Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy: case report and literature review

• Autor(a) principal: Lemos,Carlos Renato dos Reis
• Data de Publicação: 2007
• Outros Autores: Popoutchi,Pedro, Parra,Rogério Serafim, Féres,Omar, Rocha,José Joaquim Ribeiro da
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: São Paulo medical journal (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000600011
• topic: Intestinal pseudo-obstruction; Intestinal obstruction; Jejunostomy; Parenteral nutrition; Diagnosis

CONTEXT: Chronic idiopathic intestinal pseudo-obstruction is a very rare condition. CASE REPORT: This study describes a male patient who had presented obstructive symptoms for 24 years. He had been treated clinically and had undergone two previous operations in different services, with no clinical improvement or correct diagnosis. He was diagnosed with intestinal obstruction without mechanical factors in our service and underwent jejunostomy, which had a significant decompressive effect. The patient was able to gain weight and presented improvements in laboratory tests. Jejunostomy is a relatively simple surgical procedure that is considered palliative but, in this case, it was resolutive.