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Other Disorders of Digestive System01:30

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The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
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Lipids are large molecules that are generally not water-soluble. Since most of the digestive enzymes in the human body are water-based, there are specific steps the body must take to break down lipids and make them available for use.
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Protein digestion begins in the stomach, where the highly acidic environment can easily disrupt protein structure by exposing the peptide bonds of polypeptide chains. After polypeptide chains are broken into individual amino acids by a series of digestive enzymes, the amino acids are transported to the liver via the bloodstream to produce energy.
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[Functional disorders in digestive surgery : an update].

Beatriz Barbera-Carbonell1, Pénélope St-Amour1, Alice Vanoni1

  • 1Service de chirurgie viscérale, CHUV, 1011 Lausanne.

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Advances in visceral surgery improve survival and quality of life for cancer patients. This review highlights progress in managing fecal incontinence, low anterior resection syndrome, and achalasia, emphasizing functional disorders.

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Area of Science:

  • Oncologic surgery
  • Visceral surgery
  • Gastroenterology

Background:

  • Surgical management of oncologic conditions in visceral surgery is expanding.
  • Improvements in perioperative care, surgical techniques, and oncologic therapies enhance survival and quality of life.
  • Functional disorders, often linked to oncologic disease, significantly impact patient well-being and require dedicated attention.

Purpose of the Study:

  • To summarize recent advancements in managing specific functional disorders following visceral surgery.
  • To highlight progress in sacral neuromodulation for fecal incontinence.
  • To review developments concerning low anterior resection syndrome and achalasia.

Main Methods:

  • Literature review of recent progress in selected topics.
  • Focus on sacral neuromodulation, low anterior resection syndrome, and achalasia.
  • Synthesis of current evidence and clinical advancements.

Main Results:

  • Sacral neuromodulation shows promise for treating fecal incontinence.
  • Understanding and management strategies for low anterior resection syndrome have advanced.
  • Progress has been made in the treatment of achalasia.

Conclusions:

  • Effective management of functional disorders is crucial for improving quality of life in patients undergoing visceral surgery.
  • Recent advancements offer improved therapeutic options for fecal incontinence, low anterior resection syndrome, and achalasia.
  • Continued research and clinical focus on these functional sequelae are essential.