1.Two Cases of Chronic Idiopathic Intestinal Pseudo-obstruction with Different Clinical Features.
Byoung Hwan LEE ; Nayoung KIM ; Sung Bum KANG ; Kyoung Ho LEE ; Jane C OH ; Sun Mi KIM ; Young Soo PARK ; Dong Ho LEE
Journal of Neurogastroenterology and Motility 2010;16(1):83-89
Chronic intestinal pseudo-obstruction (CIPO) is a rare disorder characterized by a severe impairment of gastrointestinal propulsion in the absence of mechanical obstruction. We experienced a case of chronic pseudo-obstruction in the initial phase mimicking acute pseudo-obstruction, which was treated medically. This ongoing case was compared to another recurrent and intractable case successfully treated with surgery and diagnosed as hypoganglionosis. These two cases showed different clinical features and therapeutic approaches for CIPO; one with the first episode of CIPO mimicking Ogilvie's syndrome; the other with recurrent episodes of CIPO with typical features. In conclusion, CIPO is a difficult disorder with various clinical manifestations and different treatment modalities, therefore individualized diagnostic and therapeutic approaches are needed.
Colon
;
Intestinal Pseudo-Obstruction
2.A case of chronic intestinal pseudo-obstruction syndrome.
Hye Won PARK ; Chul Ho CHANG ; Bum Soo PARK ; Jeong Kee SEO ; Sung Hye PARK ; Je Geun VHI ; Kyung Mo YEON ; Kui Won PARK
Journal of the Korean Pediatric Society 1992;35(10):1427-1434
No abstract available.
Intestinal Pseudo-Obstruction*
3.A Case of Megacystis Associated with Primary Chronic Intestinal Pseudoobstruction.
Dong Wan SOHN ; Sang Don LEE ; Jeong Zoo LEE ; Jae Hong PARK ; Jong Byung YOON
Korean Journal of Urology 1997;38(3):323-327
Primary chronic intestinal pseudo-obstruction is a rare condition characterized by the symptoms and signs of the functional intestinal obstruction due to intestinal motility dysfunction in the absence of an anatomic obstruction. Megacystis associated with primary chronic intestinal pseudo-obstruction is very rare. Herein we report a case of megacystis associated with primary chronic intestinal pseudo-obstruction.
Gastrointestinal Motility
;
Intestinal Obstruction
;
Intestinal Pseudo-Obstruction*
4.Intestinal Pseudoobstruction Associated with Herpes Zoster.
Soo Han WOO ; Su Kyung PARK ; Hyun Bin KWAK ; Sang Wook KIM ; Jin PARK ; Seok Kweon YUN ; Han Uk KIM
Korean Journal of Dermatology 2017;55(7):473-474
No abstract available.
Herpes Zoster*
;
Intestinal Pseudo-Obstruction*
5.Acute Intestinal Pseudo-Obstruction in a Patient with MELAS Syndrome.
Journal of the Korean Neurological Association 2017;35(4):251-253
No abstract available.
Humans
;
Intestinal Pseudo-Obstruction*
;
MELAS Syndrome*
;
Sepsis
6.A Case of Chronic Idiopathic Pseudo-Obstruction Caused by a Degenerative.
Jin Ah KIM ; Je Hyung KIM ; Ho Geun HWANG ; Sun Ho AHN
Journal of the Korean Society of Coloproctology 1997;13(4):637-642
Intestinal pseudo-obstruction is characterized by symptoms and signs of mechanical bowel obstruction in the abscence of an occluding lesion of the intestinal lumen. The chronic forms of intestinal pseudo-obstruction are separated into primary and secondary in according to the underlying disorders. primary or chronic idiopathic intestinal pseudo-obstruction(CIIP) is not associated with systemic illness and a progressive nature with relapses and remissions. Since Dyer described the rare histologic subtype of idiopathic pseudo-obstruction, the primary abnormality is in the myenteric plexus of the bowel at first in 1969, only few cases are reported. We report a case of CIIP caused by degeneration of myenteric plexus of the colon and he was successfully treated with surgical management.
Colon
;
Intestinal Pseudo-Obstruction
;
Myenteric Plexus
;
Recurrence
7.A Case of Pseudo-obstruction Responding to Neostigmine.
Nak Ki KWUN ; Myung Gyu CHOI ; In Seok LEE ; Se Hee KIM ; Yu Kyung CHO ; Sang Woo KIM ; In Sik CHUNG ; Doo Ho PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):197-201
Pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. A 65-year-old male who complained of abdominal pain and obspitation. (not constipation?) was admitted. Simple abdominal radiographs revealed marked colonic dilatation without mechanical obstruction suggesting pseudo-obstruction. Clinical response with conservative care failed to improve the patient. 2.0 mg of neostigmine which was recently reported to be an effective way to decompress the colon in patients with acute colonic pseudo-obstruction, was administered. Immediate clinical response was achieved without complication.
Abdominal Pain
;
Aged
;
Colon
;
Colonic Pseudo-Obstruction
;
Dilatation
;
Humans
;
Intestinal Obstruction
;
Intestinal Pseudo-Obstruction
;
Male
;
Neostigmine*
8.A Case of Pseudo-obstruction Responding to Neostigmine.
Nak Ki KWUN ; Myung Gyu CHOI ; In Seok LEE ; Se Hee KIM ; Yu Kyung CHO ; Sang Woo KIM ; In Sik CHUNG ; Doo Ho PARK
Korean Journal of Gastrointestinal Motility 2002;8(2):197-201
Pseudo-obstruction is a clinical syndrome caused by ineffective intestinal propulsion and characterized by symptoms and signs of intestinal obstruction in the absence of an occluding lesion of the intestinal lumen. A 65-year-old male who complained of abdominal pain and obspitation. (not constipation?) was admitted. Simple abdominal radiographs revealed marked colonic dilatation without mechanical obstruction suggesting pseudo-obstruction. Clinical response with conservative care failed to improve the patient. 2.0 mg of neostigmine which was recently reported to be an effective way to decompress the colon in patients with acute colonic pseudo-obstruction, was administered. Immediate clinical response was achieved without complication.
Abdominal Pain
;
Aged
;
Colon
;
Colonic Pseudo-Obstruction
;
Dilatation
;
Humans
;
Intestinal Obstruction
;
Intestinal Pseudo-Obstruction
;
Male
;
Neostigmine*
9.A Case of Acquired Zonal Aganglionosis in Adult.
Woong Jun KIM ; Chang Soo EUN ; Min Kyu LEE ; Seung Yeon MIN ; Yeon Hwa YOO ; Dong Soo HAN ; Yong Cheol JEON ; Joo Hyun SOHN
Intestinal Research 2012;10(2):210-214
A chronic intestinal pseudo-obstruction is a rare disorder and a severe digestive syndrome. It is characterized by deranged gut propulsive motility that resembles a mechanical obstruction, but no obstructive process is present. An intestinal pseudo-obstruction may be classified as acute or chronic; the chronic form may also be classified as idiopathic or secondary to a variety of diseases. Treatment of intestinal pseudo-obstruction involves nutritional, pharmacological, and surgical therapies. Surgery should be limited to patients who are refractory to medical therapy and show a deteriorating course. Despite available medical and surgical interventions, the outcome remains poor. Here, we describe a case of a 54-year-old female with chronic constipation and abdominal distension, who was subsequently found to have segmental aganglionosis. The patient was treated with a subtotal colectomy and ileosigmoidostomy without sequelae.
Adult
;
Colectomy
;
Colonic Pseudo-Obstruction
;
Constipation
;
Female
;
Fluconazole
;
Hirschsprung Disease
;
Humans
;
Intestinal Pseudo-Obstruction
;
Middle Aged
10.Role or Percutaneous Nephrolithotomy in the Era of Extracorporeal Shock Wave Lithotripsy.
Dong Gyu CHOI ; Jong Sung KIM ; Joung Sik RIM
Korean Journal of Urology 1995;36(10):1114-1121
Since the introduction of extracorporeal shock wave lithotripsy(ESWL), percutaneous nephrolithotomy(PNL) has been performed in limited cases of the patients requiring a stone procedure. The roles of PNL in the era of ESWL were reviewed through analysis of 86 patients treated with PNL. From July 1987 to December 1994, 86 patients(89 renal units) underwent percutaneous extraction of renal or upper ureteral stone. From July 1987 to January 1990, PNL was performed as the first choice for the treatment of 69 cases out of 119 renal or upper ureteral stone, and PNL was done in 58.0% (69/119) of the cases. From February 1990 to December 1994 when ESWL was available at our hospital, PNL was done in 20 cases of ESWL resistant stone or large volume stone, and PNL was done in 1.5%(20/1,362) of renal or upper ureteral stone. In the era of ESWL in our hospital, ESWL were performed in 94.5% of renal or upper ureteral stone, open surgery in 3.0%, PNL in 1.5% and conservative treatment in 1.0%. Initial success rate of PNL was 86.9%(60/69 cases) and subsequently when ESWL was available at our hospital, it became 95.0%(19/20 cases), probably due to accumulated experiences. Subsequently decreased complications of PNL such as persistent urinary leakage, prolonged hematuria, ureteral perforation and paralytic ileus. Though the introduction of ESWL in our hospital also brought about dramatic ally decreased use of PNL, PNL continues to have a primary role in the management of renal or upper ureteral stone in limited cases such as patients refusing ESWL, ESWL resistant stone or large volume stone.
Hematuria
;
Humans
;
Intestinal Pseudo-Obstruction
;
Lithotripsy*
;
Nephrostomy, Percutaneous*
;
Shock*
;
Ureter