The management of adult patients with severe chronic small intestinal dysmotility.

Published on Aug 21, 2020in Gut19.819
· DOI :10.1136/GUTJNL-2020-321631
J.M.D. Nightingale21
Estimated H-index: 21
Peter Paine15
Estimated H-index: 15
(University of Salford)
+ 3 AuthorsSimon Lal33
Estimated H-index: 33
(University of Salford)
Adult patients with severe chronic small intestinal dysmotility are not uncommon and can be difficult to manage. This guideline gives an outline of how to make the diagnosis. It discusses factors which contribute to or cause a picture of severe chronic intestinal dysmotility (eg, obstruction, functional gastrointestinal disorders, drugs, psychosocial issues and malnutrition). It gives management guidelines for patients with an enteric myopathy or neuropathy including the use of enteral and parenteral nutrition.
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We read with interest the guidelines on the management of adult patients with severe chronic small intestinal dysmotility by Nightingale et al .1 Enteric myopathies can indeed manifest as jejunal diverticulosis, either acquired or congenital.2 Besides asymptomatic or acute complicated cases, chronic malabsorption due to bacterial overgrowth is a possible presentation of jejunal diverticulosis.3 As stated in the guidelines, this mechanism may lead to malnutrition or even intestinal failure.1 Alth...