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Gut 2005;54:729-730 doi:10.1136/gut.2004.058826
  • Letter

Coexistent chronic idiopathic intestinal pseudo obstruction and inflammatory bowel disease

  1. B Ohlsson1,
  2. F-T Fork2,
  3. B Veress3,
  4. E Toth4
  1. 1Department of Medicine, Malmö University Hospital, University of Lund, Sweden
  2. 2Department of Diagnostic Radiology, Malmö University Hospital, University of Lund, Sweden
  3. 3Department of Pathology, Malmö University Hospital, University of Lund, Sweden
  4. 4Department of Medicine, Malmö University Hospital, University of Lund, Sweden
  1. Correspondence to:
    Dr B Ohlsson
    Department of Medicine, Entrance 35, 205 02 Malmö, Sweden; bodil.ohlssonkir.lu.se

    Chronic idiopathic intestinal pseudo obstruction (CIIP) is a severe condition presenting with abdominal pain and dysmotility. Inflammatory or degenerative changes of the autonomic nervous system or of the muscles of the bowel have been observed in CIIP.1,2 As patients with inflammatory bowel disease (IBD) may show clinical3,4 and histological5 signs of autonomic neuropathy and dysmotility,6,7 the aim of this study was to examine whether there is an association between CIIP and IBD.

    Six patients at our hospital presenting with signs and symptoms of intestinal dysmotility were diagnosed with CIIP based on clinical features, antroduodenojejunal manometry, and full thickness biopsies (table 1).8,9 Patient No 1 had an acute erosive colitis some years previously with bloody diarrhoea and an enhanced sedimentation rate, which was treated with steroids, …

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