Database : MEDLINE
Search on : Intestinal and Pseudo-Obstruction [Words]
References found : 2722 [refine]
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  1 / 2722 MEDLINE  
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[PMID]: 29505155
[Au] Autor:Smith A; Feuling MB; Larson-Nath C; Karls C; Van Hoorn M; Walia CLS; Leon C; Danner E; Opichka P; Duesing L; Martinez A; Goday PS
[Ad] Address:Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
[Ti] Title:Laboratory Monitoring of Children on Home Parenteral Nutrition: A Prospective Study.
[So] Source:JPEN J Parenter Enteral Nutr;42(1):148-155, 2018 Jan.
[Is] ISSN:1941-2444
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: The primary hypothesis of this article is that a team approach in creating a protocolized laboratory monitoring schedule for home parenteral nutrition (PN) patients improves patient safety by decreasing the occurrence of nutrition deficiencies and is cost-effective. METHODS: In this prospective cohort study of home PN patients, each patient followed an established protocol of laboratory monitoring and weekly review by an interdisciplinary team of dietitians, nurses, and physicians. Data collected included anthropometric measurements, laboratory results, deviations from laboratory protocols, laboratory charges, PN shortage information, and means of ameliorating such shortages. Cost-effectiveness analysis was only performed for nonmicronutrient laboratory tests. RESULTS: Fifteen children (male, n = 6) with a median age of 59 months (range, 19-216) were included in this study. Primary diagnoses included short bowel syndrome (47%) and intestinal pseudo-obstruction (40%). Patients received PN mixtures from 6 different infusion companies and experienced 60 different shortages in the PN formulation requiring adjustments or substitutions (mean, 4 shortages per patient). All patients had appropriate growth and complete micronutrient monitoring. No patient experienced any clinical symptoms due to shortages. The median number of laboratory draws/patient per month was 2.9 preprotocol compared with 1.14 postprotocol (P = .003). The median per patient per month charges were $2014 (interquartile range [IQR], 1471-2780) preprotocol compared with $792 (IQR, 435-1140) postprotocol (P = .002). CONCLUSIONS: A structured team approach to laboratory monitoring of home PN patients can simplify PN management, significantly decrease monthly laboratory costs, and lead to fewer laboratory draws while improving micronutrient monitoring and preventing deficiencies.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Data-Review
[do] DOI:10.1177/0148607116673184

  2 / 2722 MEDLINE  
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[PMID]: 29469232
[Au] Autor:Sato H; Abe H; Nagashima A; Yokoyama J; Terai S
[Ad] Address:Division of Gastroenterology and Hepatology, Niigata University Medical and Dental Hospital, Niigata, Japan.
[Ti] Title:Gastrointestinal: A rare case of concomitant type III achalasia and chronic idiopathic intestinal pseudo-obstruction.
[So] Source:J Gastroenterol Hepatol;33(3):559, 2018 Mar.
[Is] ISSN:1440-1746
[Cp] Country of publication:Australia
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180222
[Lr] Last revision date:180222
[St] Status:In-Data-Review
[do] DOI:10.1111/jgh.13980

  3 / 2722 MEDLINE  
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[PMID]: 29464583
[Au] Autor:Sakkas LI; Simopoulou T; Daoussis D; Liossis SN; Potamianos S
[Ad] Address:Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41110, Larissa, Greece. lsakkas@med.uth.gr.
[Ti] Title:Intestinal Involvement in Systemic Sclerosis: A Clinical Review.
[So] Source:Dig Dis Sci;, 2018 Feb 21.
[Is] ISSN:1573-2568
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Systemic sclerosis (SSc) is a chronic systemic disease characterized by microvasculopathy, autoantibodies, and extensive fibrosis. Intestinal involvement is frequent in SSc and represents a significant cause of morbidity. The pathogenesis of intestinal involvement includes vascular damage, nerve dysfunction, smooth muscle atrophy, and fibrosis, causing hypomotility, which leads to small intestinal bacterial overgrowth (SIBO), malabsorption, malnutrition, diarrhea, pseudo-obstruction, constipation, pneumatosis intestinalis, and fecal incontinence. Manifestations are often troublesome and reduce quality of life and life expectancy. Assessment of intestinal involvement includes screening for small intestine hypomotility, malnutrition, SIBO, and anorectal dysfunction. Current management of intestinal manifestations is largely inadequate. Patients with diarrhea are managed with low-fat diet, medium-chain triglycerides, avoidance of lactulose and fructose, and control of bacterial overgrowth with antibiotics for SIBO. In diarrhea/malabsorption, bile acid sequestrant and pancreatic enzyme supplementation may help, and nutritional support is needed. General measures are applied for constipation, and intestine rest plus antibiotics for pseudo-obstruction. Fecal incontinence is managed with measures for associated SIBO, or constipation, and with behavioral therapies. Pneumatosis intestinalis is usually an incidental finding that does not require any specific treatment. Immunomoduation should be considered early in intestinal involvement. Multidisciplinary approach of intestinal manifestations in SSc by gastroenterologists and rheumatologists is required for optimum management.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180221
[Lr] Last revision date:180221
[St] Status:Publisher
[do] DOI:10.1007/s10620-018-4977-8

  4 / 2722 MEDLINE  
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[PMID]: 29384906
[Au] Autor:Guo Y; He L; Liu Y; Cao X
[Ad] Address:Department of Gastrointestinal Surgery, First Hospital of Jilin University.
[Ti] Title:A rare case report of multiple myeloma presenting with paralytic ileus and type II respiratory failure due to hypercalcemic crisis.
[So] Source:Medicine (Baltimore);96(52):e9215, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:RATIONALE: Paralytic ileus is characterized by the signs and symptoms of intestinal obstruction but without any mechanical lesions in the intestinal lumen. Several medical and surgical conditions can lead to this ailment, such as electrolyte disturbances that impair intestinal motility. However, hypercalcemia secondary to multiple myeloma as a major cause of paralytic ileus has rarely been reported. PATIENT CONCERNS: The patient got severe constipation with difficulty in the passage of both gas and feces for 7 days. DIAGNOSES: The patient was diagnosed with a small intestinal obstruction initially and then developed type II respiratory failure. Investigations revealed hypercalcemic crisis, and examination of a bone marrow aspirate was consistent with multiple myeloma. INTERVENTIONS: Conservative treatment was administered for the intestinal obstruction, consisting of food and water deprivation, gastrointestinal decompression, colonic irrigation, intravenous fluid transfusion, anti-inflammatory therapy. Invasive respiratory support was provided after type II respiratory failure occurred and salmon calcitonin was used to reduce the blood calcium level. Further therapy was given by the Department of Hematology and Oncology in our hospital after the diagnosis of multiple myeloma. OUTCOMES: Spontaneous respiration and gastrointestinal function were restored after the correction of hypercalcemia. LESSONS: An appropriate diagnostic approach is needed in emergency practice to identify the paralytic ileus and type II respiratory failure caused by hypercalcemia secondary to multiple myeloma.
[Mh] MeSH terms primary: Hypercalcemia/complications
Intestinal Pseudo-Obstruction/etiology
Multiple Myeloma/complications
Multiple Myeloma/diagnosis
Respiratory Insufficiency/etiology
[Mh] MeSH terms secundary: Female
Humans
Hypercalcemia/diagnosis
Hypercalcemia/therapy
Middle Aged
Multiple Myeloma/therapy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180209
[Lr] Last revision date:180209
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009215

  5 / 2722 MEDLINE  
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[PMID]: 29413013
[Au] Autor:Kirby DF; Raheem SA; Corrigan ML
[Ad] Address:Intestinal Transplant Program, Center for Human Nutrition, Cleveland Clinic, 9500 Euclid Avenue/A51, Cleveland, OH 44195, USA. Electronic address: kirbyd@ccf.org.
[Ti] Title:Nutritional Interventions in Chronic Intestinal Pseudoobstruction.
[So] Source:Gastroenterol Clin North Am;47(1):209-218, 2018 Mar.
[Is] ISSN:1558-1942
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Although chronic intestinal pseudo-obstruction (CIPO) is a rare disorder, it presents a wide spectrum of severity that ranges from abdominal bloating to severe gastrointestinal dysfunction. In the worst cases, patients may become dependent upon artificial nutrition via parenteral nutrition or choose to have an intestinal transplant. However, whatever the severity, a patient's quality of life can be seriously compromised. This article defines the disorder and discusses the spectrum of disease and challenges to providing adequate nutrition to help improve a patient's quality of life.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180207
[Lr] Last revision date:180207
[St] Status:In-Data-Review

  6 / 2722 MEDLINE  
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[PMID]: 29407314
[Au] Autor:Lauro A; Pinna AD; Tossani E; Stanghellini V; Manno M; Caio G; Golfieri L; Zanfi C; Cautero N; Bagni A; Volta U; Di Simone M; Pironi L; Cogliandro RF; Serra M; Venturoli A; Grandi S; De Giorgio R
[Ad] Address:General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, "M. Miglioli" Chronic Intestinal Failure Centre, "F. Addarii" Institute of Oncology and Pathology, St. Orsola-Malpighi University Hospital-Bologna, Bologna, Italy. Electronic address: augustola@yahoo.com.
[Ti] Title:Multimodal Surgical Approach for Adult Patients With Chronic Intestinal Pseudo-Obstruction: Clinical and Psychosocial Long-term Outcomes.
[So] Source:Transplant Proc;50(1):226-233, 2018 Jan - Feb.
[Is] ISSN:1873-2623
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Clinical and psychosocial outcomes of a multimodal surgical approach for chronic intestinal pseudo-obstruction were analyzed in 24 patients who were followed over a 2- to 12-year period in a single center after surgery or intestinal/multivisceral transplant (CTx). METHODS: The main reasons for surgery were sub-occlusion in surgery and parenteral nutrition-related irreversible complications with chronic intestinal failure in CTx. RESULTS: At the end of follow-up (February 2015), 45.5% of CTx patients were alive: after transplantation, improvement in intestinal function was observed including a tendency toward recovery of oral diet (81.8%) with reduced parenteral nutrition support (36.4%) in the face of significant mortality rates and financial costs (mean, 202.000 euros), frequent hospitalization (mean, 8.8/re-admissions/patient), as well as limited effects on pain or physical wellness. CONCLUSIONS: Through psychological tests, transplant recipients perceived a significant improvement of mental health and emotional state, showing that emotional factors were more affected than were functional/cognitive impairment and social interaction.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180206
[Lr] Last revision date:180206
[St] Status:In-Process

  7 / 2722 MEDLINE  
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[PMID]: 29149925
[Au] Autor:Brewer BN; Kamen DL
[Ad] Address:Department of Internal Medicine, Augusta University-University of Georgia, 108 Spear Road, Athens, GA 30602, USA.
[Ti] Title:Gastrointestinal and Hepatic Disease in Systemic Lupus Erythematosus.
[So] Source:Rheum Dis Clin North Am;44(1):165-175, 2018 Feb.
[Is] ISSN:1558-3163
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Gastrointestinal (GI) symptoms are common among patients with systemic lupus erythematosus (SLE), although only rarely are they caused by active organ system involvement from SLE itself. Rapid diagnosis and appropriate treatment of lupus enteritis and other GI manifestations of SLE are critical, because of the potential for organ and life-threatening complications. The 3 main variants of lupus enteritis are lupus mesenteric vasculitis, intestinal pseudo-obstruction, and protein-losing enteropathy. These GI manifestations and others in patients with SLE are reviewed here.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1711
[Cu] Class update date: 180204
[Lr] Last revision date:180204
[St] Status:In-Process

  8 / 2722 MEDLINE  
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[PMID]: 29383732
[Au] Autor:Abi Nader E; Lambe C; Talbotec C; Dong L; Pigneur B; Goulet O
[Ad] Address:Department of Pediatric Gastroenterology, Hepatology and Nutrition, National Reference Center for Rare Digestive Diseases in Children, APHP, Necker Enfants Malades University Hospital, Paris, France.
[Ti] Title:A New Concept to Achieve Optimal Weight Gain in Malnourished Infants on Total Parenteral Nutrition.
[So] Source:JPEN J Parenter Enteral Nutr;42(1):78-86, 2018 Jan.
[Is] ISSN:1941-2444
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Infants with intestinal failure (IF) are at increased risk of malnutrition and require adapted nutrition support. Optimal weight gain during nutrition rehabilitation should occur at the velocity of statural age (adjusted to the 50 percentile of height) and not chronological age. The aim of this study was to assess the relationship between weight gain during catch-up growth, nonprotein energy intake (NPEI) provided by total parenteral nutrition (TPN), and resting energy expenditure (REE) in children with severe malnutrition due to IF. MATERIALS AND METHODS: This retrospective study included all infants with severe malnutrition treated with TPN for IF between January 1, 2010, and December 31, 2013. They all had no or minimal oral intake (<10% REE). The REE was calculated using the Schofield equations. RESULTS: Seventeen children were included (11 boys) with a mean age at TPN onset of 5 mo. They were followed for a mean duration of 39 days. On admission, body weight and height were -3.1 ± 0.9 and -3.3 ± 1.3 SD, respectively. The indications for TPN were short bowel syndrome (n = 10), congenital enteropathy (microvillous inclusion disease, n = 6) and chronic intestinal pseudo-obstruction syndrome (n = 1). After 28 days of nutrition rehabilitation with full NPEI from TPN, the observed weight gain was 110 ± 5% of optimal weight gain for statural age. The mean NPEI from TPN was 104.3 ± 8.0 kcal/kg/d. The mean ratio of NPEI over REE was 2.1 ± 0.2. CONCLUSION: Optimal weight gain was achieved with NPEI from TPN twice the REE in severely malnourished infants with IF. NPEI values were adequate and not excessive for age.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180131
[Lr] Last revision date:180131
[St] Status:In-Data-Review
[do] DOI:10.1002/jpen.1014

  9 / 2722 MEDLINE  
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[PMID]: 29318807
[Au] Autor:Laouni J; Scaillon M; Steyaert H; Segers V; Bruyninx L
[Ad] Address:Service de Chirurgie digestive, C.H.U. Brugmann, ULB.
[Ti] Title:Diagnostic et gestion d'un cas particulier de constipation opiniâtre. [Diagnosis and management of a particular caseof intractable constipation].
[So] Source:Rev Med Brux;38(6):501-505, 2017.
[Is] ISSN:0035-3639
[Cp] Country of publication:Belgium
[La] Language:fre
[Ab] Abstract:Constipation is a very common pattern in childhood. There are multiple reasons for constipation including one very rare : chronic intestinal pseudo-obstruction syndrome. We report the case of a young patient monitored for multiple incidents of intestinal pseudo- obstruction with intractable constipation. The patient underwent several surgical interventions to relieve his symptoms because the non operative treatments, based on liquid diet and laxatives, didn't show great effectiveness. We will review the differential diagnosis of chronic constipation and we will discuss the particular diagnostic entity of this patient. We will also discuss the different treatments that allowed to provide tolerance to oral feeding.
[Pt] Publication type:CASE REPORTS; ENGLISH ABSTRACT
[Em] Entry month:1801
[Cu] Class update date: 180110
[Lr] Last revision date:180110
[St] Status:In-Data-Review

  10 / 2722 MEDLINE  
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[PMID]: 29308779
[Au] Autor:Shirley L; Thundyil RJ
[Ad] Address:Queen Elizabeth Hospital, Department of Internal Medicine, Sabah, Malaysia. slee1984z@gmail.com.
[Ti] Title:A frequently missed entity in systemic lupus erythematosus (SLE): Intestinal pseudo-obstruction (IpsO).
[So] Source:Med J Malaysia;72(6):374-375, 2017 Dec.
[Is] ISSN:0300-5283
[Cp] Country of publication:Malaysia
[La] Language:eng
[Ab] Abstract:Intestinal pseudo-obstruction (IpsO) is defined as presence of clinical features of intestinal obstruction without identifiable mechanical obstructive lesion. IpsO is an uncommon gastrointestinal manifestation of systemic lupus erythematosus (SLE) and is largely under-recognised. There are only over 30 published cases in English literature on SLE-related IpsO. Herein, we report two cases of SLE-related IpsO to illustrate the importance of early recognition to avoid unnecessary surgical intervention, as SLE-related IpsO responds well to systemic high dose corticosteroids. These two cases also demonstrate the apparent association of IpsO with uretero-hydronephrosis, suggesting that the possible mechanism could be smooth muscle dysmotility.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180108
[Lr] Last revision date:180108
[St] Status:In-Data-Review


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