Nutritional Interventions in Chronic Intestinal Pseudoobstruction

Gastroenterol Clin North Am. 2018 Mar;47(1):209-218. doi: 10.1016/j.gtc.2017.09.005. Epub 2017 Dec 6.

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.

Keywords: Cecostomy; Chronic intestinal pseudo-obstruction; Gastrointestinal dysmotility; Intestinal transplant; Parenteral nutrition; Venting gastrostomy.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / etiology
  • Anti-Bacterial Agents / therapeutic use
  • Blind Loop Syndrome / drug therapy
  • Blind Loop Syndrome / etiology
  • Chronic Disease
  • Diet
  • Enteral Nutrition
  • Gastrointestinal Agents / therapeutic use*
  • Gastrostomy
  • Humans
  • Intestinal Pseudo-Obstruction / complications
  • Intestinal Pseudo-Obstruction / physiopathology
  • Intestinal Pseudo-Obstruction / therapy*
  • Jejunostomy
  • Nutrition Assessment*

Substances

  • Anti-Bacterial Agents
  • Gastrointestinal Agents