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Small bowel motility disorders
1Mayo Medical School, Rochester, MN 55905.
Revista De Gastroenterologia De Mexico
|April 1, 1994
Summary
Small bowel motility disorders disrupt gut transit, causing symptoms like nausea and pain. Diagnosis involves excluding obstruction and assessing motor function, with management tailored to stasis or fast transit.
Area of Science:
- Gastroenterology
- Neurogastroenterology
- Digestive System Physiology
Background:
- Small bowel motility disorders encompass prolonged or accelerated transit.
- Symptoms include nausea, vomiting, bloating, pain, and altered bowel movements.
- Disorders stem from neuromuscular derangements or structural issues.
Purpose of the Study:
- To outline the diagnostic approaches for small bowel motility disorders.
- To detail the management strategies for different types of motility disorders.
- To provide a comprehensive overview of current understanding and treatment.
Main Methods:
- Diagnosis relies on excluding mechanical obstruction and structural disease.
- Assessment involves measuring transit and intestinal pressure profiles.
- Identifying underlying neuropathies or myopathies is crucial.
Main Results:
- Stasis syndromes are managed with nutritional support, antibiotics for bacterial overgrowth, prokinetics, antiemetics, and surgery.
- Fast transit disorders are treated with opioid agonists, with verapamil, clonidine, or octreotide as second-line options.
Conclusions:
- Effective diagnosis and management of small bowel motility disorders require a multi-faceted approach.
- Treatment strategies must address the specific type of motility derangement.
- Understanding the underlying cause is key to successful patient outcomes.