• Terapevt Arkh · Aug 2021

    Case Reports

    [Chronic intestinal pseudoobstruction: difficulties in diagnosis and treatment. Case report].

    • I E Khatkov, V V Tsvirkun, A I Parfenov, O V Akhmadullina, L M Krums, V V Subbotin, S V Bykova, T N Kuzmina, E V Novikova, K V Shishin, S G Khomeriki, D A Degterev, and Z P Lashchenkova.
    • Loginov Moscow Clinical Scientific Center.
    • Terapevt Arkh. 2021 Aug 15; 93 (8): 936-942.

    AbstractThe 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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