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

Autor: Khatkov IE; Loginov Moscow Clinical Scientific Center., Tsvirkun VV; Loginov Moscow Clinical Scientific Center., Parfenov AI; Loginov Moscow Clinical Scientific Center., Akhmadullina OV; Loginov Moscow Clinical Scientific Center., Krums LM; Loginov Moscow Clinical Scientific Center., Subbotin VV; Loginov Moscow Clinical Scientific Center., Bykova SV; Loginov Moscow Clinical Scientific Center., Kuzmina TN; Loginov Moscow Clinical Scientific Center., Novikova EV; Loginov Moscow Clinical Scientific Center., Shishin KV; Loginov Moscow Clinical Scientific Center., Khomeriki SG; Loginov Moscow Clinical Scientific Center., Degterev DA; Loginov Moscow Clinical Scientific Center., Lashchenkova ZP; Loginov Moscow Clinical Scientific Center.
Jazyk: ruština
Zdroj: Terapevticheskii arkhiv [Ter Arkh] 2021 Aug 15; Vol. 93 (8), pp. 936-942. Date of Electronic Publication: 2021 Aug 15.
DOI: 10.26442/3660.2021.08.200976
Abstrakt: 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.
Databáze: MEDLINE