Chronic Intestinal Pseudo-obstruction (CIPO)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who meet following 1-7 criteria (idiopathic CIPO) or 1-6 criteria (secondary CIPO) are eligible Diagnostic criteria of CIPO 1. Persistent or recurrent symptoms of bowel obstruction such as abdominal bloating, nausea, vomiting, and pain 2. Disease duration of more than 2 months for newborn onset and 6 months for onset after infancy 3. Dilatation of gastrointestinal tract and air-fluid level on radiological images 4. No evidence of structural diseases 5. No morphological abnormalities in the plexus on HE staining of intestinal full-thickness biopsy 6. Exclusion of megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) and segmental dilatation of intestine for pediatric patients 7. Exclusion of secondary CIPO
Exclusion criteria
Exclusion criteria: 1)Patients with current malignant diseases under treatment (patients with stable condition and not requiring active treatment are allowed) 2)Patients with severe psychiatric diseases (patients with stable condition are allowed)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of intravenous hyperalimentation (IVH) requirement | — |
Secondary
| Measure | Time frame |
|---|---|
| Ratio of idiopathic and secondary CIPO Underlying diseases in secondary CIPO Age of onset Cine-MRI findings Nutritional status (serum albumin level, body mass index) Effective rate of enteric sterilization Prognosis (Mortality rate) | — |
Countries
Japan
Contacts
Yokohama City University Hospital Division of Hepatology and Gastroenterology