Drugs that Work in the Brain

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Drugs that Work in the Brain

Central effects   1. Reduces pain perception at the sensory cortex   2. Reduces anxiety, hyper-vigilance, and increased stress responsiveness   3. Treats associated psychiatric disorders—depression, PTSD, somatization   4. Treats sleep disorders   5….

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Autonomic Nervous System Testing

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Autonomic Nervous System Testing

Autonomic test Receptor Afferent Integrating center Efferent signal Deep breathing Pulmonary stretch J-receptors Vagus nerve Nucleus tractus solitarius Dorsal motor nucleus of the vagus (DMNX) to vagus nerve Valsalva maneuver…

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Motility After Small Bowel and Colonic Surgery

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Motility After Small Bowel and Colonic Surgery

Fig. 30.1 Patient with history of gastroschisis resulting in short bowel syndrome with persistent abdominal distension (a) and feeding intolerance after STEP. Antroduodenal manometry demonstrated adequate small bowel motility after…

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The Microbiome in Neurogastroenterology

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on The Microbiome in Neurogastroenterology

Fig. 5.1 Structural relationship between the luminal and mucosal microbiota and the enteric nervous system (From Reigstad CS, Kashyap PC. Beyond phylotyping: understanding the impact of gut microbiota on host…

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Fecal Incontinence in Children

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Fecal Incontinence in Children

Functional nonretentive fecal incontinence Functional constipation Must fulfill all of the following for ≥2 months prior to diagnosis  1. Defecation into places inappropriate to the social context at least once…

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Rumination Syndrome

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Rumination Syndrome

  Vomiting Esophagitis Prokinetics Fundoplication Rumination During or minutes after meal No Not helpful Not helpful Achalasia Hours after meal Often (from stasis) Not helpful Contraindicated GERD After large meals…

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Infant Colic

Aug 29, 2017 by in GASTROENTEROLOGY Comments Off on Infant Colic

For Clinical purposes must include all of the following 1. An infant who is less than 5 months of age when the symptoms start and stop 2. Recurrent and prolonged periods of…

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