A Guide to Gastrointestinal Motility Disorders by Albert J. Bredenoord, André Smout, Jan Tack PDF

By Albert J. Bredenoord, André Smout, Jan Tack

ISBN-10: 3319269364

ISBN-13: 9783319269368

ISBN-10: 3319269380

ISBN-13: 9783319269382

ISBN-10: 9031378399

ISBN-13: 9789031378395

​This e-book describes the factors and medical administration of practical gastrointestinal issues in a without problems comprehensible approach, by way of many transparent illustrations. The concrete and useful recommendation supplied could be such a lot valuable within the scientific perform of either the final practitioner and the clinical professional. practical problems of the gastrointestinal tract, resembling gastroesophageal reflux affliction, useful dyspepsia, and irritable bowel syndrome, are quite common and persistent stipulations. regardless of the hot book of many clinical papers on their analysis and therapy, a lot continues to be uncertain, and administration remains to be thought of difficult. This practice-oriented ebook should be an incredible resource of trustworthy up to date assistance for all who take care of those patients.

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Extra info for A Guide to Gastrointestinal Motility Disorders

Sample text

For this and for cost issues, these medications are used only sporadically in highly selected patients. 4 Medications That Change the Content of the Gastrointestinal Tract Although the most logical approach in case of disorders of motility seems to target muscle cells and their innervation, changes in the content of the gastrointestinal lumen can also convey important, indirect, therapeutic effects. Moreover, many of these agents remain and act locally, which decreases the likelihood of important adverse effects.

14). In particular with solid meals, there is an initial period of 20 min or so after ingestion of the meal during which no activity leaves the stomach. 8 Ultrasonography 25 % of Activity in stomach 100 Solids 80 60 40 Liquids 20 0 0 30 60 90 Time after meal (min) 120 150 Fig. 14 Scintigraphic gastric emptying. Left panel: radioactivity in the stomach, as seen by the gamma camera. Right panel: time-activity curve of radioactivity in the region of interest The actual emptying process can be quantified as percentage of ingested activity leaving the stomach per hour or as the retention after 1 and 2 h (expressed as percentage of the ingested dose).

In addition, scintigraphic techniques can be used to assess transit through small bowel and colon and for measurement of bile transport. 1 Gastric Emptying Test Scintigraphy is regarded as the gold standard for the measurement of gastric emptying. Many different types of test meals are in use, comprising liquid, solid, and mixed liquid/solid meals. The most frequently used radioactive marker for solid components is technetium-99m (99mTc). This isotope has a half-life of approximately 6 h. For liquid components the isotope indium-113 (113In) is more suitable, with a half-life of 90 min.

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A Guide to Gastrointestinal Motility Disorders by Albert J. Bredenoord, André Smout, Jan Tack


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