An international survey on clinicians' perspectives on the diagnosis and management of chronic intestinal pseudo‐obstruction and enteric dysmotility

Autor: Michael Staun, Manpreet S. Mundi, Geert J. A. Wanten, Cristina Cuerda, Dipesh H. Vasant, Francisca Joly, Kinga Szczepanek, Loris Pironi, Peter Paine, Simon Lal, Giovanni Barbara, André Van Gossum, Federico Bozzetti
Přispěvatelé: Vasant D.H., Pironi L., Barbara G., Bozzetti F., Cuerda C., Joly F., Mundi M., Paine P., Staun M., Szczepanek K., Van Gossum A., Wanten G., Lal S.
Rok vydání: 2020
Předmět:
Intestinal pseudo-obstruction
gastrointestinal neuromuscular disorder
medicine.medical_specialty
Internationality
Attitude of Health Personnel
enteric dysmotility
Physiology
Clinical Decision-Making
parenteral nutrition
Clinical nutrition
Enteric Nervous System
gastrointestinal neuromuscular disorders
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Internal medicine
medicine
Humans
Physician's Role
chronic intestinal pseudo-obstruction
Prucalopride
Medical treatment
Endocrine and Autonomic Systems
business.industry
Incidence (epidemiology)
Intestinal Pseudo-Obstruction
Gastroenterology
International survey
Disease Management
manometry
Neurogastroenterology
medicine.disease
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
Parenteral nutrition
030220 oncology & carcinogenesis
Chronic Disease
030211 gastroenterology & hepatology
Gastrointestinal Motility
business
medicine.drug
Zdroj: Vasant, D H, Pironi, L, Barbara, G, Bozzetti, F, Cuerda, C, Joly, F, Mundi, M, Paine, P, Staun, M, Szczepanek, K, Gossum, A V, Wanten, G & Lal, S 2020, ' An international survey on clinicians' perspectives on the diagnosis and management of chronic intestinal pseudo-obstruction and enteric dysmotility ', Neurogastroenterology & Motility, vol. 32, no. 12, e13937 . https://doi.org/10.1111/nmo.13937
Neurogastroenterology and Motility, 32
Vasant, D H, Pironi, L, Barbara, G, Bozzetti, F, Cuerda, C, Joly, F, Mundi, M, Paine, P, Staun, M, Szczepanek, K, Van Gossum, A, Wanten, G & Lal, S 2020, ' An international survey on clinicians' perspectives on the diagnosis and management of chronic intestinal pseudo-obstruction and enteric dysmotility ', Neurogastroenterology and Motility, vol. 32, no. 12, e13937 . https://doi.org/10.1111/nmo.13937
Neurogastroenterology and Motility, 32, 12
Vasant, D, Pironi, L, Barbara, G, Bozzetti, F, Cuerda, C, Joly, F, Mundi, M, Paine, P, Staun, M, Szczepanek, K, Van Gossum, A, Wanten, G & Lal, S 2020, ' An international survey on clinicians' perspectives on the diagnosis and management of chronic intestinal pseudo-obstruction and enteric dysmotility ', Neurogastroenterology and Motility, vol. 32, no. 12, e13937, pp. 1-9 . https://doi.org/10.1111/NMO.13937
ISSN: 1365-2982
1350-1925
Popis: Contains fulltext : 229351.pdf (Publisher’s version ) (Open Access) BACKGROUND: Chronic intestinal pseudo-obstruction (CIPO) and enteric dysmotility (ED) are small intestinal motility disorders defined by radiological and manometric criteria. In the absence of consensus guidelines, we surveyed opinions on the diagnosis and management of CIPO and ED among experts from different countries. METHODS: A survey questionnaire was circulated electronically to members of the European society for Clinical Nutrition and Metabolism, European Society of Neurogastroenterology and Motility, and United European Gastroenterology. Only responses from participants completing all required components were included. KEY RESULTS: Of 154 participants, 93% agreed that CIPO and ED should be classified separately. Overall, 73% reported an increasing incidence of CIPO and ED, with hypermobile Ehlers-Danlos Syndrome the group with the largest increase in referrals (37%), particularly in the UK (P 50% cases) and full thickness biopsies were reported to seldom influence medical treatment, nutritional management, and prognosis. Respondents reported that very few treatments are useful for most patients, with bacterial overgrowth treatment, prucalopride, and psychological therapies felt to be the most useful. While only 23% of clinicians felt that parenteral nutrition (PN) improves gastrointestinal symptoms in >50% of cases, 68% reported PN dependency at 5 years in the majority of cases. CONCLUSIONS AND INFERENCES: These data highlight the difficulties with diagnosing and managing CIPO and ED and underscore the urgent need for international, multidisciplinary, clinical practice guidelines.
Databáze: OpenAIRE
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