Intestinal pseudo-obstruction: Difference between revisions
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{{Infobox medical condition | |||
| name = Intestinal pseudo-obstruction | |||
| image = [[File:Ogilvie_ct_coronal.jpg|250px]] | |||
| caption = CT scan showing intestinal pseudo-obstruction | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Abdominal pain]], [[nausea]], [[vomiting]], [[bloating]], [[constipation]] | |||
| complications = [[Bowel perforation]], [[sepsis]], [[malnutrition]] | |||
| onset = Any age | |||
| duration = Variable | |||
| types = [[Acute colonic pseudo-obstruction]], [[chronic intestinal pseudo-obstruction]] | |||
| causes = [[Neuromuscular disorders]], [[medications]], [[infections]], [[surgery]] | |||
| risks = [[Elderly]], [[hospitalized patients]], [[neurological disorders]] | |||
| diagnosis = [[Clinical evaluation]], [[imaging studies]], [[manometry]] | |||
| differential = [[Mechanical bowel obstruction]], [[ileus]], [[megacolon]] | |||
| treatment = [[Supportive care]], [[prokinetic agents]], [[surgery]] | |||
| prognosis = Variable, depends on underlying cause | |||
| frequency = Rare | |||
}} | |||
[[File:Ogilvie_ct_cross.jpg|Cross-sectional CT scan showing intestinal pseudo-obstruction|thumb|left]] | |||
'''Intestinal pseudo-obstruction''' is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features are diverse, depending on the specific type and segment of the gut involved. They include recurrent episodes of abdominal pain and distension, nausea, vomiting, and weight loss. | '''Intestinal pseudo-obstruction''' is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features are diverse, depending on the specific type and segment of the gut involved. They include recurrent episodes of abdominal pain and distension, nausea, vomiting, and weight loss. | ||
== Causes == | == Causes == | ||
The causes of intestinal pseudo-obstruction are diverse and can be classified into primary or secondary. Primary causes are due to inherent defects in the smooth muscle or the nerves of the intestines. Secondary causes are due to other diseases that affect the intestines such as diabetes, scleroderma, and Parkinson's disease. | The causes of intestinal pseudo-obstruction are diverse and can be classified into primary or secondary. Primary causes are due to inherent defects in the smooth muscle or the nerves of the intestines. Secondary causes are due to other diseases that affect the intestines such as diabetes, scleroderma, and Parkinson's disease. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of intestinal pseudo-obstruction is challenging and often requires a combination of clinical history, physical examination, laboratory tests, imaging studies, and sometimes, biopsy of the intestinal wall. The goal is to rule out mechanical obstruction and to identify any underlying diseases that may be causing the condition. | Diagnosis of intestinal pseudo-obstruction is challenging and often requires a combination of clinical history, physical examination, laboratory tests, imaging studies, and sometimes, biopsy of the intestinal wall. The goal is to rule out mechanical obstruction and to identify any underlying diseases that may be causing the condition. | ||
== Treatment == | == Treatment == | ||
Treatment of intestinal pseudo-obstruction is primarily supportive and aimed at relieving symptoms. This may include dietary modifications, medications to improve gut motility, and in severe cases, surgery to bypass or remove the affected segment of the gut. | Treatment of intestinal pseudo-obstruction is primarily supportive and aimed at relieving symptoms. This may include dietary modifications, medications to improve gut motility, and in severe cases, surgery to bypass or remove the affected segment of the gut. | ||
== See also == | == See also == | ||
* [[Gastroenterology]] | * [[Gastroenterology]] | ||
* [[Gastrointestinal tract]] | * [[Gastrointestinal tract]] | ||
* [[Digestive system]] | * [[Digestive system]] | ||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Digestive diseases]] | [[Category:Digestive diseases]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 21:21, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Intestinal pseudo-obstruction | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, nausea, vomiting, bloating, constipation |
| Complications | Bowel perforation, sepsis, malnutrition |
| Onset | Any age |
| Duration | Variable |
| Types | Acute colonic pseudo-obstruction, chronic intestinal pseudo-obstruction |
| Causes | Neuromuscular disorders, medications, infections, surgery |
| Risks | Elderly, hospitalized patients, neurological disorders |
| Diagnosis | Clinical evaluation, imaging studies, manometry |
| Differential diagnosis | Mechanical bowel obstruction, ileus, megacolon |
| Prevention | N/A |
| Treatment | Supportive care, prokinetic agents, surgery |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause |
| Frequency | Rare |
| Deaths | N/A |
Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features are diverse, depending on the specific type and segment of the gut involved. They include recurrent episodes of abdominal pain and distension, nausea, vomiting, and weight loss.
Causes[edit]
The causes of intestinal pseudo-obstruction are diverse and can be classified into primary or secondary. Primary causes are due to inherent defects in the smooth muscle or the nerves of the intestines. Secondary causes are due to other diseases that affect the intestines such as diabetes, scleroderma, and Parkinson's disease.
Diagnosis[edit]
Diagnosis of intestinal pseudo-obstruction is challenging and often requires a combination of clinical history, physical examination, laboratory tests, imaging studies, and sometimes, biopsy of the intestinal wall. The goal is to rule out mechanical obstruction and to identify any underlying diseases that may be causing the condition.
Treatment[edit]
Treatment of intestinal pseudo-obstruction is primarily supportive and aimed at relieving symptoms. This may include dietary modifications, medications to improve gut motility, and in severe cases, surgery to bypass or remove the affected segment of the gut.
See also[edit]
References[edit]
<references />
