Chronic Intestinal Pseudo Obstruction (CIP)
Chronic Intestinal Pseudo Obstruction (CIP) is a severe condition where the intestines lose their ability to move food normally.
Though no mechanical blockage exists, the symptoms mimic those of true intestinal obstruction.
Overview And Clinical Background
CIP results from abnormal nerve or muscle function in the intestinal wall.
It leads to chronic bloating, pain, and vomiting.
- Nature: Functional blockage without physical obstruction.
- Caused by nerve or muscle damage in the intestinal wall.
- Chronicity: Symptoms persist over months to years.
Symptoms, Signs And Presentation
Patients experience symptoms resembling bowel obstruction.
Nutritional complications are common.
- Abdominal distension: Due to trapped gas and fluids.
- Nausea, vomiting, and constipation or diarrhea.
- Severe case: Leads to weight loss and malnutrition.
Diagnosis Methods And Investigations
Diagnosis requires excluding mechanical obstruction and assessing motility.
Imaging and manometry play key roles.
- Imaging: CT or X-ray shows dilated bowel loops without blockage.
- Manometry: Evaluates muscle contractions in intestines.
- Biopsy may reveal smooth muscle or nerve degeneration.
Treatment Options And Surgical Techniques
Management focuses on relieving symptoms and maintaining nutrition.
Surgery is avoided unless absolutely necessary.
- Diet modification: Low-fat, low-fiber, small frequent meals.
- Medications: Prokinetics and antibiotics to improve motility and reduce overgrowth.
- Feeding tubes or parenteral nutrition for severe cases.
Recovery, Risks And Prognosis
CIP is chronic and relapsing but manageable with supportive care.
Long-term follow-up ensures nutritional stability.
Why Choose Us
CureU Healthcare offers advanced diagnostic and nutritional management for rare intestinal motility disorders.
Our team tailors therapy to each patient’s needs.
Conclusion
While chronic, CIP can be controlled through careful monitoring and individualized treatment.
Early diagnosis prevents severe complications.
