Abstract
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.
Keywords:
nutrition support; small intestinal motility.
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Publication types
-
Practice Guideline
-
Systematic Review
MeSH terms
-
Analgesics, Opioid / adverse effects
-
Anorexia Nervosa / physiopathology
-
Diagnosis, Differential
-
Diagnostic Techniques, Digestive System
-
Diet
-
Ehlers-Danlos Syndrome / physiopathology
-
Enterostomy
-
Gastrointestinal Motility / physiology*
-
Humans
-
Intestinal Obstruction / diagnosis
-
Intestinal Obstruction / physiopathology*
-
Intestinal Obstruction / therapy*
-
Intestine, Small / physiopathology*
-
Intestine, Small / surgery
-
Malabsorption Syndromes / physiopathology
-
Malnutrition / physiopathology
-
Malnutrition / therapy
-
Manometry
-
Muscular Diseases / physiopathology
-
Parenteral Nutrition
-
Peripheral Nervous System Diseases / physiopathology
-
Psychophysiologic Disorders / physiopathology