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Gastrointestinal motility disorders

T L Abell¹, R F Werkman

¹University of Tennessee, Memphis, College of Medicine, Memphis, Tennessee, USA.

American Family Physician

|February 15, 1996

Summary

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Gastrointestinal motility disorders are localized by patient history, guiding diagnostic tests for esophageal, stomach, small intestine, biliary, and colorectal issues. Early identification aids in appropriate management and treatment.

Area of Science:

Gastroenterology
Digestive System Physiology

Background:

Gastrointestinal motility disorders encompass a range of conditions affecting digestion and nutrient absorption.
Accurate localization of these disorders is crucial for effective diagnosis and management.

Purpose of the Study:

To outline how patient history can localize gastrointestinal motility disorders.
To suggest appropriate diagnostic tests based on symptom presentation.

Main Methods:

Clinical history taking to identify symptoms related to specific gastrointestinal segments.
Review of diagnostic modalities including barium swallow, endoscopy, and motility studies.

Main Results:

Esophageal motility disorders present with dysphagia, odynophagia, heartburn, and reflux.

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Gastric and small intestinal disorders manifest as nausea, vomiting, anorexia, bloating, and abdominal pain.

Biliary and colorectal motility issues present with specific pain patterns, enzyme elevations, pancreatitis, or altered bowel habits.

Conclusions:

Patient history is a primary tool for localizing gastrointestinal motility disorders.
Diagnostic testing should be tailored to suspected motility issues in the esophagus, stomach, small intestine, biliary system, or colon.