults -- Mann et al. 41 (5): 675 -- Gut
		of bowel obstruction in the absence of a mechanical cause in whom
		DNA viruses in the pathogenesis of sporadic chronic idiopathic intestinal pseudo-obstruction.
		Obstruction of bowel due to lesion in the myenteric plexus.
	gut.bmjjournals.com /cgi/content/full/41/5/675 (3721 words)

	Intestinal transplantation in children with chronic intestinal pseudo-obstruction -- Sigurdsson et al. 45 (4): 570 -- ...
		Intestinal transplantation in children with chronic intestinal pseudo-obstruction -- Sigurdsson et al.
		Chronic intestinal pseudo-obstruction (CIPO) is one of the disorders causing intestinal failure in children.
		Intestinal motility and jejunal feedings in children with chronic intestinal pseudo-obstruction.
	gut.bmjjournals.com /cgi/content/full/45/4/570 (2601 words)

	chronic intestinal pseudo obstruction
		I am 27, and I have myasthenia gravis, multiple sclerosis and chronic intetsinal pseudo obstruction.
		Unfortunately, as you pointed out, treatment for chronic intestinal pseudo-obstruction is generally supportive.
		In addition to the nutritional therapies you are currently receiving you may want to try a class of medications called prokinetic agents.
	www.medhelp.org /forums/gastro/archive/1317.html (541 words)

	Welcome to DailySentinel!
		A condition characterized by symptoms of intestinal obstruction without physical evidence of obstruction.
		The disorder is usually seen in teenagers and young adults.
		The intestine becomes distended, but no obstruction is found.
	www.dailysentinel.com /search/healthfd/shared/health/adam/ency/article/000253.html (137 words)

	Health Leaflet
		Some people with intestinal pseudo-obstruction also have bladder problems.
		Medicine might also be given to help with intestinal muscle problems.
		Source: "Intestinal Pseudo-Obstruction," Factsheet, National Digestive Diseases Information Clearinghouse, March 1998.
	www.healthtouch.com /bin/EContent_HT/hdShowLfts.asp?lftname=NDDIC109&cid=HT (421 words)

	Kids GI Disorders
		For example, in the U.S. about 200 new cases of intestinal psuedo-obstruction are diagnosed in children each year.
		Most children with Hirschsprung's disease and intestinal pseudo-obstruction are best managed by a multidisciplinary group of physicians, nurses, social workers, and others due to the complex, rare, and chronic nature of the problems.
		Constipation and/or encopresis account for approximately 10-25% of children who are referred to a pediatric gastroenterologist.
	www.aboutkidsgi.org (522 words)

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