Chronic Idiopathic Intestinal Pseudo-obstruction A Surgical Approach

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Abstract
Chronic idiopathic intestinal pseudoobstruction is an increasingly recognized syndrome in which patients usually present with an acute or chronic history suggestive or intestinal obstruction, although not obstructing lesion is found at surgery. The diagnosis can be suspected in most cases for the clinical presentation. A diagnositc evaluation was undertaken and exploratory laparotomy avoided if the diagnosis is confirmed on the basis of the radiographic and manometric data. If, in the acute presentation, exploratory laparotomy proves unavoidable and dilated, nonmechanically obstructed bowel is found, a full-thickness biopsy specimen is usually taken and the abdomen closed. A carefully chosen, palliative procedure should be reserved for patients who have well defined clinicoanatomic patterns of involvement and who are incapacitated by their symptoms despite medical management.