Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta

Chronic intestinal pseudoobstruction (CIPO) is a rare entity characterized by recurrent clinical episodes of intestinal obstruction in which no mechanical cause is identified. There are multiple causes for this syndrome but two main groups can be distinguished: a) secondary to a systemic non-gastroi...

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Main Authors: M. T. Muñoz-Yagüe, P. Solís-Muñoz, I. Salces, C. Ballestín, F. Colina, C. Ibarrola, G. López-Alonso, P. Carreira, F. Cruz Vigo, J. A. Solís Herruzo
Format: Article
Language:English
Published: Aran Ediciones 2009-05-01
Series:Revista Espanola de Enfermedades Digestivas
Subjects:
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082009000500005
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author M. T. Muñoz-Yagüe
P. Solís-Muñoz
I. Salces
C. Ballestín
F. Colina
C. Ibarrola
G. López-Alonso
P. Carreira
F. Cruz Vigo
J. A. Solís Herruzo
author_facet M. T. Muñoz-Yagüe
P. Solís-Muñoz
I. Salces
C. Ballestín
F. Colina
C. Ibarrola
G. López-Alonso
P. Carreira
F. Cruz Vigo
J. A. Solís Herruzo
author_sort M. T. Muñoz-Yagüe
collection DOAJ
description Chronic intestinal pseudoobstruction (CIPO) is a rare entity characterized by recurrent clinical episodes of intestinal obstruction in which no mechanical cause is identified. There are multiple causes for this syndrome but two main groups can be distinguished: a) secondary to a systemic non-gastrointestinal disease; and b) primary or idiopathic originated from alterations in the components of the intestinal wall. The latter forms are the most uncommon and their diagnosis is generally difficult. In the present article, we describe nine patients with CIPO that were diagnosed in our center over the last six years. Four of them were diagnosed with primary or idiopathic form of CIPO and another four were clearly secondary to a systemic disease. The ninth case, which was initially diagnosed as secondary, is probably also a primary form of the disease. The number of patients diagnosed in our center, even thought small, makes us to hypothesize that the prevalence of CIPO is probably greater than is generally believed and that the reasons of its rarity are the incomplete understanding of its physiopathology and the difficulties to achieve a correct diagnosis.
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spelling doaj.art-5274a3b4d62948e1b38ccdab750872f52022-12-22T03:53:02ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01082009-05-011015336342Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuentaM. T. Muñoz-YagüeP. Solís-MuñozI. SalcesC. BallestínF. ColinaC. IbarrolaG. López-AlonsoP. CarreiraF. Cruz VigoJ. A. Solís HerruzoChronic intestinal pseudoobstruction (CIPO) is a rare entity characterized by recurrent clinical episodes of intestinal obstruction in which no mechanical cause is identified. There are multiple causes for this syndrome but two main groups can be distinguished: a) secondary to a systemic non-gastrointestinal disease; and b) primary or idiopathic originated from alterations in the components of the intestinal wall. The latter forms are the most uncommon and their diagnosis is generally difficult. In the present article, we describe nine patients with CIPO that were diagnosed in our center over the last six years. Four of them were diagnosed with primary or idiopathic form of CIPO and another four were clearly secondary to a systemic disease. The ninth case, which was initially diagnosed as secondary, is probably also a primary form of the disease. The number of patients diagnosed in our center, even thought small, makes us to hypothesize that the prevalence of CIPO is probably greater than is generally believed and that the reasons of its rarity are the incomplete understanding of its physiopathology and the difficulties to achieve a correct diagnosis.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082009000500005DiagnosisIntestinal pseudo-obstructionSclerodermaPheochromocytomaRadiculopathyDeficit of alpha actin
spellingShingle M. T. Muñoz-Yagüe
P. Solís-Muñoz
I. Salces
C. Ballestín
F. Colina
C. Ibarrola
G. López-Alonso
P. Carreira
F. Cruz Vigo
J. A. Solís Herruzo
Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
Revista Espanola de Enfermedades Digestivas
Diagnosis
Intestinal pseudo-obstruction
Scleroderma
Pheochromocytoma
Radiculopathy
Deficit of alpha actin
title Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
title_full Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
title_fullStr Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
title_full_unstemmed Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
title_short Chronic intestinal pseudo-obstruction: a diagnosis to be considered Pseudodestrucción intestinal crónica: un diagnóstico a tener en cuenta
title_sort chronic intestinal pseudo obstruction a diagnosis to be considered pseudodestruccion intestinal cronica un diagnostico a tener en cuenta
topic Diagnosis
Intestinal pseudo-obstruction
Scleroderma
Pheochromocytoma
Radiculopathy
Deficit of alpha actin
url http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082009000500005
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