{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T16:46:36Z","timestamp":1765644396694,"version":"3.48.0"},"reference-count":22,"publisher":"BMJ","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1984,9]]},"abstract":"<jats:p>A 22 year old woman presenting with recurrent intestinal pseudo-obstruction is reported. Jejunal biopsy showed subtotal villous atrophy which improved markedly during a period of total parenteral nutrition and with steroid treatment. It did not relapse on a gluten free diet. The reasons why this patient represents a case of coeliac disease with secondary pseudo-obstruction, rather than primary intestinal pseudo-obstruction with secondary bacterial overgrowth, is discussed.<\/jats:p>","DOI":"10.1136\/gut.25.9.1003","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"1003-1008","source":"Crossref","is-referenced-by-count":25,"title":["Coeliac disease presenting with intestinal pseudo-obstruction."],"prefix":"10.1136","volume":"25","author":[{"given":"D J","family":"Dawson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C M","family":"Sciberras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Whitwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1984,9,1]]},"reference":[{"key":"ref_1","first-page":"206","article-title":"Intestinal pseudo-obstruction","volume":"3","author":"HA, I.Dudley; IS, Sinclair; IF, Mclaren","year":"1958","unstructured":"I Dudley HA, Sinclair IS, Mclaren IF et al. Intestinal pseudo-obstruction. J R Coll Surg Edinb 1958; 3: 206-17.","journal-title":"J R Coll Surg Edinb"},{"key":"ref_2","first-page":"92231","article-title":"Chronic intestinal pseudo-obstruction","volume":"74","author":"Faulk, D.L.; Christensen, Anuras S.; J.","year":"1978","unstructured":"Faulk DL, Anuras S. Christensen J. Chronic intestinal pseudo-obstruction. Gastroenterology 1978; 74: 92231.","journal-title":"Gastroenterology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1056\/NEJM194302112280602","article-title":"The diagnosis of sprue in non-tropical areas","volume":"228","author":"Ingelfinger, F.J.","year":"1963","unstructured":"Ingelfinger FJ. The diagnosis of sprue in non-tropical areas. N Engl J Med 1963; 228: 180-4.","journal-title":"N Engl J Med"},{"issue":"1","key":"ref_4","first-page":"62","article-title":"Intestinal pseudoobstruction with steatorrhoea","volume":"1960","author":"Naish, J.M.; Capper, W.M.; Brown, N.J.","unstructured":"Naish JM, Capper WM, Brown NJ. Intestinal pseudoobstruction with steatorrhoea. Gut 1960; 1: 62-6.","journal-title":"Gut"},{"issue":"3","key":"ref_5","first-page":"142","article-title":"Idiopathic steatorrhoea with intestinal pseudo-obstruction","volume":"1962","author":"McClelland, H.A.; Lewis, M.J.; Naish, J.M.","unstructured":"McClelland HA, Lewis MJ, Naish JM. Idiopathic steatorrhoea with intestinal pseudo-obstruction. Gut 1962; 3: 142-5.","journal-title":"Gut"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/S0016-5085(19)33206-8","article-title":"Pathogenesis of steatorrhoea in three cases of small intestinal stasis syndrome","volume":"63","author":"Ament, M.E.; Shimoda, S.S.; Sanders, D.R.; Rubin, C.E.","year":"1972","unstructured":"Ament ME, Shimoda SS, Sanders DR, Rubin CE. Pathogenesis of steatorrhoea in three cases of small intestinal stasis syndrome. Gastroenterology 1972; 63: 728-47.","journal-title":"Gastroenterology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1007\/BF01079792","article-title":"Small intestinal mucosa in pseudo-obstruction syndromes","volume":"23","author":"Schuffler, M.D.; Kaplan, L.R.; Johnson, L.","year":"1978","unstructured":"Schuffler MD, Kaplan LR, Johnson L. Small intestinal mucosa in pseudo-obstruction syndromes. Am J Dig Dis 1978; 23: 821-8.","journal-title":"Am J Dig Dis"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1093\/ajcn\/30.1.76","article-title":"Bypass enteropathy: an inflammatory process in the excluded segment with systemic complications","volume":"30","author":"Drenick, E.J.; Ament, M.E.; Finegold, S.M.","year":"1977","unstructured":"Drenick EJ, Ament ME, Finegold SM et al. Bypass enteropathy: an inflammatory process in the excluded segment with systemic complications. Am J Clin Nutr 1977; 30: 76-89.","journal-title":"Am J Clin Nutr"},{"key":"ref_9","first-page":"327","article-title":"Studies of idiopathic intestinal pseudo-obstruction. I. Hereditary hollow visceral myopathy: clinical and pathological studies","volume":"73","author":"Schuffler, M.D.; Lowe, M.C.; Bill, A.H.","year":"1977","unstructured":"Schuffler MD, Lowe MC, Bill AH. Studies of idiopathic intestinal pseudo-obstruction. I. Hereditary hollow visceral myopathy: clinical and pathological studies. Gastroenterology 1977; 73: 327-38.","journal-title":"Gastroenterology"},{"issue":"1","key":"ref_10","first-page":"686","article-title":"Obstruction of bowel due to lesion in the myenteric plexus","volume":"1969","author":"Dyer, N.H.; Dawson, A.M.; Smith, B.F.","unstructured":"Dyer NH, Dawson AM, Smith BF et al. Obstruction of bowel due to lesion in the myenteric plexus. Br Med J 1969; 1: 686-9.","journal-title":"Br Med J"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1136\/bmj.3.5725.725","article-title":"The enterocyte in coeliac disease","volume":"3","author":"Booth, C.C.","year":"1970","unstructured":"Booth CC. The enterocyte in coeliac disease. Br Med J 1970; 3: 725-31.","journal-title":"Br Med J"},{"key":"ref_12","first-page":"665","article-title":"Read AE. Coeliac disease and malignancy","volume":"42","author":"Barry, R.E.","year":"1973","unstructured":"Barry RE, Read AE. Coeliac disease and malignancy. Q J Med 1973; 42: 665-75.","journal-title":"Q J Med"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1136\/gut.14.4.311","article-title":"Antireticulin antibody: incidence and diagnostic significance","volume":"14","author":"Seah, P.P.; Fry, L.; Holborow, E.J.","year":"1973","unstructured":"Seah PP, Fry L, Holborow EJ et al. Antireticulin antibody: incidence and diagnostic significance. Gut 1973; 14: 311-5.","journal-title":"Gut"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1136\/gut.16.8.598","article-title":"Reticulin antibodies in patients with coeliac disease and their relatives","volume":"16","author":"Stevens, F.M.; Lloyd, R.; Egon-Mitchell, B.","year":"1975","unstructured":"Stevens FM, Lloyd R, Egon-Mitchell B et al. Reticulin antibodies in patients with coeliac disease and their relatives. Gut 1975; 16: 598-602.","journal-title":"Gut"},{"key":"ref_15","first-page":"162","article-title":"Histocompatibility antigens associated with adult coeliac disease","volume":"2","author":"Stokes, P.L.; Asquith, P.; Holmes, G.K.T.; Mackintosh, P.; Cooke, W.T.","year":"1972","unstructured":"Stokes PL, Asquith P, Holmes GKT, Mackintosh P, Cooke WT. Histocompatibility antigens associated with adult coeliac disease. Lancet 1972; 2: 162-4.","journal-title":"Lancet"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF02235075","article-title":"Intestinal disaccharidase deficiencies in gluten sensitive enteropathy","volume":"10","author":"Lifshitz, F.; Klotz, A.P.; Holman, G.H.","year":"1965","unstructured":"Lifshitz F, Klotz AP, Holman GH. Intestinal disaccharidase deficiencies in gluten sensitive enteropathy. Am J Dig Dis 1965; 10: 47-57.","journal-title":"Am J Dig Dis"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/S0016-5085(19)34671-2","article-title":"Studies of coeliac sprue. IV. The response of the whole length of the small bowel to a gluten-free diet","volume":"47","author":"MacDonald, W.C.; Brandborg, L.L.; Flick, A.L.; Trier, J.S.; Rubin, C.E.","year":"1964","unstructured":"MacDonald WC, Brandborg LL, Flick AL, Trier JS, Rubin CE. Studies of coeliac sprue. IV. The response of the whole length of the small bowel to a gluten-free diet. Gastroenterology 1964; 47: 573-89.","journal-title":"Gastroenterology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1056\/NEJM197611182952109","article-title":"Elevated prostaglandin E in idiopathic intestinal pseudoobstruction","volume":"295","author":"Luderer, JR, Demers; LM, Bonnem; E.M.","year":"1976","unstructured":"Luderer JR, Demers LM, Bonnem EM et al. Elevated prostaglandin E in idiopathic intestinal pseudoobstruction. N Engl J Med 1976; 295: 1179.","journal-title":"N Engl J Med"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/BF01072287","article-title":"Pseudo-obstruction of the bowel, therapeutic trial of metoclopramide","volume":"22","author":"Lipton, A.B.; Knauer, C.M.","year":"1977","unstructured":"Lipton AB, Knauer CM. Pseudo-obstruction of the bowel, therapeutic trial of metoclopramide. Am J Dig Dis 1977; 22: 263-5.","journal-title":"Am J Dig Dis"},{"key":"ref_20","first-page":"\"287","article-title":"Water and solute movement in the small intestine of patients with sprue","volume":"46","author":"Fordtran, J.S.; Rector, F.C.; Locklear, T.W.; Ewton, M.F.","year":"1967","unstructured":"Fordtran JS, Rector FC, Locklear TW, Ewton MF. Water and solute movement in the small intestine of patients with sprue. J Clin Invest 1967; 46: 287-98. *21 Wickbom MD, Landor JH, Bushkin FL, McGuigan JE. Changes in canine gastric acid output and serum gastrin levels following massive small intestinal resection. Gastroenterology 1975; 69: 448-52.","journal-title":"J Clin Invest; Changes in canine gastric acid output and serum gastrin levels following massive small intestinal resection"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/S0016-5085(77)80251-5","article-title":"Effect of small bowel resection on the gastric mucosa in the rat","volume":"72","author":"LL, Jr, Seelig; WB, Winborn; E, Weser","year":"1977","unstructured":"Seelig LL Jr, Winborn WB, Weser E. Effect of small bowel resection on the gastric mucosa in the rat. Gastroenterologv 1977; 72: 421-8.","journal-title":"Gastroenterologv"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/0016-5085(79)90026-X","article-title":"Short bowel syndrome","volume":"77","author":"Weser, E.; Fletcher, J.T.; Urban, E.","year":"1979","unstructured":"Weser E, Fletcher JT, Urban E. Short bowel syndrome. Gastroenterology 1979; 77: 572-9.","journal-title":"Gastroenterology"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.25.9.1003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T16:44:29Z","timestamp":1765644269000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.25.9.1003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,9]]},"references-count":22,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1984,9,1]]},"published-print":{"date-parts":[[1984,9]]}},"alternative-id":["10.1136\/gut.25.9.1003"],"URL":"https:\/\/doi.org\/10.1136\/gut.25.9.1003","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1984,9]]}}}