Abstract.
We report the cases of three patients with chronic intestinal pseudo-obstruction (CIP) whose quality of life (QOL) was improved by palliative surgery in combination with home parenteral nutrition (HPN). Loop enterostomy and shortening of the gastrointestinal tract was performed with good results in all three patients to relieve abdominal distension that was progressive despite treatment with prokinetic drugs. Oral intake was also improved after surgical treatment in one patient who underwent massive resection of the jejunoileum. HPN maintained a satisfactory nutritional state in all patients. These three case reports serve to demonstrate that surgical intervention to improve QOL should be considered for patients with CIP if medication is not effective and symptoms are progressive.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: January 28, 2002 / Accepted: May 7, 2002
Acknowledgments. We thank Dr. Michael G. Sarr, Division of Gastroenterologic and General Surgery, Department of Surgery, Mayo Clinic and Foundation, Rochester, MN, USA, for reviewing the manuscript.
Reprint requests to: C. Shibata
Rights and permissions
About this article
Cite this article
Shibata, C., Naito, H., Funayama, Y. et al. Surgical Treatment of Chronic Intestinal Pseudo-Obstruction: Report of Three Cases. Surg Today 33, 58–61 (2003). https://doi.org/10.1007/s005950300011
Issue Date:
DOI: https://doi.org/10.1007/s005950300011