Терапевтический архив (Dec 2020)

Chronic intestinal pseudo-obstruction

  • A. I. Parfenov,
  • L. M. Krums,
  • S. V. Bykova,
  • O. V. Ahmadullina

DOI
https://doi.org/10.26442/00403660.2020.12.200426
Journal volume & issue
Vol. 92, no. 12
pp. 4 – 9

Abstract

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Chronic intestinal pseudo-obstruction a rare violation of the motor skills of the gastrointestinal complex, similar to mechanical obstruction, but without a mechanical obstacle. The development of chronic intestinal pseudo-obstruction is caused by a disturbance on the part of the smooth muscles and the nervous system of the gastrointestinal system. Common symptoms include constipation, abdominal pain, nausea, vomiting, bloating. Violation of peristalsis leads to food stagnation in the hinges of the small intestine, their dilation, the development of bacterial insemination syndrome. Eating disorders, bacterial contamination syndrome (CDDs) lead to impaired suction syndrome, cahexia. Treatment is aimed at providing adequate nutrition, the use of drugs that activate motor skills, suppress the growth of microbes in the small intestine, the implementation of intestinal decompression. Surgical treatment: resection of the affected segment of the gut. In the refractory course of the disease intestinal transplantation.

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