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Nonoperative Treatment of Meconium Ileus Equivalent
Jay Perman, MD;
Lawrence Breslow, MD;
David Ingall, MD
Am J Dis Child. 1975;129(10):1210-1211.
Abstract
• Intraluminal bowel obstruction secondary to inspissated feces is a known complication of cystic fibrosis. When seen in the older child, it is termed "meconium ileus equivalent." We studied a case in which nonsurgical resolution of the obstruction was obtained with N-acetylcysteine enemas and pancreatic replacement enzymes given orally and by enema. The pathogenesis of this disorder and the basis for the treatment are described. Recognition of this complication and familiarity with its medical management are important in caring for the older child with cystic fibrosis.
(Am J Dis Child 129:1210-1211, 1975)
Author Affiliations
From the Departments of Pediatrics, Evanston (Ill) Hospital and McGaw Medical Center of Northwestern University, Chicago.
Footnotes
Received for publication Nov 18, 1974; accepted Feb 17, 1975.
Reprint requests to Department of Pediatrics, Evanston Hospital, 2650 Ridge Ave, Evanston, IL 60201 (Dr Ingall).
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