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Hypoperistalsis

MedGen UID:
451002
Concept ID:
C0232475
Finding
Synonyms: Decreased peristalsis; Intestinal hypoperistalsis
SNOMED CT: Decreased peristalsis (77853002); Hypoperistalsis (77853002)
 
HPO: HP:0100771

Definition

Reduced or inadequate peristalsis, with resultant slow passage of contents through the digestive tract. [from HPO]

Conditions with this feature

Mungan syndrome
MedGen UID:
369554
Concept ID:
C1969653
Disease or Syndrome
Mungan syndrome (MGS) is characterized by chronic intestinal pseudoobstruction (CIPO), megaduodenum, long-segment Barrett esophagus, and cardiac abnormalities of variable severity (summary by Bonora et al., 2015).
Multisystemic smooth muscle dysfunction syndrome
MedGen UID:
462551
Concept ID:
C3151201
Disease or Syndrome
Smooth muscle dysfunction syndrome (SMDYS) presents with a recognizable pattern of complications, including congenital mydriasis, patent ductus arteriosus (PDA), pulmonary artery hypertension, aortic and other arterial aneurysms, moyamoya-like cerebrovascular disease, intestinal hypoperistalsis and malrotation, and hypotonic bladder. It is caused by heterozygous mutations of the ACTA2 gene altering the arginine-179 codon (summary by Regalado et al., 2018).
Megacystis-microcolon-intestinal hypoperistalsis syndrome 4
MedGen UID:
1783600
Concept ID:
C5543519
Disease or Syndrome
Megacystis-microcolon-intestinal hypoperistalsis syndrome-4 (MMIHS4) is a severe early-onset disorder characterized by impaired smooth muscle contractility in the bladder and intestines (Kandler et al., 2020). For a discussion of genetic heterogeneity of MMIHS, see 249210.

Professional guidelines

PubMed

Friedmacher F, Puri P
Pediatr Surg Int 2013 Sep;29(9):855-72. doi: 10.1007/s00383-013-3351-3. PMID: 23943250
Osborne NG, Bonilla-Musoles F, Machado LE, Raga F, Bonilla F Jr, Ruiz F, Pérez Guardia CM, Ahluwalia B
J Ultrasound Med 2011 Jun;30(6):833-41. doi: 10.7863/jum.2011.30.6.833. PMID: 21632999
Langer JC, Khanna J, Caco C, Dykes EH, Nicolaides KH
Obstet Gynecol 1993 Jan;81(1):53-6. PMID: 8416461

Recent clinical studies

Etiology

Alcalá-González LG, Accarino A, Martí R, Sánchez-Tejerina D, Llauradó A, Azpiroz F, Malagelada C
Neurogastroenterol Motil 2023 Oct;35(10):e14643. Epub 2023 Jul 13 doi: 10.1111/nmo.14643. PMID: 37448106
Gamboa HE, Sood M
Curr Gastroenterol Rep 2019 Dec 17;21(12):70. doi: 10.1007/s11894-019-0737-y. PMID: 31848803
Taghavi K, Sharpe C, Stringer MD
J Pediatr Urol 2017 Feb;13(1):7-15. Epub 2016 Oct 8 doi: 10.1016/j.jpurol.2016.09.003. PMID: 27889224
Friedmacher F, Puri P
Pediatr Surg Int 2013 Sep;29(9):855-72. doi: 10.1007/s00383-013-3351-3. PMID: 23943250
Franken EA Jr, Smith WL, Frey EE, Sato Y, Anuras S
Crit Rev Diagn Imaging 1987;27(3):203-36. PMID: 2959451

Diagnosis

Chen CP
Taiwan J Obstet Gynecol 2024 Jan;63(1):19-21. doi: 10.1016/j.tjog.2023.11.007. PMID: 38216263
Hashmi SK, Ceron RH, Heuckeroth RO
Am J Physiol Gastrointest Liver Physiol 2021 Jun 1;320(6):G919-G935. Epub 2021 Mar 17 doi: 10.1152/ajpgi.00066.2021. PMID: 33729000Free PMC Article
Mc Laughlin D, Puri P
Pediatr Surg Int 2013 Sep;29(9):947-51. doi: 10.1007/s00383-013-3357-x. PMID: 23955298
Friedmacher F, Puri P
Pediatr Surg Int 2013 Sep;29(9):855-72. doi: 10.1007/s00383-013-3351-3. PMID: 23943250
Ballisty MM, Braithwaite KA, Shehata BM, Dickson PN
Pediatr Radiol 2013 Apr;43(4):454-9. Epub 2012 Aug 29 doi: 10.1007/s00247-012-2479-y. PMID: 22926452

Therapy

Goldberg MB, Abbas AE, Smith MS, Parkman HP, Schey R, Dempsey DT
Innovations (Phila) 2016 Nov/Dec;11(6):396-399. doi: 10.1097/IMI.0000000000000318. PMID: 27922988
Okada M, Sato M, Ogura M, Kamei K, Matsuoka K, Ito S
BMC Res Notes 2016 Mar 31;9:196. doi: 10.1186/s13104-016-1997-3. PMID: 27036403Free PMC Article
Kiyokawa T, Hiki N, Nunobe S, Honda M, Ohashi M, Sano T, Yamaguchi T
Ann Surg Oncol 2015 Nov;22(12):3962-9. Epub 2015 Mar 25 doi: 10.1245/s10434-015-4489-0. PMID: 25805234
Kubota A, Shiraishi J, Kawahara H, Okuyama H, Yoneda A, Nakai H, Nara K, Kitajima H, Fujimura M, Kuwae Y, Nakayama M
Pediatr Int 2011 Dec;53(6):887-91. doi: 10.1111/j.1442-200X.2011.03381.x. PMID: 21486380
Annerén G, Meurling S, Olsen L
Am J Med Genet 1991 Nov 1;41(2):251-4. doi: 10.1002/ajmg.1320410224. PMID: 1785644

Prognosis

Yoshimaru K, Matsuura T, Uchida Y, Sonoda S, Maeda S, Kajihara K, Kawano Y, Shirai T, Toriigahara Y, Kalim AS, Zhang XY, Takahashi Y, Kawakubo N, Nagata K, Yamaza H, Yamaza T, Taguchi T, Tajiri T
Surg Today 2024 Sep;54(9):977-994. Epub 2023 Sep 5 doi: 10.1007/s00595-023-02741-6. PMID: 37668735
Wymer KM, Anderson BB, Wilkens AA, Gundeti MS
J Pediatr Surg 2016 Sep;51(9):1565-73. Epub 2016 Jun 26 doi: 10.1016/j.jpedsurg.2016.06.011. PMID: 27421821
López-Muñoz E, Hernández-Zarco A, Polanco-Ortiz A, Villa-Morales J, Mateos-Sánchez L
J Pediatr Urol 2013 Feb;9(1):e12-8. Epub 2012 Jun 30 doi: 10.1016/j.jpurol.2012.05.017. PMID: 22749573
Gosemann JH, Puri P
Pediatr Surg Int 2011 Oct;27(10):1041-6. doi: 10.1007/s00383-011-2954-9. PMID: 21792650
Kupferman JC, Stewart CL, Schapfel DM, Kaskel FJ, Fine RN
Pediatr Nephrol 1995 Oct;9(5):626-7. doi: 10.1007/BF00860960. PMID: 8580028

Clinical prediction guides

Alcalá-González LG, Accarino A, Martí R, Sánchez-Tejerina D, Llauradó A, Azpiroz F, Malagelada C
Neurogastroenterol Motil 2023 Oct;35(10):e14643. Epub 2023 Jul 13 doi: 10.1111/nmo.14643. PMID: 37448106
Sandy NS, Huysentruyt K, Mulder DJ, Warner N, Chong K, Morel C, AlQahtani S, Wales PW, Martin MG, Muise AM, Avitzur Y
J Pediatr Gastroenterol Nutr 2022 May 1;74(5):575-581. doi: 10.1097/MPG.0000000000003400. PMID: 35149643Free PMC Article
Hashmi SK, Ceron RH, Heuckeroth RO
Am J Physiol Gastrointest Liver Physiol 2021 Jun 1;320(6):G919-G935. Epub 2021 Mar 17 doi: 10.1152/ajpgi.00066.2021. PMID: 33729000Free PMC Article
Moreno CA, Metze K, Lomazi EA, Bertola DR, Barbosa RH, Cosentino V, Sobreira N, Cavalcanti DP
Am J Med Genet A 2016 Nov;170(11):2965-2974. Epub 2016 Aug 2 doi: 10.1002/ajmg.a.37857. PMID: 27481187Free PMC Article
Garber A, Shohat M, Sarti D
Prenat Diagn 1990 Jun;10(6):377-87. doi: 10.1002/pd.1970100605. PMID: 2217079

Recent systematic reviews

Sandy NS, Huysentruyt K, Mulder DJ, Warner N, Chong K, Morel C, AlQahtani S, Wales PW, Martin MG, Muise AM, Avitzur Y
J Pediatr Gastroenterol Nutr 2022 May 1;74(5):575-581. doi: 10.1097/MPG.0000000000003400. PMID: 35149643Free PMC Article
Taghavi K, Sharpe C, Stringer MD
J Pediatr Urol 2017 Feb;13(1):7-15. Epub 2016 Oct 8 doi: 10.1016/j.jpurol.2016.09.003. PMID: 27889224
Wymer KM, Anderson BB, Wilkens AA, Gundeti MS
J Pediatr Surg 2016 Sep;51(9):1565-73. Epub 2016 Jun 26 doi: 10.1016/j.jpedsurg.2016.06.011. PMID: 27421821
Mc Laughlin D, Puri P
Pediatr Surg Int 2013 Sep;29(9):947-51. doi: 10.1007/s00383-013-3357-x. PMID: 23955298
Gosemann JH, Puri P
Pediatr Surg Int 2011 Oct;27(10):1041-6. doi: 10.1007/s00383-011-2954-9. PMID: 21792650

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