Sutton Dwight H, Harrell Steven P, Wo John M
Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, 550 S. Jackson Street, ACB 3 floor, Louisville, KY 40202, USA.
Nutr Clin Pract. 2006 Feb;21(1):16-22. doi: 10.1177/011542650602100116.
Chronic intestinal pseudoobstruction (CIP) is a motility syndrome that presents with symptoms and signs of intestinal obstruction and radiographic evidence of dilated bowels, but no anatomic obstruction can be found. It primarily is a disorder of small bowel motility, but it can occur anywhere in the gastrointestinal tract. This review will focus on the diagnosis and treatment of adult patients with CIP. The clinical presentation of CIP is variable, and its incidence is rare. It is a disorder with a multitude of etiologies, many of which are poorly understood. To properly manage the patient, clinicians should be aware of the various symptoms, signs, and systemic diseases that are associated with CIP. Diagnostic studies are needed to confirm the diagnosis, identify the etiology, and search for coexisting motility dysfunction. The management goals of CIP are to restore proper nutrition and fluid balance, relieve symptoms, improve intestinal motility, and treat complications.
慢性假性肠梗阻（CIP）是一种动力障碍综合征，表现为肠梗阻的症状和体征以及肠管扩张的影像学证据，但找不到解剖学上的梗阻。它主要是小肠动力障碍性疾病，但也可发生于胃肠道的任何部位。本综述将聚焦于成年CIP患者的诊断和治疗。CIP的临床表现多样，发病率较低。它是一种病因众多的疾病，其中许多病因尚不清楚。为了妥善管理患者，临床医生应了解与CIP相关的各种症状、体征和全身性疾病。需要进行诊断性检查以确诊、确定病因并寻找并存的动力功能障碍。CIP的治疗目标是恢复适当的营养和液体平衡、缓解症状、改善肠道动力并治疗并发症。
