An international survey on clinicians' perspectives on the diagnosis and management of chronic intestinal pseudo-obstruction and enteric dysmotility.

Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society
Dipesh H VasantSimon Lal

Abstract

Chronic intestinal pseudo-obstruction (CIPO) and enteric dysmotility (ED) are small intestinal motility disorders defined by radiological and manometric criteria. In the absence of consensus guidelines, we surveyed opinions on the diagnosis and management of CIPO and ED among experts from different countries. A survey questionnaire was circulated electronically to members of the European society for Clinical Nutrition and Metabolism, European Society of Neurogastroenterology and Motility, and United European Gastroenterology. Only responses from participants completing all required components were included. Of 154 participants, 93% agreed that CIPO and ED should be classified separately. Overall, 73% reported an increasing incidence of CIPO and ED, with hypermobile Ehlers-Danlos Syndrome the group with the largest increase in referrals (37%), particularly in the UK (P < .0001). The majority (95%) find diagnosing CIPO and ED difficult. Notably, antroduodenal manometry, a test mandated to diagnose ED, is infrequently used (only 21% respondents use in >50% cases) and full thickness biopsies were reported to seldom influence medical treatment, nutritional management, and prognosis. Respondents reported that very few treatments are ...Continue Reading

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Citations

Dec 22, 2020·World Journal of Clinical Cases·Chang-Zhen ZhuYuan-Xin Li
May 20, 2021·Clinical and Experimental Gastroenterology·Dipesh H Vasant, Simon Lal
Jun 28, 2021·Current Opinion in Clinical Nutrition and Metabolic Care·Thomas Edward Conley, Simon Lal
Aug 26, 2021·Curēus·Xuanzhen PiaoFarah Zahra

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