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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.23 No.2
- 발행연도
- 2017.1
- 수록면
- 273 - 280 (8page)
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Background/Aims: Chronic intestinal pseudo-obstruction (CIPO) is a rare syndrome characterized by a failure of the propulsion of intraluminal contents and recurrent symptoms of partial bowel obstruction in the absence of mechanical obstruction. Regional variations of the intestinal compromise have been described. Intestinal manometry can indicate the pathophysiology and prognosis. Our objective is to establish the demographic and clinical characteristics of group Chilean patients and analyze the motility of the small intestine and its prognostic value. Methods: Patients with symptoms of intestinal pseudo-obstruction with dilated bowel loops were included, in all of whom a manometry of the small intestine was performed using perfused catheters. Results: Of the 64 patients included, 51 women (average age 41.5 ± 17.6 years), 54 primary and 10 secondary CIPO were included. Dilatation of the small intestine was the only finding in 38 patients; in the remaining, the compromise was associated with other segments, primarily the colon. Forty-nine patients underwent 65 surgeries, mainly exploratory laparotomies and colectomies. Intestinal manometry was performed on all patients; 4 “patterns” were observed: neuropathic (n = 26), myopathic (n = 3), mixed (n = 24), and a group without motor activity (n = 11). The most relevant findings were the complex migrating motor disorders and decreased frequency and propagation of contractions. The 9 patients who died had a severe myopathic compromise. Conclusions: In our series, isolated small bowel compromise was the most common disorder. Neuropathic motor compromise was observed in most of the patients. Mortality was associated with severe myopathic compromise.
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참고문헌 (18)
참고문헌 신청
Lauro A / 2015 / Advancement in the clinical management of intestinal pseudo-obstruction / Expert Rev Gastroenterol Hepatol 9:197~208
De Giorgio R / 2011 / Chronic intestinal pseudo-obstruction: clinical features, diagnosis, and therapy / Gastroenterol Clin North Am 40:787~807
Joly F / 2006 / Pseudo-obstruction intestinale chronique / Gastroenterol Clin Biol 30:975~985
Masaki T / 2012 / Nationwide survey on adult type chronic intestinal pseudo-obstruction in surgical institutions in Japan / Surg Today 42:264~271
Schuffler MD / 1981 / Chronic intestinal pseudo-obstruction : a report of 27 cases and review of the literature / Medicine 60:173~196
De Giorgio R / 2011 / Chronic intestinal pseudo-obstruction: clinical features, diagnosis, and therapy / Gastroenterol Clin North Am 40:787~807
Joly F / 2006 / Pseudo-obstruction intestinale chronique / Gastroenterol Clin Biol 30:975~985
Masaki T / 2012 / Nationwide survey on adult type chronic intestinal pseudo-obstruction in surgical institutions in Japan / Surg Today 42:264~271
Schuffler MD / 1981 / Chronic intestinal pseudo-obstruction : a report of 27 cases and review of the literature / Medicine 60:173~196
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