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Three distinct types of contractions perform colonic motility functions. Rhythmic phasic contractions (RPCs) cause slow net distal propulsion with extensive mixing/turning over. Infrequently occurring giant migrating contractions (GMCs) produce mass movements. Tonic contractions aid RPCs in their motor function. The spatiotemporal patterns of these contractions differ markedly. The amplitude and distance of propagation of a GMC are several-fold larger than those of an RPC. The enteric neurons and smooth muscle cells are the core regulators of all three types of contractions. The regulation of contractions by these mechanisms is modifiable by extrinsic factors: CNS, autonomic neurons, hormone...
This book exclusively focuses on the practical aspects of diagnosing and managing bowel endometriosis, and highlights the importance of pursuing a multidisciplinary approach. Collecting chapters written by international experts in the field, the book is divided into two parts: the first presents all imaging techniques that are currently available and useful in diagnosing bowel endometriosis, while the second covers all available surgical techniques for treating this disorder, including the modern and lesser-invasive Nerve-Sparing radical approaches. Featuring a wealth of figures, sketches and videos, the book offers an essential guide for specialists, resident and subspecialty trainees in the fields of gynecology, colorectal surgery, radiology and gastroenterology.
The aim of this radiological atlas is to connect pathophysiology to imaging using many illustrations and examples, emphasizing the capabilities and limitations of multidetector computed tomography and its role in the correct management approach to these disorders. Furthermore, the place of allied imaging modalities (plain film and ultrasound) in the clinical algorithm is comprehensively illustrated.
Take control of IBS so IBS doesn't take control of your life IBS Relief, Second Edition is an extensively updated, hands-on guide to help you manage your symptoms and limit the frequency, intensity, and duration of irritable bowel syndrome (IBS) episodes. Written by a doctor, a dietitian, and a psychologist, this guide gives you a multidisciplinary approach encompassing every proven strategy for managing IBS, including new drug therapies and stress management techniques. This book won't confuse you with medical terminology--IBS is confounding enough. Instead, the book contains questionnaires, lists, diaries, stress and food tolerance tests, and other tools to help you determine the pattern o...
A Comprehensive Overview of Irritable Bowel Syndrome: Clinical and Basic Science Aspects presents up-to-date knowledge in the field and provides a comprehensive summary of this area of study, including an overview on IBS, starting from its pathogenesis, including genetic, microbial and physiological background, through symptom recognition, diagnosis and IBS treatment, both non-pharmacological and pharmacological.
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Irritable Bowel Syndrome (IBS) is a condition that is often misunderstood and misdiagnosed. Despite common perceptions, only 50% of cases are related to diet and the causes of the other 50% of cases are rarely examined and sufferers are unable to find suitable treatment. In this groundbreaking new book, Professor John Hunter reveals how you can solve the causes of your IBS. Using his carefully-constructed questionnaire, find out the reasons for your symptoms then turn to the appropriate chapter to learn how to treat them. Irritable Bowel Solutions also answers all the other questions that might be causing concern, such as: -What if I don't fit any of the types described? -What do probiotics really do and are they helpful? -Will my disease always affect me or can I manage it effectively?
Short Bowel Syndrome: Practical Approach to Management is the first reference exclusively about the issues experienced by patients with a short bowel. It covers all aspects of normal and abnormal physiology, the presenting features, and outcomes, including metabolic problems, gallstones, and renal stones. It discusses both medical and surgical treatments, including intestinal transplantation. The use of growth factors, which is likely in the future to become increasingly important in promoting intestinal structural adaptation, is extensively discussed. Special emphasis is given to the psychosocial aspects of the quality of life of patients, including support groups. Emphasis is also given to...
When push comes to shove, there is nothing as fundamental as a well-functioning bowel. Dr. Michael Levitt, highly respected surgeon, has restored hundreds of patients to bowel health and happiness. This comprehensive guide is full of practical advice, helpful tips, and clear explanations for how to obtain and maintain a successfully working bowel.
This comprehensive atlas, containing a wealth of high-quality images, illustrates the complete spectrum of presentations of inflammatory bowel diseases (IBD). It focuses especially on the most recent developments in the use of endoscopy in IBD, providing detailed guidance on endoscopic indices of disease activity, diagnosis, and differential diagnosis. In addition to ileocolonoscopy, small bowel endoscopy, and esophagogastroduodenoscopy, chapters are included on the role of both established radiological techniques, such as CT, MRI, and abdominal ultrasonography, and the newest approaches, including high-resolution endoscopy, narrow band imaging, and confocal laser endomicroscopy. Extraintestinal manifestations and complications are addressed in separate chapters, and the book concludes by presenting surgical findings. The authors are international authorities with diverse expert knowledge who have collaborated to create an ideal tool for all who wish to master endoscopic evaluation in IBD.