Table 1.
PI data.
| Patient | Age, sex | Primary diagnosis | Time to PI after Tx | Time to PI after GJ tube | Immunosuppression | Symptoms | PI distribution | Pneumoperitoneum | Mesenteric gas | Portal venous gas | Lactic acid | Amylase | Bicarbonate | Follow-up imaging | Management |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 58, M | Sarcoidosis | 23 | 11 | P+T+MMF | Abdominal pain, diarrhea | C/A | Y | Y | N | 23.5 | 45 | 28 | XR × 4 | NPO × 2 days O2 at 15 L Vancomycin, Zosyn, Micafungin |
| 2 | 43, M | IPF | 47 | 43 | P+T+MMF | None | C/A/T/D | N | N | N | 1.9 | 23 | XR × 3 CT × 1 |
NPO × 4 days O2 at 15 L Flagyl, Merrem |
|
| 3 | 71, F | IPF | 53 | 3 | P+T+MMF | N/V/D × 2 days | C/A/T | N | N | N | 1.4 | 29 | XR × 9 | NPO × 3 days O2 at 15 L Flagyl |
|
| 4 | 66, F | Sarcoidosis | 36 | 4 | P+T+MMF+IVIG | N/V × 3 days | A/T | Y | N | N | 1.6 | 31 | 23 | None | OR for ex lap O2 at 15 L (negative) NPO × 1 day |
| 5 | 67, F | IPF | 517 | 519 | P+T+MMF | Diarrhea | A | Y | N | N | 0.7 | 17 | 25 | XR × 3 | Flagyl × 14 d O2 at 15 L CLD × 1 day |
| 6 | 66, F | IPF | 147 | P+T+MMF | Pain × 4 weeks N/V × 4 months |
C/A | N | N | N | 1.1 | 23 | XR × 6 | O2 at 15 L NPO × 2 days | ||
| 7 | 64, M | IPF | 8 | 10 | P+T+MMF | Diarrhea | C/A | N | Y | Y | 29 | XR × 1 | NPO × 1 day O2 at 15 L |
||
| 8 | 59, M | Scleroderma ILD | 5 | P+T+MMF | None | C | Y | Y | N | 37 | XR × 2 | OR surgery—cecal ischemia and perforation and closed loop large bowel obstruction | |||
| 9 | 69, F | Scleroderma ILD | 41 | 45 | P+T+MMF | Bloating × 3 weeks | C/A/T | Y | Y | N | 2.2 | 90 | 23 | XR × 1 | Flagyl O2 at 15 L NPO × 1 day |
| 10 | 37, F | Scleroderma ILD | 28 | 38 | P+T+MMF | None | C/A/T/D | Y | Y | N | 0.9 | 24 | XR × 3 | O2 at 15 L NPO × 1 d | |
| 11 | 79, M | IPF | 375 | P+T+MMF | None | C/A | Y | N | N | 2 | 39 | 23 | CT × 2 XR × 1 |
O2 at 15 L NPO × 1 d | |
| 12 | 54, F | IPF | 28 | 37 | P+T+MMF | None | C/A/T/D | Y | Y | N | 1.6 | 26 | XR × 1 | Flagyl O2 at 15 L Switched TF to Vivonex | |
| 13 | 71, M | IPF | 209 | 10 | P+T+MMF | N/V/D × 10 d | C | N | N | Y | 1.6 | 28 | XR × 5 | NPO × 1 d Flagyl O2 at 15 L |
|
| 14 | 61, F | Scleroderma ILD | 47 | 53 | P+T+MMF | None | C/A/T | Y | Y | N | 2.6 | 24 | XR × 3 | NPO × 1 d O2 at 15 L Zosyn |
|
| 15 | 73, M | CPFE | 37 | 45 | P+T+MMF | Diarrhea | C/A/T | Y | Y | N | 3.3 | 74 | 28 | CT × 2 XR × 4 |
NPO × 3 days O2 at 15 L Flagyl/Vancomycin (C. diff) |
| 16 | 61, M | IPF | 63 | 21 | P+T+MMF | Diarrhea | C/A/T/D | Y | Y | N | 1.8 | 38 | 25 | XR × 4 | Switch TF to elemental Flagyl, Florastor O2 at 15 L |
| 17 | 59, F | IPF | 234 | 193 | P+T+MMF | None | C/A/T/D | N | N | N | 0.5 | 24 | None | Patient seen in ED after outside X-ray showing PI, discharged from ED | |
| 18 | 43, M | IPF | 200 | 108 | P+T+MMF | None | A/T | Y | Y | N | 1.8 | 34 | 25 | XR × 7 | Switch TF to elemental O2 at 15 L Flagyl |
| 19 | 71, M | IPF | 24 | 13 | P+T+MMF | None | C | Y | N | N | 1.5 | 26 | None | Treated outpatient | |
| 20 | 58, M | A1AT | 17 | 28 | P+T+MMF | Diarrhea | C/A/T/D | Y | Y | N | 0.6 | 120 | 30 | XR × 2 | NPO × 1 day Flagyl O2 at 15 L |
| 21 | 55, M | IPF | 1477 | 30 | P+T | None | C/A | N | Y | N | 1.5 | 23 | 36 | XR × 3 | NPO × 1 day O2 at 15 L |
| 22 | 69, M | IPF | 51 | 39 | P+T+MMF | None | C/A/T | Y | Y | N | 0.8 | 40 | 29 | None | NPO × 1 day O2 at 15 L |
| 23 | 62, M | IPF | 202 | P+T+MMF | Emesis × 1 | C/A/T | N | N | N | 1 | 22 | XR × 3 | NPO × 1 day O2 at 15 L |
Note: IPF: interstitial pulmonary fibrosis; P: prednisone; T: tacrolimus; MMF: mycophenolate mofetil; C/A/T/D: cecum/ascending/transverse/descending colon.