Complementary and Alternative Management Strategies in Irritable Bowel Syndrome

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Complementary and Alternative Management Strategies in Irritable Bowel Syndrome

Commonly used Probiotics Prebiotics Acupuncture Cognitive-behavioral therapy Hypnotherapy Peppermint oil Others Herbal medicines – Turmeric extract – Artichoke leaf extract – Iberogast (combination of 9 herbal extracts) – Padma Lax (Tibetan preparation of 12…

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Chronic Constipation

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Chronic Constipation

Drugs: opiates, nonsteroidal anti-inflammatory, anticholinergic, antidepressant, antihistamine, anti-Parkinsonian, iron, calcium Neurogenic: autonomic neuropathy, Parkinson’s disease, multiple sclerosis, CNS and spinal cord lesions, pseudo-obstruction, diabetes mellitus, pelvic nerve damage Myogenic: connective…

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Functional Gallbladder Disorder

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Functional Gallbladder Disorder

Episodes of pain located in the epigastrium and/or right upper quadrant and all of the following: 1. Episodes lasting 30 min or longer 2. Recurrent symptoms occurring at different intervals (not daily)…

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Dyspepsia

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Dyspepsia

Mucosal disorders  Esophagitis  Occult acid reflux disease  Gastritis  Duodenitis  Peptic ulcer disease  H. pylori infection  Gastric cancer Neuromuscular dysfunction  Gastroparesis  Visceral hypersensitivity  Impaired fundic relaxation  Abnormalities in the brain-gut axis…

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Fecal Incontinence

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Fecal Incontinence

Functional fecal incontinence Diagnostic criteria:  1. Recurrent uncontrolled passage of fecal material in an individual with a development age of at least 4 years and one or more of the…

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Chronic Nausea

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Chronic Nausea

Medications and toxic etiologies  Cancer chemotherapy  Aspirin  Nonsteroidal anti-inflammatory drugs  Auranofin  Antigout drugs  Digoxin  Antiarrhythmics  Antihypertensives  β-Blockers  Calcium channel antagonists  Diuretics  Oral antidiabetics  Oral contraceptives  Erythromycin  Tetracycline  Sulfonamides  Antituberculous drugs…

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Chronic Intestinal Pseudo-obstruction

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Chronic Intestinal Pseudo-obstruction

Fig. 12.1 Representative CT image demonstrating marked diffuse dilation of the small bowel without transition point Introduction Intestinal pseudo-obstruction can be categorized as either acute or chronic. Chronic intestinal pseudo-obstruction…

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Globus

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Globus

Fig. 1.1 Assessment of nadir upper esophageal sphincter relaxation pressure using high-resolution esophageal manometry isobaric contour tool. (a) depicts a patient with normal upper esophageal sphincter relaxation. (b) depicts a…

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Small Intestinal Bacterial Overgrowth

Jul 4, 2016 by in GASTOINESTINAL SURGERY Comments Off on Small Intestinal Bacterial Overgrowth

Fig. 11.1 Normal microbial distribution along the length of the gastrointestinal tract Small intestinal bacterial overgrowth (SIBO) is characterized by the presence of increased numbers of colonic-type bacteria in the…

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