Open AccessChronic intestinal pseudoobstruction: difficulties in diagnosis and treatment. Case report
Author(s) -
Igor Khatkov,
Viktor Tsvirkun,
А И Парфенов,
О В Ахмадуллина,
Л М Крумс,
В. В. Субботин,
С В Быкова,
T.N. Kuzmina,
E. Novikova,
K Shishin,
С Г Хомерики,
Daniil A. Degterev,
Zoia P. Lashchenkova
Publication year - 2021
Publication title -
terapevticheskii arkhiv
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.181
H-Index - 14
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/3660.2021.08.200976
Subject(s) - medicine , parenteral nutrition , short bowel syndrome , malabsorption , antibiotics , gastroenterology , intestinal malabsorption , intensive care unit , enteritis , intensive care medicine , surgery , disease , coeliac disease , microbiology and biotechnology , biology
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.
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