The British Society of Gastroenterology has published a new guideline, The management of adult patients with severe chronic small intestinal dysmotility.
Severe chronic small intestinal dysmotility in adults is not uncommon; however, management of the condition, which has physical, emotional, psychological, social consequences, is often challenging. In addition to causing malnutrition, the condition can manifest in other areas of the body such as the urinary tract, resulting in a poor quality of life.
The new guidance explains how to diagnose severe chronic small intestinal dysmotility, discusses factors that contribute to or cause the condition (for example, obstruction, functional gastrointestinal disorders, drugs, psychosocial issues, and malnutrition), and provides management guidelines for patients with an enteric myopathy or neuropathy, including those receiving enteral and parenteral nutrition.
The guideline stresses the importance of tailoring treatment to the individual and making treatment decisions in conjunction with the patient.