and Development of HRM: The Way It Works
Fig. 4.1 In the conventional manometry intraluminal pressures are recorded from widely spaced sensors (3- to 5-cm). (a) In this two-dimensional display pressure is on the y-axis, time is on…
Functional Anatomy and Pathophysiology
Fig. 2.1 Representative manometric tracing showing an increase in the number of high-amplitude propagated contractions, spanning the colon and preceding the anal sphincter opening that leads to defecation. Abbreviations: T…
Functional Anatomy
Fig. 1.1 Rectum and anal canal. From Zutshi [1] The submucosal layer of anal canal contains hemorrhoidal tissue that is arranged on the whole circumference (360°) of the anal wall…
Gastric Motility
Fig. 1.1 Gastric electrical activity recorded from electrodes on the serosa at various positions from the fundus to the antrum (A–D). Slow waves are generated in the pacemaker region along…
Management of Gastroparesis
Fig. 5.1 Injection of dye in order to create a submucosal bleb Fig. 5.2 Creation of a mucosotomy Fig. 5.3 Creation of a submucosal tunnel Fig. 5.4 Division of the…
Pyloroplasty
Fig. 7.1 Port setup for laparoscopic pyloroplasty The Heineke-Mikulicz technique is the most straightforward approach for pyloroplasty. Because the pylorus itself is not inflamed in patients with gastroparesis, there is…
and Clinical Presentation of Gastroparesis
Fig. 2.1 Gastroparesis Cardinal Symptom Index (GCSI). (Previously published instructions for use [40]) This questionnaire asks you about the severity of symptoms you may have related to your gastrointestinal problem….
Evaluation of Gastroparesis
Study evaluating gastric emptying Strengths Limitations Gastric emptying scintigraphy (gold standard) Well validated, reproducible [4] Noninvasive [4] Ability to assess both solid and liquid phases [12] Radiation exposure [4] Solid…
Gastroparesis in the Setting of Obesity
!DOCTYPE html> © Springer Nature Switzerland AG 2020A. Ibele, J. Gould (eds.)Gastroparesishttps://doi.org/10.1007/978-3-030-28929-4_10 10. Managing Gastroparesis in the Setting of Obesity Jessica Blumhagen1 and Eric Volckmann1 (1) University of Utah Health, Salt Lake City, UT, USA …
of Gastroparesis in the Setting of Gastroesophageal Reflux Disease
Fig. 9.1 Algorithm for surgical management of GERD in the setting of gastroparesis For patients without morbid obesity, the next decision point is determining the presence and size of a…
