Doctor insights on:
Chronic Intestinal Pseudo Obstruction
Gastric biopsy result: antral mucosa revealing mild to moderate chronic inflamation with associated extensive intestinal metaplesia. What that mean?
Precancer: The antrum is that portion of the lower stomach above the pylorus. Having chronic inflammation with extensive intestinal metaplasia is the precursor for developing gastric cancer. Left alone one would find an eventual gastric ulcer and invasive cancer. Partial gastrectomy would probably be indicated at this time. ...Read more
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Gut motility: This is a disorder of the motility of the intestines, which produces dilated loops of bowel which are similar in appearance to bowel that is mechanically obstructed, but there is no obstruction. It results from a disturbance in the nerve supply to the intestine or an abnormal response of intestinal smooth muscle. Symptoms can be abdominal pain, bloating, vomiting or constipation. ...Read more
Might be considered.: There is a very strong link between gut sensation and the mind. "butterflies in my stomach, " gut feeling, " "gut wrenching experience, " etc. If gut motility is so altered by emotion / anger / fear etc. Is it then psychosomatic or is it real? Call it what you want, but i don't think the distinction is useful. The gut, the neural input to the gut and the perception of the gut must be treated. ...Read more
Is chronic intestinal pseudo obstruction a disease? My GI diagnosed it but primary doc and gyno say they do not understand why 'disease' is used.
Can chronic intestinal pseudo obstruction be from a muscular disorder and also affect muscles and joints in most of my body? I was dignosed with cip.
Ogilvie's syndrome: A patient can present with symptoms of obstruction, such as abdominal discomfort, bloating, nausea and vomiting, and radiological examination shows marked dilitation of the colon, but no obvious source for mechanical obstruction is found. Naso gastric suction, and colonoscopy for decompression of the colon may help up to 75% of the time, but in severe cases, surgery may help. ...Read moreSee 1 more doctor answer
Depends: This condition can have various causes. First, you treat the underlying cause (orthopedic problem, heart condition, electrolyte imbalance, etc). If that doesn't work, sometimes colonoscopy is useful. There is also a medication (neostigmene) which in certain patients is appropriate. Surgery is reserved for complications of this condition. ...Read more
Non-mechanical block: 'primary' means cause unknown. Intestinal = small intestine (about 20 feet long) or large intestine (about 6 feet long) leading to rectum. 'pseudo-obstruction' means a blockage thatis not mechanical, such as caused by a tumor, or fibrous adhesions from prior surgery, or stool impaction. The cause is an abnormality of the nerves leading to the muscle of bowel wall (lupus, scleroderma, parknsns). ...Read more
Labs and X-rays: First you have to make sure there aren't any other causes of true obstruction. This is done with a combination of x-rays or scans, physical examination, review of the medical history, and laboratory tests. After other causes have been eliminated, then the patient is treated for pseudo-obstruction, also called ogilve's syndrome. ...Read more
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
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