title: Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy: case report and literature review.
abstract: BACKGROUND
  Chronic idiopathic intestinal pseudo-obstruction is a very rare condition.
  
  
  METHODS
  This study describes a male patient who had presented obstructive symptoms for 24 years. He had been treated clinically and had undergone two previous operations in different services, with no clinical improvement or correct diagnosis. He was diagnosed with intestinal obstruction without mechanical factors in our service and underwent jejunostomy, which had a significant decompressive effect. The patient was able to gain weight and presented improvements in laboratory tests. Jejunostomy is a relatively simple surgical procedure that is considered palliative but, in this case, it was resolutive.
authors.affiliation: Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Carlos Renato Dos Reis
authors.initials: CR
authors.lastname: Lemos
authors.forename: Pedro
authors.initials: P
authors.lastname: Popoutchi
authors.forename: Rogério Serafim
authors.initials: RS
authors.lastname: Parra
authors.forename: Omar
authors.initials: O
authors.lastname: Féres
authors.forename: José Joaquim Ribeiro da
authors.initials: JJ
authors.lastname: Rocha
mesh_terms: D002908:Chronic Disease; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D007582:Jejunostomy; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013577:Syndrome