Section: Small bowel Curriculum: Curriculum, page 62
General
- Intestinal pseudo-obstruction
- Chronic intestinal dysmotility
- See: Constipation
Aetiology
- Neuropathic disorders
- Myopathic disorders (SM)
- Interstitial cells of Cajal
Associated Conditions
- Scleroderma
- Mitochondrial cytopathy
- Diabetes
- Amyloidosis
- Parkinson’s disease
- Paraneoplastic syndromes - abnormal immune response to neoplasm
- Chagas disease - trypanosoma cruzii, parasitic infection
Pathology
- Absence of SB peristaltic pattern
Clinical
- AP
- Bloating
- D+V
- Constipation
- SIBO
- Weight loss/malnutrition
Investigations
- Simple
- Thyroid function
- Hb
- Coeliacs - anti-TTG and anti endomysial AB
- Virus - EBV, HSV, CMV
- Complex
- R/O mechanical cause - CT/MRE
- OGD/colonoscopy
- Colonic transit study
Management
- Treat underlying cause
- Prokinetics
- Nutritional supplementation
- Medications
- Prokinetics
- Analgesia
- Laxatives
- Dietary
- Dietitian
- Ensure nutrient requirement is being met
- Food diary
- Identify trigger foods and carry out exclusion diet (FODMAPS)
- Psych
- Psychologist
- Food and sx diary
- Distraction
- Mindfulness