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ARTICLE |

Idiopathic Chronic Intestinal Pseudo-obstruction: Title and subTitle BreakUse of Central Venous Nutrition FREE

David L. Faulk, MD; Sinn Anuras, MD; Joel B. Freeman, MD, FRCS(C)
[+] Author Affiliations

Reprint requests to Division of Gastroenterology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Faulk).


JAMA. 1978;240(19):2075-2076. doi:10.1001/jama.1978.03290190053030
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Patients with idiopathic chronic intestinal pseudo-obstruction suffer from malnutrition because of inability to maintain adequate oral intake without the development of obstructive symptoms. We have successfully used central venous nutrition in two patients with this syndrome, both on a short-term and long-term home-maintenance basis. Hyperalimentation can provide adequate nutrition in patients with intestinal pseudo-obstruction until normal bowel function returns or until definitive therapy for this chronic disease is found.

(JAMA 240:2075-2076, 1978)

REFERENCES

Faulk DL, Anuras S, Christensen J:  Chronic intestinal pseudo-obstruction . Gastroenterology 74:922-931, 1978;.
Maldonado JE, Gregg JA, Green PA, et al:  Chronic idiopathic intestinal pseudo-obstruction . Am J Med 49:203-212, 1970;.
Dudrick SJ, Copeland EM III:  Parenteral hyperalimentation , in Nyhus LM (ed): Surgery Annual . New York, Appleton-Century-Crofts, 1973;, pp 69-95.
Paul CA, Tomiyasu U, Mellinkoff SM:  Nearly fatal pseudo-obstruction of the small intestine: A case report of its relief by subtotal resection of the small bowel . Gastroenterology 40:698-704, 1961;.
Naish JM, Capper WM, Brown NJ:  Intestinal pseudo-obstruction with steatorrhea . Gut 1:62-66, 1960;.
Richardson TJ, Sgoutas D:  Essential fatty acid deficiency in four adult patients during total parenteral nutrition . Am J Clin Nutr 28:258-263, 1975;.

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Faulk DL, Anuras S, Christensen J:  Chronic intestinal pseudo-obstruction . Gastroenterology 74:922-931, 1978;.
Maldonado JE, Gregg JA, Green PA, et al:  Chronic idiopathic intestinal pseudo-obstruction . Am J Med 49:203-212, 1970;.
Dudrick SJ, Copeland EM III:  Parenteral hyperalimentation , in Nyhus LM (ed): Surgery Annual . New York, Appleton-Century-Crofts, 1973;, pp 69-95.
Paul CA, Tomiyasu U, Mellinkoff SM:  Nearly fatal pseudo-obstruction of the small intestine: A case report of its relief by subtotal resection of the small bowel . Gastroenterology 40:698-704, 1961;.
Naish JM, Capper WM, Brown NJ:  Intestinal pseudo-obstruction with steatorrhea . Gut 1:62-66, 1960;.
Richardson TJ, Sgoutas D:  Essential fatty acid deficiency in four adult patients during total parenteral nutrition . Am J Clin Nutr 28:258-263, 1975;.
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