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Functional Disorders of the Gut by Sidney F. Phillips,David L. Wingate Pdf
This book provides the busy clinician with a complete and easily accessible guide to the management of this difficult group of patients. The emphasis is on the practical, clinically useful information-- basic science is included for completeness, but is separated from the clinical content for ease of use.
Handbook of Functional Gastrointestinal Disorders by Kevin W. Olden Pdf
Presenting an integrated, multidiciplinary approach to understanding functional gastrointestinal (GI) disorders, this unique reference provides a comprehensive survey of esophageal, gastric, and colonic diseases known to have a strong behavioral or psychosomatic component-detailing the latest technologies used to assess these disorders from both a gastroenterologic and a psychologic perspective.
Functional Disorders of the Gastrointestinal Tract by G. Krause,Juan-Ramón Malagelada,U. Preuschoff Pdf
Significant progress has been made in several areas of gastroenterology over the last two decades. The understanding of physiology of gastrointestinal tract covering motility, sensitivity, absorption, and molecular biology of gastrointestinal cancers, particularly colorectal cancer, has immensely improved. Recent years were dominated by increased public attention focused on functional bowel disorders. Irritable bowel syndrome is a functional bowel disorder characterized by abdominal pain and discomfort without clearly demonstrable organic cause leading to altered bowel habits. Since the prevalence of irritable bowel syndrome is high, it represents a significant societal and economic burden. Better understanding of the function of the enteric nervous system supported by the evidence that pain and discomfort experienced by the patients is due to hypersensitivity of vagal and spinal sensory neurons allowed for selective targeting receptors expressed by the afferent neurons for therapeutic intervention. Emerging therapies for irritable bowel syndrome, such as tegaserod, alosetron and cilansetron, affect serotonergic system. including medicine, physiology and pathophysiology, medicinal chemistry, pharmacology, and molecular genetics as well as to the general public.
Three distinct types of contractions perform colonic motility functions. Rhythmic phasic contractions (RPCs) cause slow net distal propulsion with extensive mixing/turning over. Infrequently occurring giant migrating contractions (GMCs) produce mass movements. Tonic contractions aid RPCs in their motor function. The spatiotemporal patterns of these contractions differ markedly. The amplitude and distance of propagation of a GMC are several-fold larger than those of an RPC. The enteric neurons and smooth muscle cells are the core regulators of all three types of contractions. The regulation of contractions by these mechanisms is modifiable by extrinsic factors: CNS, autonomic neurons, hormones, inflammatory mediators, and stress mediators. Only the GMCs produce descending inhibition, which accommodates the large bolus being propelled without increasing muscle tone. The strong compression of the colon wall generates afferent signals that are below nociceptive threshold in healthy subjects. However, these signals become nociceptive; if the amplitudes of GMCs increase, afferent nerves become hypersensitive, or descending inhibition is impaired. The GMCs also provide the force for rapid propulsion of feces and descending inhibition to relax the internal anal sphincter during defecation. The dysregulation of GMCs is a major factor in colonic motility disorders: irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and diverticular disease (DD). Frequent mass movements by GMCs cause diarrhea in diarrhea predominant IBS, IBD, and DD, while a decrease in the frequency of GMCs causes constipation. The GMCs generate the afferent signals for intermittent short-lived episodes of abdominal cramping in these disorders. Epigenetic dysregulation due to adverse events in early life is one of the major factors in generating the symptoms of IBS in adulthood.
Functional Dyspepsia and Irritable Bowel Syndrome by H. Goebell,G. Holtmann,N.J. Talley Pdf
In recent years functional gastrointestinal disorders have attracted much interest. These disorders are extremely common. They are characterized by symptoms and the lack of structural lesions that can be identified with clinically available routine diagnostic tests. Several functional abnormalities are now believed to play a role in the development of the symptoms. This book summarizes the presentations at the International Falk Symposium No. 99 `Functional Dyspepsia and Irritable Bowel Syndrome: Concepts and Controversies' that took place on May 27-28, 1997. This symposium brought together clinical and basic researchers and clinicians to improve interdisciplinary communication. The meeting comprehensively covered basic and clinical aspects of these disorders, and it not only summarized the current knowledge, but also identified scientific questions that need to be addressed in the future.
Handbook of Gastrointestinal Motility and Functional Disorders by Satish Rao,Henry Parkman,Richard McCallum Pdf
Handbook of Gastrointestinal Motility and Functional Disorders is a user-friendly handbook that reviews the latest and most up-to-date information on the evaluation of symptoms and diagnostic tests of GI motility and functional GI disorders and a practical approach on how to treat these disorders. Each chapter is written by an international expert in the field who was carefully chosen for his or her renowned scientific and clinical expertise. The book brings together the essence of science and art in the practice of neurogastroenterology and GI motility. The chapters are enriched with algorithms, tables, and figures to enhance learning and readability. Each chapter follows a specific outline; chapters on symptoms follow the format of definition, pathophysiology, and evaluation of the symptoms, whereas the chapters on specific disorders follow the format of definition, diagnosis, and treatment. This allows for quick reading of the various chapters and to gain up-to-date knowledge of the topic. Each chapter also includes extensive color pictures and illustrations of each test involved and descriptions of how to perform and interpret the motility tests that are incorporated into patient care decisions. Handbook of Gastrointestinal Motility and Functional Disorders by Drs. Satish S. C. Rao, Henry P. Parkman, and Richard W. McCallum will be useful for practicing physicians, junior academicians, GI fellows, young faculty, motility laboratory personnel, surgeons, internists, physician assistants, family practitioners, and nurse practitioners who all encounter the common problems of dysphagia, heartburn, nausea, vomiting, abdominal pain, irritable bowel syndrome, constipation, and fecal incontinence in their daily practice. The update on management and therapy completes the Handbook of Gastrointestinal Motility and Functional Disorders and explains how to integrate this diagnostic information into decision making, and how to translate this to day-to-day patient care.
Pediatric Neurogastroenterology by Christophe Faure,Nikhil Thapar,Carlo Di Lorenzo Pdf
This volume provides a comprehensive and up-to-date theoretical review and practical guide on pediatric gastrointestinal motility and functional disorders. The latest edition includes extensively revised and new chapters to reflect the rapidly growing field of pediatric neurogastroenterology. New topics covered include neurobiology of pain in children, functional oropharyngoesophageal assessment, dysautonomia, and psychotropic drugs. The text also features instructive illustrations, photographs, and tables. Written by world-renown experts in the field, Pediatric Neurogastroenterology: Gastrointestinal Motility and Functional Disorders in Children, Second Edition is a valuable resource for pediatric gastroenterologists, adult gastroenterologists, pediatricians, and all professionals involved in the treatment and management of children with such disorders.
Functional and GI Motility Disorders by E.M.M. Quigleyy,M. Hongo,S. Fukudo Pdf
The clinical problems and dilemmas which the busy clinician encounters on a daily basis are the main focus of this publication. Emphasizing a clinical rather than a pathophysiological approach to problems, it facilitates access and helps the practicing clinician to develop an effective and efficient diagnostic and therapeutic strategy. Nevertheless, clinically important aspects of pathophysiology are also dealt with in detail when called for. A variety of scenarios that are especially relevant to modern medical practice, such as the intensive care unit, are taken into account. A group of internationally renowned experts guides the reader through the broad variety of diagnostic options available to assist in the assessment of symptoms originating anywhere along the gastrointestinal tract, from the esophagus to the anus, and, in each instance, every effort is made to critically appraise the technology discussed. Moreover, general overviews of broadly relevant therapeutic approaches are also provided.
Functional Gastrointestinal Disorders by Simon R. Knowles,Julian Stern,Geoff Hebbard Pdf
This book brings together world experts in the field of Functional Gastrointestinal Disorders (FGIDs) who practice an integrated and holistic approach in their care for patients to provide an up-to-date and comprehensive evaluation of a range of issues associated with the biopsychosocial treatment of FGIDs. Examining topics such as neurological and biological aspects of FGIDs, common concerns faced in relation to diagnosis, and ongoing medical decisions and interventions, each chapter provides crucial practical recommendations, as well as future directions of psychosocial work in multi-team environments. Functional Gastrointestinal Disorders considers individual conditions in detail, including the current Rome IV diagnostic criteria for FGIDs required to make a positive diagnosis, the role of psychological and other biopsychosocial and biofeedback aspects of treatment, and general recommendations with regard to diet and medications. Each chapter also provides an up-to-date consolidation and evaluation of the current literature as well as practical recommendations, which can then be applied by the reader in their own interaction with FGID patients. Topics covered include: the common concerns and issues faced by individuals with FGIDs in relation to pre-and post-diagnosis, ongoing medical decisions and interventions review of current evidence-based biopsychosocial treatment practices for each FGID condition the differences and challenges associated with FGIDs across individual life stages special topics such as the relationship with eating disorders and the role of psychotropic medications modern patient centred initiatives such as patient empowerment, distance and e-therapies the future challenges facing FGID treatment. Throughout the entire book, common themes and practical recommendations are described. Functional Gastrointestinal Disorders, has broad applicability across multiple spheres, including treatment, research and teaching and is accessible to those working in gastroenterology and primary care alike.
A Guide to Gastrointestinal Motility Disorders by Albert J. Bredenoord,André Smout,Jan Tack Pdf
This book describes the causes and clinical management of functional gastrointestinal disorders in a readily understandable way, with the aid of many clear illustrations. The concrete and practical advice provided will be most helpful in the clinical practice of both the general practitioner and the medical specialist. Functional disorders of the gastrointestinal tract, such as gastroesophageal reflux disease, functional dyspepsia, and irritable bowel syndrome, are very common and chronic conditions. Despite the recent publication of many scientific papers on their diagnosis and treatment, much remains unclear, and management is still considered challenging. This practice-oriented book will be an ideal source of reliable up-to-date guidance for all who care for these patients.
Gastrointestinal Inflammation and Disturbed Gut Function: The Challenge of New Concepts by G. Holtmann,N.J. Talley Pdf
This book, the proceedings of Falk Symposium 130 on 'Gastrointestinal Inflammation and Disturbed Gut Function: The Challenge of New Concepts', held in Freiburg, Germany, on October 4-6, 2002 (Part I of the Gastroenterology Week Freiburg 2002), reviews ground-breaking work and will stimulate new research in the functional GI disorders, from the bench to the bedside. Basic scientists, clinical researchers and clinicians interested in this field explore controversial and exciting areas of research, and consider targets for future therapeutic interventions.
