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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, July 29, 2010
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, July 29, 2010
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Digestive Disorders |
Chronic intestinal pseudo obstructions10/21/2002 |
Developed peritonitis after bowel perforation in surgery(surgery done for problem not related to bowel in any way). Had peritonitis for approx 2 weeks before emergency surgery was done to remove abcess. Have had serious complications ever since. Have had entire large bowel removed due to bowel dysmotility. Now diagnosed with gerd & chronic intestinal pseudo obstructions of small bowel. Are you aware of any long term complications of peritonitis or any studies done concerning this? (i was told by one sugeon this is the cause but cant find any info on this)I had no previous bowel problems prior to the peritonitis.
The simple answer to your very complicated question is that I am not aware of any association between acute peritonitis and chronic intestinal pseudo-obstruction (CIP). I could not find any such information in any textbook or reference. I would be curious to know how the diagnosis of CIP was made. CIP is by nature a chronic disorder in which the small intestine is dilated and appears to be obstructed (blocked) but a blockage is not seen on any x-ray study. To confirm the diagnosis of CIP, extensive x-rays of the small bowel and even a surgical biopsy of the bowel wall are usually necessary. In the setting of recent abdominal surgeries, a more likely cause of a CIP-like illness is bowel adhesions. Adhesions are very difficult to diagnose without another operation. It would also be helpful to know if any disease process was found in your colon after it was removed.
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John D. Long, MD Assistant Professor of Clinical Medicine Division of Digestive Diseases Department of Internal Medicine College of Medicine University of Cincinnati |
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