Chronic intestinal pseudo-obstruction (CIP) is a neuromuscular disease intestine caused by intestinal motility disorders, recurrent or performance to the continued existence of intestinal obstruction without evidence of mechanical obstruction is a rare disease. In order to analyze the performance of the CIP clinical features and diagnostic methods. We Beijing Union Medical College Hospital from November 1978 to December 2000 CIP diagnosis of 23 cases of patients with clinical data are summarized and analyzed.
CIP diagnostic criteria: (1) on the clinical signs and symptoms of intestinal obstruction (2) abdominal plain film confirmed the existence of obstruction; (3) the inspection clearly ruled out mechanical intestinal obstruction (4) gastrointestinal imaging examination revealed dilated intestine, or bowel movements slowed, disappeared or (5) of abnormal pressure on the digestive tract, gastrointestinal transit time was significantly longer.
The results showed that 23 cases of male patients with CIP nine cases and 14 females, aged 4 to 75 years (median age 50 years). Course of a month to 20 years (median 3). Seven cases of intestinal obstruction for intermittent seizures. CIP main symptoms in patients with abdominal distension: (87%), abdominal pain (56.52%), diarrhea (65.22%), constipation (47.83%), vomiting (39.13%) and weight loss (82.61%). The group highlighted abdominal distention and abdominal pain in patients with relatively light, with diarrhea, weight decreased significantly and the other parts of digestive tract abnormalities dynamic performance. Penglong patients with abdominal CIP is the most common abdominal signs (65.22%), 7 cases of intestinal type (30.43%), 3 cases peristalsis wave (13.04%) in the presence of obstructive Changming sound normal (30.43%), or weakened (47.83%), there are very few signs of mechanical intestinal obstruction. 85% of patients with intestinal obstruction in the attack on the presence of abdominal plain film of a number of gas plane, we can see that universal expansion intestine, colon Gas (65%). Gastrointestinal barium contrast clearly showed that intestinal expansion (82.61%), bowel movements slow and disappeared (73.91%), all patients had not found evidence of mechanical obstruction. Some patients with gastrointestinal dynamic low anorectal dysfunction, gastrointestinal through prolonged. Mainly involving small bowel lesions (82.61%), colon (39.13%). Four cases accepted laparotomy and surgery. 18 patients with chronic idiopathic intestinal pseudo-obstruction, including one case of the family of visceral myopathy; five cases secondary to connective tissue disease.
CIP diagnostic criteria: (1) on the clinical signs and symptoms of intestinal obstruction (2) abdominal plain film confirmed the existence of obstruction; (3) the inspection clearly ruled out mechanical intestinal obstruction (4) gastrointestinal imaging examination revealed dilated intestine, or bowel movements slowed, disappeared or (5) of abnormal pressure on the digestive tract, gastrointestinal transit time was significantly longer.
The results showed that 23 cases of male patients with CIP nine cases and 14 females, aged 4 to 75 years (median age 50 years). Course of a month to 20 years (median 3). Seven cases of intestinal obstruction for intermittent seizures. CIP main symptoms in patients with abdominal distension: (87%), abdominal pain (56.52%), diarrhea (65.22%), constipation (47.83%), vomiting (39.13%) and weight loss (82.61%). The group highlighted abdominal distention and abdominal pain in patients with relatively light, with diarrhea, weight decreased significantly and the other parts of digestive tract abnormalities dynamic performance. Penglong patients with abdominal CIP is the most common abdominal signs (65.22%), 7 cases of intestinal type (30.43%), 3 cases peristalsis wave (13.04%) in the presence of obstructive Changming sound normal (30.43%), or weakened (47.83%), there are very few signs of mechanical intestinal obstruction. 85% of patients with intestinal obstruction in the attack on the presence of abdominal plain film of a number of gas plane, we can see that universal expansion intestine, colon Gas (65%). Gastrointestinal barium contrast clearly showed that intestinal expansion (82.61%), bowel movements slow and disappeared (73.91%), all patients had not found evidence of mechanical obstruction. Some patients with gastrointestinal dynamic low anorectal dysfunction, gastrointestinal through prolonged. Mainly involving small bowel lesions (82.61%), colon (39.13%). Four cases accepted laparotomy and surgery. 18 patients with chronic idiopathic intestinal pseudo-obstruction, including one case of the family of visceral myopathy; five cases secondary to connective tissue disease.
