The Pharyngoesophageal Sphincter

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Motor Function of the Pharynx, Esophagus, and Its Sphincters

Author : Ravinder Mittal
Publisher : Morgan & Claypool Publishers
ISBN 13 : 1615043330
Total Pages : 87 pages
Book Rating : 4.6/5 (15 download)

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Book Synopsis Motor Function of the Pharynx, Esophagus, and Its Sphincters by : Ravinder Mittal

Download or read book Motor Function of the Pharynx, Esophagus, and Its Sphincters written by Ravinder Mittal and published by Morgan & Claypool Publishers. This book was released on 2011 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deglutition or a swallow begins as a voluntary act in the oral cavity but proceeds autonomously in the pharynx and esophagus. Bilateral sequenced activation and inhibition of more than 25 pairs of muscles of mouth, pharynx, larynx, and esophagus is required during a swallow. A single swallow elicits peristalsis in the pharynx and esophagus along with relaxation of upper and lower esophageal sphincters. Multiple swallows, at closely spaced time intervals, demonstrate deglutitive inhibition; sphincters remain relaxed during the entire period, but only the last swallow elicits peristalsis. Laryngeal inlet closure or airway protection is very important during swallow. Upper part of the esophagus that includes upper esophageal sphincter is composed of skeletal muscles, middle esophagus is composed of a mixture of skeletal and smooth muscles, and lower esophagus, including lower esophageal sphincter, is composed of smooth muscles. Peristalsis progresses in seamless fashion, despite separate control mechanism, from the skeletal to smooth muscle esophagus. The esophagus's circular and longitudinal muscle layers contract synchronously during peristalsis. Sphincters maintain continuous tone; neuromuscular mechanisms for tonic closure in the upper and lower esophageal sphincters are different. Lower esophageal sphincter transient relaxation, belching mechanism, regurgitation, vomiting, and reflux are mediated via the brain stem. Table of Contents: Introduction / Central Program Generator and Brain Stem / Pharynx-Anatomy, Neural Innervation, and Motor Pattern / Upper Esophageal Sphincter / Neuromuscular Anatomy of Esophagus and Lower Esophageal Sphincter / Extrinsic Innervation: Parasympathetic and Sympathetic / Interstitial Cells of Cajal / Recording Techniques / Motor Patterns of the Esophagus-Aboral and Oral Transport / Deglutitive Inhibition and Muscle Refractoriness / Peristalsis in the Circular and Longitudinal Muscles of the Esophagus / Neural and Myogenic Mechanism of Peristalsis / Central Mechanism of Peristalsis-Cortical and Brain Stem Control / Peripheral Mechanisms of Peristalsis / Central Versus Peripheral Mechanism of Deglutitive Inhibition / Neural Control of Longitudinal Muscle Contraction / Modulation of Primary and Secondary Peristalsis / Neural Control of Lower Esophageal Sphincter and Crural Diaphragm / Lower Esophageal Sphincter / Swallow-Induced LES Relaxation / Crural Diaphragm Contribution to EGJ and Neural Control / Transient LES Relaxation and Pharmacological Inhibition / Compliance of the EGJ / References

Principles of Deglutition

Author : Reza Shaker
Publisher : Springer Science & Business Media
ISBN 13 : 1461437938
Total Pages : 994 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Principles of Deglutition by : Reza Shaker

Download or read book Principles of Deglutition written by Reza Shaker and published by Springer Science & Business Media. This book was released on 2012-09-20 with total page 994 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles of Deglutition is the first in class comprehensive multidisciplinary textbook to encompass the entire field of normal and disordered deglutition. It is designed as the definitive text for all those who desire to further their knowledge of the dynamic and expanding field of deglutology. The text is created to serve as a treasured reference for clinicians, educators and trainees from such diverse backgrounds as gastroenterology, speech language pathology, otolaryngology, rehabilitation medicine, radiology and others. Principles of Deglutition brings together the state-of-knowledge from 12 disciplines involved in dysphagia through contributions of over one hundred thought leaders and master clinicians for the benefit of patients and providers alike. It concisely organizes the wealth of knowledge that exists in each of the contributing disciplines into one comprehensive information platform. Principles of Deglutition provides a one-stop destination for members of all specialties to obtain state-of-the-art and critically reviewed information regarding deglutition physiology, pathophysiology, diagnosis and management. It delivers a comprehensive and in depth review of deglutition related cerebral cortical, brainstem, peripheral nerves, and neuromuscular mechanisms, advanced diagnostic modalities and standard of care and cutting edge medical, rehabilitative and surgical treatments. It is an essential reference for all deglutologists.

The Esophagus

Author : Joel E. Richter
Publisher : John Wiley & Sons
ISBN 13 : 1119599601
Total Pages : 73 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis The Esophagus by : Joel E. Richter

Download or read book The Esophagus written by Joel E. Richter and published by John Wiley & Sons. This book was released on 2021-07-13 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE ESOPHAGUS The Esophagus investigates the anatomy, physiology, and pathology of the esophagus. This sixth edition, revised and updated throughout, also explores the diagnosis and treatment of various esophageal conditions. It includes treatment guidelines approved by the two largest gastroenterology societies, the ACG and AGA, as befits a work co-edited by two former presidents of those organizations. Advancements in diagnostics are presented, as are developments in the surgical and drug therapies. Presented in full colour, and boasting an unrivalled team of editors and contributing authors, The Esophagus Sixth Edition will find a home wherever the anatomy, physiology, and pathology of the esophagus are studied and taught. This book is accompanied by a website containing all the figures from the book in PowerPoint format. www.wiley.com/go/richter/esophagus6e Praise for the Fifth Edition: “There is absolutely no doubt that this edition of the textbook will maintain its status as the go-to reference for esophageal conditions, and will remain a highly utilized and clinically useful resource for novice and experienced physicians and surgeons alike.” (Gastroenterology, 1 July 2013)

The Pharyngoesophageal Sphincter

Author :
Publisher :
ISBN 13 :
Total Pages : 232 pages
Book Rating : 4.:/5 (44 download)

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Book Synopsis The Pharyngoesophageal Sphincter by :

Download or read book The Pharyngoesophageal Sphincter written by and published by . This book was released on 1970 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Motor Function of the Pharynx, Esophagus, and its Sphincters

Author : Ravinder Mittal
Publisher : Biota Publishing
ISBN 13 : 1615043349
Total Pages : 86 pages
Book Rating : 4.6/5 (15 download)

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Book Synopsis Motor Function of the Pharynx, Esophagus, and its Sphincters by : Ravinder Mittal

Download or read book Motor Function of the Pharynx, Esophagus, and its Sphincters written by Ravinder Mittal and published by Biota Publishing. This book was released on 2011-03-01 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deglutition or a swallow begins as a voluntary act in the oral cavity but proceeds autonomously in the pharynx and esophagus. Bilateral sequenced activation and inhibition of more than 25 pairs of muscles of mouth, pharynx, larynx, and esophagus is required during a swallow. A single swallow elicits peristalsis in the pharynx and esophagus along with relaxation of upper and lower esophageal sphincters. Multiple swallows, at closely spaced time intervals, demonstrate deglutitive inhibition; sphincters remain relaxed during the entire period, but only the last swallow elicits peristalsis. Laryngeal inlet closure or airway protection is very important during swallow. Upper part of the esophagus that includes upper esophageal sphincter is composed of skeletal muscles, middle esophagus is composed of a mixture of skeletal and smooth muscles, and lower esophagus, including lower esophageal sphincter, is composed of smooth muscles. Peristalsis progresses in seamless fashion, despite separate control mechanism, from the skeletal to smooth muscle esophagus. The esophagus's circular and longitudinal muscle layers contract synchronously during peristalsis. Sphincters maintain continuous tone; neuromuscular mechanisms for tonic closure in the upper and lower esophageal sphincters are different. Lower esophageal sphincter transient relaxation, belching mechanism, regurgitation, vomiting, and reflux are mediated via the brain stem. Table of Contents: Introduction / Central Program Generator and Brain Stem / Pharynx-Anatomy, Neural Innervation, and Motor Pattern / Upper Esophageal Sphincter / Neuromuscular Anatomy of Esophagus and Lower Esophageal Sphincter / Extrinsic Innervation: Parasympathetic and Sympathetic / Interstitial Cells of Cajal / Recording Techniques / Motor Patterns of the Esophagus-Aboral and Oral Transport / Deglutitive Inhibition and Muscle Refractoriness / Peristalsis in the Circular and Longitudinal Muscles of the Esophagus / Neural and Myogenic Mechanism of Peristalsis / Central Mechanism of Peristalsis-Cortical and Brain Stem Control / Peripheral Mechanisms of Peristalsis / Central Versus Peripheral Mechanism of Deglutitive Inhibition / Neural Control of Longitudinal Muscle Contraction / Modulation of Primary and Secondary Peristalsis / Neural Control of Lower Esophageal Sphincter and Crural Diaphragm / Lower Esophageal Sphincter / Swallow-Induced LES Relaxation / Crural Diaphragm Contribution to EGJ and Neural Control / Transient LES Relaxation and Pharmacological Inhibition / Compliance of the EGJ / References

The Pharyngoesophageal Sphincter

Author : Costantino Zaino
Publisher :
ISBN 13 : 9780398021412
Total Pages : 224 pages
Book Rating : 4.0/5 (214 download)

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Book Synopsis The Pharyngoesophageal Sphincter by : Costantino Zaino

Download or read book The Pharyngoesophageal Sphincter written by Costantino Zaino and published by . This book was released on 1970 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Dysphagia Management in Head and Neck Cancers

Author : Krishnakumar Thankappan
Publisher : Springer
ISBN 13 : 9811082820
Total Pages : 404 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Dysphagia Management in Head and Neck Cancers by : Krishnakumar Thankappan

Download or read book Dysphagia Management in Head and Neck Cancers written by Krishnakumar Thankappan and published by Springer. This book was released on 2018-10-11 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dysphagia and problems related to swallowing are common following treatment for head and neck cancers. Though there are books available on dysphagia management and associated neurological conditions, this is the only atlas that comprehensively discusses dysphagia related to the head and neck cancers. It comprises of 33 chapters divided into five sections. The initial chapters present the anatomy and physiology of swallowing and the pathophysiology of the dysphagia-related structures. It discusses assessment of dysphagia in detail, highlighting clinical and instrumental evaluations. Swallowing dysfunction related to common sub-site cancers and chemo-radiotherapy related dysphagia are explored individually. The book addresses direct and indirect swallowing therapy methods involving postures and exercises in a detailed yet simple manner to enable them to be incorporated in routine practice. It also covers topics like nutritional management, alternative feeding methods and unique problems associated with tracheostomy that have a great bearing on the day-to-day management of patients with dysphagia. The current status of the research and evidence- based management updates are also included. Additionally, where appropriate videos are included for a better understanding of the subject. Written and edited by experts in the field, the book is intended for clinicians treating head and neck cancer, head and neck surgeons, radiation oncologists, speech and swallowing therapy specialists and trainees in these fields

CURRENT Diagnosis and Treatment Surgery: Thirteenth Edition

Author : Gerard Doherty
Publisher : McGraw Hill Professional
ISBN 13 : 0071635157
Total Pages : 1328 pages
Book Rating : 4.0/5 (716 download)

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Book Synopsis CURRENT Diagnosis and Treatment Surgery: Thirteenth Edition by : Gerard Doherty

Download or read book CURRENT Diagnosis and Treatment Surgery: Thirteenth Edition written by Gerard Doherty and published by McGraw Hill Professional. This book was released on 2009-08-20 with total page 1328 pages. Available in PDF, EPUB and Kindle. Book excerpt: To-the-point information on more than 1000 diseases and disorders surgeons are most likely to encounter The leading single-source surgery book for house-staff, students, practitioners, and surgeons A Doody's Core Title for 2011! "This is an excellent source of updated, authoritative, and concise information on diseases encountered in general surgery and the surgical subspecialties of otolaryngology, urology, gynecology, orthopedics, plastic and reconstructive surgery, and pediatrics....This is a wonderful resource for all levels of surgical practitioners as well as nonsurgical practitioners. In my experience, it has provided me with a framework to prepare for both oral and written boards. 3 Stars."--Doody's Review Service Authoritative, concise, and completely up-to-date, CURRENT Diagnosis & Treatment Surgery features: Wide-ranging coverage that encompasses general surgery and all the important subspecialties including otolaryngology, urology, gynecology, orthopedics, plastic and reconstructive surgery, and pediatrics References linked to recent journal articles Logical quick-find organization made even more accessible by a comprehensive index More than 600 informative photographs and illustrations Detailed treatment algorithms NEW CD-ROM with content from Quick Answers: Surgery to speed diagnosis of symptoms and signs NEW Chapter on Training, Communication, Professionalism, and Systems-Based Practice Completely rewritten chapters on Wound Healing, Anesthesia, Otolaryngology/Head & Neck Surgery, The Heart, Neurosurgery, Gynecology, and Orthopedics

Laparoscopic Sleeve Gastrectomy

Author : Salman Al-Sabah
Publisher : Springer Nature
ISBN 13 : 3030573737
Total Pages : 674 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Laparoscopic Sleeve Gastrectomy by : Salman Al-Sabah

Download or read book Laparoscopic Sleeve Gastrectomy written by Salman Al-Sabah and published by Springer Nature. This book was released on 2021-01-04 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.

The Clinician's Guide to Swallowing Fluoroscopy

Author : Peter C. Belafsky
Publisher : Springer
ISBN 13 : 1493911090
Total Pages : 126 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis The Clinician's Guide to Swallowing Fluoroscopy by : Peter C. Belafsky

Download or read book The Clinician's Guide to Swallowing Fluoroscopy written by Peter C. Belafsky and published by Springer. This book was released on 2014-08-05 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Clinician’s Guide to Swallowing Fluoroscopy is a comprehensive resource for all dysphagia clinicians. This beautifully-illustrated text is intended for SLP, ENT, radiology, GI, and rehabilitation specialists interested in swallowing and addresses the need for an up-to-date, all-inclusive reference. Topics covered include radiation safety and protection, fluoroscopic oral, pharygeal, and esophageal phase protocols and abnormalities, and objective measures of timing and displacement.

Pediatric Swallowing and Feeding

Author : Joan C. Arvedson
Publisher : Plural Publishing
ISBN 13 : 1944883525
Total Pages : 619 pages
Book Rating : 4.9/5 (448 download)

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Book Synopsis Pediatric Swallowing and Feeding by : Joan C. Arvedson

Download or read book Pediatric Swallowing and Feeding written by Joan C. Arvedson and published by Plural Publishing. This book was released on 2019-07-26 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York

Neurogenic Dysphagia

Author : Tobias Warnecke
Publisher : Springer Nature
ISBN 13 : 3030421406
Total Pages : 416 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Neurogenic Dysphagia by : Tobias Warnecke

Download or read book Neurogenic Dysphagia written by Tobias Warnecke and published by Springer Nature. This book was released on 2021-03-05 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Atlas of Pediatric Surgery

Author : Ahmed H. Al-Salem
Publisher : Springer Nature
ISBN 13 : 3030292118
Total Pages : 896 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Atlas of Pediatric Surgery by : Ahmed H. Al-Salem

Download or read book Atlas of Pediatric Surgery written by Ahmed H. Al-Salem and published by Springer Nature. This book was released on 2020-01-02 with total page 896 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a practical guide to the congenital and acquired problems related to pediatric surgery and urology. A range of topics are covered, including; abdominal wall hernias, hemangioma and vascular malformations, gastrochesis, achalasia, congenital gastric outlet obstruction, renal and liver tumors, intestinal malrotation, and hydronephrosis. The book aims to be a quick reference text for the diagnosis and treatment of pediatric surgery conditions and presents information relevant to general surgeons, pediatricians, pediatric surgeons, and medical trainees.

Lung, Pleura, and Mediastinum

Author : Liang-Che Tao
Publisher : Igaku-Shoin Medical Publishers
ISBN 13 :
Total Pages : 522 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Lung, Pleura, and Mediastinum by : Liang-Che Tao

Download or read book Lung, Pleura, and Mediastinum written by Liang-Che Tao and published by Igaku-Shoin Medical Publishers. This book was released on 1988 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Frailty and Sarcopenia

Author : Yannis Dionyssiotis
Publisher : BoD – Books on Demand
ISBN 13 : 9535134833
Total Pages : 256 pages
Book Rating : 4.5/5 (351 download)

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Book Synopsis Frailty and Sarcopenia by : Yannis Dionyssiotis

Download or read book Frailty and Sarcopenia written by Yannis Dionyssiotis and published by BoD – Books on Demand. This book was released on 2017-08-30 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Frailty is considered a multisystem impairment that makes an individual vulnerable to external or internal stressors. Sarcopenia, the age-dependent loss of muscle mass and function, is proposed as the biological substrate and the pathway whereby the consequences of physical frailty develop. These syndromes are associated with a negative impact in quality of life and can lead to the occurrence of disability, institutionalization, and even mortality. The book focuses upon all the related aspects of frailty and sarcopenia and the new advancements in the related treatments including complex issues and research. It includes high-quality chapters in all related aspects for the syndromes of sarcopenia and frailty, which adversely affect the function and overall effectiveness of the musculoskeletal system and interventions to promote rehabilitation.

Color Atlas of High Resolution Manometry

Author : Jeffrey Conklin
Publisher : Springer Science & Business Media
ISBN 13 : 0387882952
Total Pages : 98 pages
Book Rating : 4.3/5 (878 download)

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Book Synopsis Color Atlas of High Resolution Manometry by : Jeffrey Conklin

Download or read book Color Atlas of High Resolution Manometry written by Jeffrey Conklin and published by Springer Science & Business Media. This book was released on 2009-04-09 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: While reflux disease, achalasia, esophageal spasm, gastroparesis and IBS include some of the most common disorders in all disease categories, the understanding of their pathophysiology has remained elusive. The field of clinical gastrointestinal motility has for decades relied on the measurement of intestinal movements for diagnosis and management of these difficult and enigmatic disorders of gut function. Although computers have increased the speed with which we can measure the movements of the gut, the devices to measure this movement have not changed in over 20 years. In the last 2 years, a new technologic breakthrough has taken place in the measurement of intestinal movement. The technology is called high resolution manometry. Rather than the old 4 and 8 channels systems of measuring pressure, high resolution employs 36 closely spaced solid state pressure transducers. By using this technology, the resolution of gut motor activity is incredible. This allows for better ways of viewing motility using color as pressure. This technology makes for beautiful images of gut motility that we have never seen before. We have made diagnoses that would never have been appreciated with the old technology. High resolution manometry is taking over conventional manometry worldwide and represents a dramatic leap in a long time stagnant area.

Clinical Methods

Author : Henry Kenneth Walker
Publisher : Butterworth-Heinemann
ISBN 13 :
Total Pages : 1128 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Clinical Methods by : Henry Kenneth Walker

Download or read book Clinical Methods written by Henry Kenneth Walker and published by Butterworth-Heinemann. This book was released on 1990 with total page 1128 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR