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…
Fig. 3.1 The approach to patients with GERD symptoms not responding to medical therapy. *The optimal proton pump inhibitor (PPI) dose threshold to define failure of acid suppression is unknown….
Fig. 13.1 Gastrointestinal junction under white light endoscopy (WLE) showing intestinal metaplasia consistent with Barrett’s esophagus with a nodule Chromoendoscopy Chromoendoscopy uses the topical application of dyes or contrast agents…
Fig. 34.1 The wireless motility capsule system (Smartpill). (a) The capsule. (b) The data receiver and the display software. Used with the permission of Medtronic, Dublin, Ireland Indications for the…
Anal sphincter weakness • Injury—obstetric trauma, related to surgical procedures, e.g., hemorrhoidectomy internal sphincterotomy, fistulotomy, anorectal infection • Non-traumatic—scleroderma, internal sphincter thinning of unknown etiology Neuropathy—stretch injury, obstetric trauma, diabetes mellitus Anatomical…
Fig. 17.1 Phases of swallowing Swallowing is finely coordinated with respiration in order to prevent aspiration, and swallowing is dominant over respiration in health. Physical closure of the laryngeal vestibule,…
Fig. 8.1 Example of grade C esophagitis Table 8.1 Los Angeles classification of reflux esophagitis [1] Grade A One or more mucosal breaks no longer than 5 mm, not bridging…
© Springer International Publishing AG 2018Eytan Bardan and Reza Shaker (eds.)Gastrointestinal Motility Disorders https://doi.org/10.1007/978-3-319-59352-4_38 38. Irritable Bowel Syndrome Yehudith Assouline-Dayan1 (1) Division of Gastroenterology-Hepatology, Department of Internal Medicine, University of Iowa Hospital and Clinics, Iowa City,…
Fig. 36.1 Chronic or recurrent rectal pain. 1. Pain present for at least 6 months is required for a diagnosis of functional anorectal pain syndrome. Pain associated with bowel movements,…
Whey 39–78 Milk powder 36–52 Coffee creamer 35–55 Milk, condensed 10–16 Milk: low fat, whole fat (cow, goat, sheep) 4–5 Cream: light, half and half, sour 4 Yogurt, whole milk…
