The present study discusses current literature regarding the
relationship between gut microbiota, CIPO patients and intestinal motility,
suggesting that future studies could be important for better comprise the
causes of intestinal motility dysfunction in CIPO patients. Chronic intestinal
pseudo-obstruction (CIPO) is a rare clinical syndrome characterized by severe
impairment of gastrointestinal (GI) motility and its symptoms are suggestive of
partial or complete intestinal obstruction in absence of any lesion restricting
the intestinal lumen. Diagnosis and therapy of CIPO patients still represent a
significant challenge for clinicians, despite their efforts to improve
diagnostic workup and treatment strategies for this disease. Motility in the GI
tract is controlled by the enteric nervous system (ENS), CIPO patients could be
affected by alterations of the ENS. Furthermore, a recent pilot study has also
highlighted, for the first time, a specific intestinal mucosa associated
microbiota, and an altered expression of intestinal serotonin-related genes in
CIPO patients. The purpose of this review is to better understand what is
currently known about the relationship between CIPO patients and intestinal
microbiota, with a focus on the role of the enteric nervous system (ENS) and
the intestinal endocrine system (IES) in intestinal motility, underling the
importance of further studies to deeply understand the causes of gut motility
dysfunction in these patients.
Author(s) Details:
Giulia Radocchia,
Department of Public Health and Infection Disease, Microbiology
Section, Sapienza University of Rome, Italy.
Bruna Neroni,
Department
of Public Health and Infection Disease, Microbiology Section, Sapienza
University of Rome, Italy.
Massimiliano Marazzato,
Department of Public Health and Infection Disease, Microbiology
Section, Sapienza University of Rome, Italy.
Elena Capuzzo,
Department of Public Health and Infection Disease, Microbiology
Section, Sapienza University of Rome, Italy.
Simone Zuccari,
Department of Public Health and Infection Disease, Microbiology
Section, Sapienza University of Rome, Italy.
Fabrizio Pantanella,
Department
of Public Health and Infection Disease, Microbiology Section, Sapienza
University of Rome, Italy.
Letizia Zenzeri,
NESMOS Department, Paediatric Unit, Faculty of Medicine and
Psychology, Sapienza University of Rome, Sant’Andrea University Hospital, Rome,
Italy and Paediatric Emergency Department, Santobono-Pausilipon Children’s
Hospital, Naples, Italy.
Melania Evangelisti,
NESMOS Department, Paediatric Unit, Faculty of Medicine and
Psychology, Sapienza University of Rome, Sant’Andrea University Hospital, Rome,
Italy.
Francesca Vassallo,
NESMOS Department, Paediatric Unit, Faculty of Medicine and Psychology,
Sapienza University of Rome, Sant’Andrea University Hospital, Rome, Italy.
Pasquale Parisi,
NESMOS Department, Paediatric Unit, Faculty of Medicine and Psychology,
Sapienza University of Rome, Sant’Andrea University Hospital, Rome, Italy.
Giovanni Di Nardo,
NESMOS Department, Paediatric Unit, Faculty of Medicine and Psychology,
Sapienza University of Rome, Sant’Andrea University Hospital, Rome, Italy.
Serena Schippa,
Department of Public Health and Infection Disease, Microbiology Section,
Sapienza University of Rome, Italy.
Please see the link here: https://stm.bookpi.org/RPMAB-V2/article/view/14117
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