Chronic Constipation

Jan 31, 2018 by in ABDOMINAL MEDICINE Comments Off on Chronic Constipation

Fig. 35.1 Sagittal section of pelvic anatomy demonstrating pelvic musculature and puborectalis “sling” around the sphincters. (Used with permission of Mayo Foundation for Medical Education and Research. All rights reserved)…

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Gastric Pacing

Jan 31, 2018 by in ABDOMINAL MEDICINE Comments Off on Gastric Pacing

Fig. 25.1 Two-channel gastric pacing prototype device pulse generator (black box) is attached to external wires in a patient with refractory GP. These external wires stimulate electrodes that were surgically…

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Chronic Cough and Throat Clearing

Jan 31, 2018 by in ABDOMINAL MEDICINE Comments Off on Chronic Cough and Throat Clearing

Intrathoracic etiologies Airways Asthma Nonasthmatic eosinophilic bronchitis (NAEB) Chronic bronchitis Bronchiectasis Tracheobronchial malacia Obstructive sleep apnea Drug induced: ACEI, sitagliptin Inhaled medications Chronic exposure to environmental and occupational irritants Bronchogenic…

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Achalasia and Esophageal Outlet Obstruction

Jan 31, 2018 by in ABDOMINAL MEDICINE Comments Off on Achalasia and Esophageal Outlet Obstruction

Fig. 1.1 Schematic representation of etiology proposed to underlie the different achalasia phenotypes Esophagogastric junction outflow obstruction (EGJOO) is a condition characterized by HRM findings of impaired EGJ function but,…

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Esophageal Chest Pain: Esophageal Spasm

Jan 31, 2018 by in ABDOMINAL MEDICINE Comments Off on Esophageal Chest Pain: Esophageal Spasm

Motility disorder Contractility pattern Associated features Conventional manometry [5]   Distal esophageal spasm >10% simultaneous contractions • Intermittent normal peristalsis • Spontaneous contractions • Repetitive contractions • Multi-peaked contractions Nutcracker esophagus Elevated mean distal wave…

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