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Gastrointestinal motility disorders in endocrine diseases
Lidia Ciobanu1, Dan L Dumitrascu
13rd Medical Department, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj‑Napoca, Romania.
Endocrine diseases significantly impact the gastrointestinal system, causing motility dysfunction. This review explores these gut issues across various endocrine conditions, highlighting hormonal influences on the brain-gut axis.
Area of Science:
- Endocrinology
- Gastroenterology
- Neuroscience
Background:
- Endocrine diseases often manifest with systemic complications.
- Gastrointestinal and motility dysfunctions are recognized manifestations of endocrine disorders.
- The brain-gut axis plays a crucial role in regulating gastrointestinal function.
Purpose of the Study:
- To review and synthesize the current understanding of gastrointestinal and motility dysfunction in various endocrine diseases.
- To explore the correlation between hormonal imbalances and gut dysmotility.
- To elucidate the impact of endocrine disorders on the brain-gut axis.
Main Methods:
- Literature review of studies on endocrine diseases and gastrointestinal dysfunction.
- Analysis of motility disturbances in specific endocrine conditions including thyroid disorders, acromegaly, Cushing syndrome, neurohypophysis disorders, diabetes, parathyroid diseases, and multiple endocrine neoplasia.
- Emphasis on the relationship between blood gastrointestinal hormone levels and gut motility.
Main Results:
- Thyroid disorders, acromegaly, Cushing syndrome, and diabetes are associated with significant gastrointestinal motility disturbances.
- Neurohypophysis disorders and parathyroid diseases also exhibit links to altered gut function.
- Blood levels of gastrointestinal hormones show correlations with the severity and type of motility dysfunction, impacting the brain-gut axis.
Conclusions:
- Gastrointestinal and motility dysfunctions are common systemic manifestations of endocrine diseases.
- Hormonal dysregulation in endocrine conditions directly influences gut motility and brain-gut axis signaling.
- Understanding these interactions is vital for comprehensive patient management.
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