تعريف
In intestinal pseudo-obstruction, foods and liquids are unable to pass through the intestine, causing a build-up of food, fluid, and gas in all or part of the colon. The symptoms of this condition acts like a mechanical bowel obstruction, but no blockage is found when doctors examine the intestine.
أسباب
Intestinal pseudo-obstruction is caused by problems with the muscles and nerves of the intestine.
عوامل الخطر
A risk factor is something that increases your chance of getting a disease or condition. The following factors are thought to increase the risk of developing intestinal pseudo-obstruction:
- جراحة
- Abdominal hemorrhage
- Intestinal ischemia (insufficient blood supply to the digestive system)
- Inflammation (eg, infection)
- صدمة
- سكتة دماغية
- Metabolic problems
- Fluid overload (eg, congestive heart failure)
- Other medical illnesses associated with pain
- Some medications
الأعراض
Symptoms of intestinal pseudo-obstruction may include:
- Cramps
- آلام في المعدة
- الغثيان
- القيء
- الانتفاخ
- Reduction in bowel movements
- براز رخو
- Bladder problems
التشخيص
Your doctor will ask about your symptoms and medical history, and perform a physical exam. Other tests may include:
- Abdominal X-rays —a test that uses radiation to take a picture of structures inside the body
- Abdominal CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body
- تحاليل الدم
- اختبارات البول
العلاج
تحدث مع طبيبك حول أفضل خطة علاجية لك. تشمل خيارات العلاج ما يلي:
Nutritional Support
Intravenous (IV) feeding may be necessary to help prevent malnutrition.
الأدوية
Your doctor may prescribe antibiotics to help prevent bacterial infections due to your condition. In addition, medications can be used to treat muscle problems in the intestines. Changes in your medications to eliminate some medications that can slow recovery from, or worsen, this condition.
جراحة
In severe cases of intestinal pseudo-obstruction, surgery to remove part or your entire intestine may be necessary.
التنظير
If the colon does not resume normal function after conservative management, the pressure build-up in the colon can be relieved by removing the trapped air with acolonoscope.
الوقاية
Many cases of intestinal pseudo-obstruction cannot be prevented. But certain measures can be taken after surgery to help avoid the complication of intestinal pseudo-obstruction. These measures include:
- Early oral feeding
- Gum chewing
- Fluid restriction
- Medications that inhibit opioid receptors
- Beta-blockers