Hepatology Update: Current Management and New Therapies
David A. Sass, MD, AGAF, Guest Editor It is my distinct privilege to be the guest editor of the September 2011 issue of Gastroenterology Clinics of North America entitled, “Hepatology…
Difficult Defecation: Difficult Problem Assessment and Management; What Really Helps?
A subset of patients with chronic constipation, up to 50% at tertiary centers, have difficult defecation, which can be suspected by clinical features and confirmed by anorectal tests. Symptoms of…
Nutritional Support in the Severely Compromised Motility Patient: When and How?
Chronic intestinal pseudo-obstruction (CIPO) is today a significant indication for home parenteral nutrition (HPN) in both adults and children. CIPO refers to a heterogeneous group of disorders characterized by symptoms…
Challenges in the Swallowing Mechanism: Nonobstructive Dysphagia in the Era of High-Resolution Manometry and Impedance
Esophageal motility disorders may be an explanation of dysphagia in patients after exclusion of esophageal structural lesions by endoscopy and radiography and eosinophilic esophagitis by histology. The best defined motility…
Postoperative Problems 2011: Fundoplication and Obesity Surgery
The population of the Western world is abundantly exposed to food. Together with the introduction of fast food, this situation has contributed to an exponential increase in morbid obesity. Similarly,…
Chronic Intestinal Pseudo-Obstruction: Clinical Features, Diagnosis, and Therapy
Functional gastrointestinal disorders range from highly prevalent, but generally benign conditions, eg, functional dyspepsia and irritable bowel syndrome, to rare and potentially life-threatening diseases, eg, intestinal pseudo-obstruction syndromes. The term…
Gastrointestinal Dysmotility: Clinical Consequences and Management of the Critically Ill Patient
Gastrointestinal motility can be markedly deranged in critical illness. This can have a number of important clinical sequelae—the most obvious of which is impaired delivery of enteral nutrition, which can…
Paraneoplastic Gastrointestinal Dysmotility: When to Consider and How to Diagnose
Gastrointestinal (GI) symptoms occur commonly in patients with cancer and may reflect dysfunction throughout the gut ( Box 1 ). Many potential causes exist for these symptoms including GI dysmotility….
Motility Problems in the Intellectually Challenged Child, Adolescent, and Young Adult
Down Syndrome Down syndrome (DS) is the most common chromosomal abnormality occurring in humans. In Europe, DS accounts for 8% of all registered cases of congenital anomalies. Throughout the world,…
Motility Disorders in the Patient with Neurologic Disease
As populations age, the prevalence of neurologic disease in the community continues to increase, and consultations relating to gastrointestinal motility problems in the patient afflicted with a neurologic disorder become…
