Unexplained small-bowel obstruction in a patient with presumptive achalasia: need for early recognition of chronic intestinal pseudo-obstruction (CIPO).

摘要

Chronic intestinal pseudo-obstruction (CIPO) is a rare condition characterized by impaired gastrointestinal propulsion associated with features of intestinal obstruction (10) in the absence of any mechanical cause [1-5]. Although gut involvement may be isolated or diffuse [1], the clinical picture is dominated by small-bowel involvement [2]. In contrast, esophageal involvement is usually clinically silent despite achalasia-like features evident on barium studies [3] or on esophageal manometry.