Abdominal Key

Fig. 17.1 Diagnosis of Hirschsprung disease by rectal suction biopsy. (a) An adequate suction rectal biopsy should be ≥2 mm in greatest dimension and contain a generous sample of submucosa….

Recommended meal (a) 118 mL (4 oz.) of liquid egg whites (e.g., eggbeaters [ConAgra Foods, Inc.] or an equivalent generic liquid egg white) (b) Two slices of toasted white bread (c) 30 g…

Fig. 9.1 Abdominal radiograph showing a high-resolution solid-state colonic motility catheter placed with its tip at the hepatic flexure. The arrow points to the endoclip used to secure the catheter…

Fig. 10.1 (a) Water-perfusion catheter (Medical Measurement Systems). (b) High-resolution catheter (Medical Measurement Systems). (c) Three-dimensional high-resolution catheter (Sierra Scientific Instruments) (Courtesy of Medical Measurement Systems) The water-perfusion catheter consists…

Fig. 46.1 Endoscopic pictures of temporary GES placement . The lead is screwed clockwise into the gastric mucosa (a). Clips are placed endoscopically to anchor the lead to the mucosa…

Primary CIPO • Sporadic or familial forms of hollow visceral myopathy/neuropathy (e.g., megacystis-microcolon-intestinal hypoperistalsis syndrome) [7, 28–45] • Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) [19, 46–48] • Hirschsprung disease [49–51] • Neuropathy associated with multiple endocrine…

Fig. 8.1 Examples of conventional (a) and spatiotemporal plot (b) of normal migrating motor complex (MMC) recorded in a child with recurrent vomiting. All three phases (phase I, phase II,…

Age <4 years Developmental age of ≥4 years Rome III criteria • <3 defecations per week • <3 defecations in the toilet per week • ≥1 episode of fecal incontinence per week after…

Fig. 4.1 Spinal and vagal innervation of the gastrointestinal tract. Upper portion: sensory information from vagal receptors is carried by vagal afferent nerves (1) with nerve cell bodies in the…

Fig. 50.1 Laparotomy for chronic intestinal pseudo-obstruction Performing intestinal full-thickness biopsies at different levels for histopathologic analysis Performing an enterostomy according to the level of intestinal distension In reality, in…