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- mitochondrial neurogastrointestinal encephalomyopathy
- motility disorders
- nuclear magnetic resonance
- thymidine phosphorylase
A 23-year-old male was referred to our tertiary intestinal failure unit for evaluation and nutritional support. He had presented to a neighbouring hospital with a 2 year history of episodic vomiting, abdominal pain and progressive weight loss. Evaluation at that hospital had suggested an annular pancreas causing duodenal narrowing, and he underwent a surgical resection and gastrojejunostomy. Symptoms persisted for >3 months postsurgery and a working diagnosis of severe gastrointestinal dysmotility was made following further endoscopic and radiological investigation (figure 1). Following further nutritional decline, parenteral nutrition was commenced and he was referred to our hospital for …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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