Open AccessChronic intestinal pseudoobstruction: difficulties in diagnosis and treatment. Case report
Author(s) -
Igor Khatkov,
Хатьков Игорь Евгеньевич,
Viktor V. Tsvirkun,
Цвиркун Виктор Викторович,
А И Парфенов,
Парфенов Асфольд Иванович,
О В Ахмадуллина,
Ахмадуллина Ольга Валентиновна,
Л М Крумс,
Крумс Лариса Михайловна,
В. В. Субботин,
Субботин Валерий Вячеславович,
С В Быкова,
Быкова Светлана Владимировна,
Т. Н. Кузьмина,
Кузьмина Татьяна Николаевна,
Е. В. Новикова,
Новикова Елена Владимировна,
K Shishin,
Шишин Кирилл Вячеславович,
С. Г. Хомерики,
Хомерики Сергей Германович,
Д. А. Дегтерев,
Дегтерев Даниил Александрович,
Zoia P. Lashchenkova,
Лащенкова Зоя Павловна
Publication year - 2021
Publication title -
terapevtičeskij arhiv
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.