Chronic intestinal pseudoobstruction: difficulties in diagnosis and treatment. Case report

The article presents a clinical case of a 23-year-old patient with an extremely severe congenital form of chronic intestinal pseudoobstruction coupled with a neuromyopathy,colon malrotation, malabsorption, bacterial overgrowth syndrome, cholelithiasis and gastrostasis, which excluded bowel transplan...

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Autores principales: Igor E. Khatkov, Viktor V. Tsvirkun, Asfold I. Parfenov, Olga V. Akhmadullina, Larisa M. Krums, Valerii V. Subbotin, Svetlana V. Bykova, Tatiana N. Kuzmina, Elena V. Novikova, Kirill V. Shishin, Sergei G. Khomeriki, Daniil A. Degterev, Zoia P. Lashchenkova
Formato: article
Lenguaje:RU
Publicado: "Consilium Medicum" Publishing house 2021
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R
Acceso en línea:https://doaj.org/article/ece599978d9441fb8c028d7b99803cbd
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Sumario:The article presents a clinical case of a 23-year-old patient with an extremely severe congenital form of chronic intestinal pseudoobstruction coupled with a neuromyopathy,colon malrotation, malabsorption, bacterial overgrowth syndrome, cholelithiasis and gastrostasis, which excluded bowel transplantation. Long-term treatment in the intensive care unit with combined, mainly parenteral nutrition for 6 months, using antibiotics, prokinetics, intestinal decompression allowed to achieve partial stabilization of the patients condition and transfer to home treatment with the continuation of adequate complex therapy.