Rare Medical News

Advertisement

Spotlight On

Chronic intestinal pseudo-obstruction

Chronic intestinal pseudo-obstruction (CIPO) is a rare disease characterized by repetitive episodes or continuous symptoms of bowel obstruction when no blockage exists

Prevalence

Exact prevalence unknown

N/A

US Estimated

N/A

Europe Estimated

Age of Onset

All ages

ageofonset all https://raremedicalnews.com/wp-content/uploads/2025/08/Depositphotos_225434792_XL-scaled.jpg

ICD-10

K59.8

Inheritance Pattern

Autosomal dominant

rnn autosomaldominant https://raremedicalnews.com/wp-content/uploads/2025/08/Depositphotos_225434792_XL-scaled.jpg

Autosomal recessive

autosomalrecessive https://raremedicalnews.com/wp-content/uploads/2025/08/Depositphotos_225434792_XL-scaled.jpg

X-linked recessive

rnn https://raremedicalnews.com/wp-content/uploads/2025/08/Depositphotos_225434792_XL-scaled.jpg

5 Facts you should know

FACT

1

CIPO is characterized by recurrent symptoms of bowel obstruction without a mechanical blockage, caused by impaired enteric nerve or smooth muscle function

FACT

2

Can be primary (idiopathic or genetic) or secondary to systemic diseases such as mitochondrial disorders, connective tissue diseases, or neurologic conditions

FACT

3

Clinical manifestations include abdominal pain, distension, nausea, vomiting, constipation, malnutrition, and failure to thrive, with onset possible at any age, from infancy to adulthood

FACT

4

Diagnosis relies on a combination of clinical history, radiographic and motility studies, and exclusion of mechanical obstruction, with full-thickness intestinal biopsy sometimes required to assess neuromuscular abnormalities

FACT

5

Management is supportive and multidisciplinary, focusing on nutritional support (enteral or parenteral nutrition), prokinetic agents, infection control, and in severe cases, intestinal transplantation

Chronic Intestinal Pseudo-Obstruction is also known as...

Chronic Intestinal Pseudo-Obstruction is also known as:

  • CIPO
  • Intestinal pseudo-obstruction

  • Chronic idiopathic intestinal pseudo-obstruction (CIIPO)

What’s your Rare IQ?

Which feature best characterizes Chronic Intestinal Pseudo-Obstruction?

Common signs & symptoms

Abnormal nervous system morphology

Intestinal malrotation

Pyloric stenosis

Constipation alternating with diarrhea

Malnutrition and growth failure

Current treatments

Nutritional support

enteral feeds, parenteral nutrition when needed

Prokinetic agents

(e.g., erythromycin, metoclopramide) with limited benefit

Antibiotics for bacterial overgrowth

Pain management and symptomatic relief

Intestinal transplantation in severe, refractory cases