Proximal Intestinal Obstruction Syndrome (PIOS) in a Patient With Cystic Fibrosis: A New Syndrome

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-10-19

Study Completion Date

2020-10-21

Brief Summary

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A case of a patient with cystic fibrosis with bowel obstruction due to a proximal intestinal obstruction syndrome (PIOS) is presented.This syndrome can be diagnosed with the DIOS definition, with the only distinction of a more proximal location in the gastrointestinal tract, such as the stomach, the duodenum, or the jejunum.

Detailed Description

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Distal Intestinal Obstruction Syndrome is a rare complication in cystic fibrosis patients characterized by the accumulation of viscid fecal material, combined with sticky mucous secretions located in the distal ileum, adhered to the intestinal wall. Only few cases have been reported in the literature.

Conditions

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Cystic Fibrosis Bowel Obstruction Distal Intestinal Obstruction Syndrome

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Interventions

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Diagnostic laparoscopy

A diagnostic laparoscopy was performed where a dilated jejunum was encountered with impaction of fecal content. Surgery was converted to open surgery, where a longitudinal enterotomy of 5 cm after the transition zone was created, evacuating manually the fecal material with mucous secretion.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult \>18 years
* Cystic fibrosis
* Bowel obstruction

Exclusion Criteria

* Pediatric patient \<18 years
* Unknown cause of bowel obstruction

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Responsible Party

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Responsibility Role SPONSOR

Locations

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Escuela Nacional de Medicina, Tecnologico de Monterrey

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

Other Identifiers

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I1568Z

Identifier Type: -

Identifier Source: org_study_id