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Folia Neuropathologica
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Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
4/2024
vol. 62
 
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abstract:
Case report

Enteric neuropathy – when a surgeon is not immediately needed

Dorota Dziewulska
1
,
Anna Potulska-Chromik
1
,
Piotr Szczudlik
1

  1. Medical University of Warsaw, Warsaw, Poland
Folia Neuropathol 2024; 62 (4): 451-455
DOI: https://doi.org/10.5114/fn.2024.134027
Online publish date: 2024/12/31
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Peripheral neuropathies with involvement of the autonomic nervous system are a recognized cause of gastrointestinal dysmotility. We describe a patient with chronic intestinal pseudo-obstruction (CIPO) in the course of chronic inflammatory demyelinating neuropathy and a complicated diagnostic procedure. Diagnostics and therapy of CIPO continue to pose a significant challenge for clinicians. The disease should be considered in patients presenting with clinical features of intestinal obstruction without radiological evidence of a mechanical obstacle. In these patients, the diagnosis is usually confirmed by histological examination of a full-thickness intestinal biopsy. However, the high rate of misdiagnosis means that CIPO patients may not be treated properly and may undergo unnecessary abdominal surgery.
keywords:

intestinal motility, enteric neuropathy, autonomic neuropathy, chronic intestinal pseudo-obstruction
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