Perfect for radiologists who need a comprehensive reference while working on difficult cases, it presents a complete yet concise overview of imaging applications, findings, and interpretation in every anatomic area. [books.google.com]

"Double bubble" sign (the bubbles are the stomach and the duodenum proximal to the atresia) (this is duodenal atresia) • A newborn presents with early bilious vomiting and a "double bubble" on X-ray. [brainscape.com]

Intestinal pseudo-obstruction may present at any age with a variable amount of abdominal pain, distension, nausea, diarrhea, or constipation and with laboratory abnormalities usually reflecting the degree of malabsorption and malnutrition present. [karger.com]

Clinical Signs The rabbit may present due to decreased appetite or anorexia. [en.wikivet.net]

Eleven ribs are present on the left and 12 on the right. Segmentation anomalies, including a hemivertebra, are seen at the thoracolumbar level (solid arrow). [slideshare.net]

• Sepsis

  Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41(2):580–637. 4. [dovepress.com]

  Clozapine-induced gastrointestinal hypomotility (CIGH) can lead to fecalith formation, which may result in intestinal obstruction/pseudo-obstruction, intestinal distension, necrosis, perforation, sepsis, aspiration from inhalation of feculent vomitus, [mdedge.com]

  Constipation, diarrhea and irritable bowel symptoms Gallstones due to abnormal muscle function of the gallbladder, bile duct and sphincter Dilated colon, which can result in fecal impaction, possibly associated with megacolon or bowel perforation and sepsis [myotonic.org]

  […] monitor the catheter is working properly, check liver enzyme levels and look for signs of blood infections, as catheter blockage, liver damage, and infections of catheters are the main complications associated with long term TPN use and can result in sepsis [en.wikipedia.org]

• Anorexia

  Abstract A young, crossbred dog with a 13-month history of progressively worsening, recurrent episodes of vomiting, anorexia, depression and dehydration was diagnosed as having a functional hypomotility disorder of the small intestines. [ncbi.nlm.nih.gov]

  Clinical Signs The rabbit may present due to decreased appetite or anorexia. [en.wikivet.net]

  […] life-threatening side effects, including agranulocytosis/neutropenia, myocarditis/cardiomyopathy, arrhythmia, seizures, diabetic ketoacidosis, fulminant hepatic failure, pulmonary embolism, and GI complications. 4 Clozapine-induced GI side effects include anorexia [mdedge.com]

• Aspiration

  METHODS: Twenty-five subjects without previous gastric surgery were studied with (i) concurrent bacteriological analyses of fasting saliva and gastric and proximal small intestinal aspirates, (ii) measurement of gastric pH, and (iii) scintigraphic assessment [ncbi.nlm.nih.gov]

  […] pneumonia (aspiration) Childhood/Adolescence/Adulthood Ineffective swallow (dysphagia) caused by craniofacial skeletal anomalies, or weakness, incoordination and myotonia of face, tongue, jaw, esophagus, and throat muscles Aspiration due to pharyngeal [myotonic.org]

  […] its interaction with multiple receptors, including anticholinergic and serotonergic receptors. 1 Clozapine can impair motility throughout the GI tract causing intestinal obstruction, bowel ischaemia, necrosis, perforation, toxic megacolon, and related aspiration [medsafe.govt.nz]

  Clozapine-induced gastrointestinal hypomotility (CIGH) can lead to fecalith formation, which may result in intestinal obstruction/pseudo-obstruction, intestinal distension, necrosis, perforation, sepsis, aspiration from inhalation of feculent vomitus, [mdedge.com]

• Pneumonia

  […] due to weak suck Ineffective swallow caused by craniofacial skeletal abnormalities and weakness of face, tongue, and jaw muscles Inhalation of ingested liquid or secretions due to pharyngeal weakness and incoordination, potentially causing aspiration pneumonia [myotonic.org]

  […] interaction with multiple receptors, including anticholinergic and serotonergic receptors. 1 Clozapine can impair motility throughout the GI tract causing intestinal obstruction, bowel ischaemia, necrosis, perforation, toxic megacolon, and related aspiration pneumonia [medsafe.govt.nz]

  Trisomy 21 (Down syndrome) (this newborn likely has duodenal atresia, which is associated with this chromosomal abnormality) • Meconium ileus due to cystic fibrosis, which runs in families and is associated with pneumonia due to inability to clear mucous [brainscape.com]

• Abdominal Distension

  […] pain, abdominal distension, vomiting, paradoxical "overflow" diarrhoea, reduced appetite, nausea. 1, 4-6 Patients with these signs and symptoms require urgent medical referral and treatment as complications such as septic shock can occur. [medsafe.govt.nz]

  X, age 61, presents to the emergency department (ED) complaining of nausea, vomiting, and abdominal pain and distension. [mdedge.com]

  Physical examination was significant for abdominal distension with hypoactive bowel sounds. Rectal examination revealed hard impacted stool in the rectal vault. Stool qualitative guaiac test was performed, which was negative. [dovepress.com]

• Failure to Thrive

  […] to thrive in infants`…Antral web. [slideshare.net]

  Patterns of Gastrointestinal System Problems Congenital DM1 Prenatal Accumulation of amniotic fluid in the mother caused by reduced ingestion of amniotic fluid by the fetus (polyhydramnios) Newborn Ineffective nursing and failure to thrive due to weak [myotonic.org]

• Liver Dysfunction

  Results should be interpreted cautiously since elevated AST and ALT in myotonic dystrophy can be evidence of muscle damage rather than liver dysfunction. [myotonic.org]

• Hypertension

  Treatment of Pulmonary Hypertension 437 Complex Challenges of Pulmonary Hypertension 447 Gastrointestinal Manifestations and Management 461 Overview Gastrointestinal Manifestations and Management 463 Upper Gastrointestinal Tract 471 Small and Large Intestinal [books.google.com]

  […] syndrome Dyspepsia Dysphagia Encopresis Fecal incontinence Functional bowel outlet obstruction Functional fecal retention Gastroesophageal reflux disease (GERD) Gastroparesis Gastropathy Hirschprung's Disease (HD) Hypercontractile motility Hypermotility Hypertensive [wexnermedical.osu.edu]

  X’s medical history is significant for chronic constipation, hypertension, obstructive pulmonary disease, and hyperthyroidism. [mdedge.com]

• Heart Disease

  disease and high blood pressure Diuretics Help the kidneys remove fluid from the blood Iron supplements Iron deficiency or anemia Opiates Pain relievers This list is not all-inclusive. [iffgd.org]

• Chewing Problem

  Routine gastrointestinal assessment History and review of symptoms should cover chewing problems (myotonia or fatigue); difficulty swallowing (dysphagia for solids; aspiration of liquids, or frequent dry cough suggesting aspiration of secretions) gastroesophageal [myotonic.org]

• Muscle Weakness

  […] suck Ineffective swallow caused by craniofacial skeletal abnormalities and weakness of face, tongue, and jaw muscles Inhalation of ingested liquid or secretions due to pharyngeal weakness and incoordination, potentially causing aspiration pneumonia [myotonic.org]

• Suggestibility

  Genetics The disease carries an autosomal recessive inheritance 2-3 with the gene locus at 15q24 8 although some authors suggest a sporadic occurrence in certain cases reference required. [radiopaedia.org]

  Orocaecal transit, but not gastric emptying, of a liquid test meal was significantly delayed in this group (p = 0.002 and p = 0.84, respectively), suggesting the presence of small intestinal hypomotility. [ncbi.nlm.nih.gov]

  Absence of faecal balls in the colon is also highly suggestive. [en.wikivet.net]

  23 hours for patients not prescribed clozapine vs. 104.5 hours in those taking clozapine—more than 4 times the normative values or in patients taking another antipsychotic ( P Researchers found abnormalities in right, left, and rectosigmoid motility suggesting [empr.com]

  She shows no signs or symptoms that suggest anticholinergic delirium. [mdedge.com]

• Incontinence

  Symptoms may include nausea, vomiting, indigestion, weight loss, constipation, diarrhea and incontinence. [wexnermedical.osu.edu]

  Cholestyramine to treat diarrhea, incontinence, and pain Treatments for dysphagia Dietary modification (mechanically soft foods are easiest to swallow) Involvement of a speech therapist to teach behavioral and postural modification (e.g., neck flexed [myotonic.org]

  Fecal incontinence Aging, dementia, stroke, Parkinson disease, spinal cord injuries, rectal tears during birthing, diabetes, surgical complications, and neuromuscular disorders (eg, myasthenia gravis) may cause fecal incontinence. [emedicine.medscape.com]

  We offer the full range of gastrointestinal procedures for ailments including: Achalasia Barrett’s esophagus Celiac disease Colon polyps Diverticulosis and diverticulitis Fecal incontinence Functional bowel disorders Gastrointestinal bleeding Gastroesophageal [cpmc.org]

  Hypomotility is associated with several health diagnoses such as irritable bowel syndrome (IBS), intestinal pseudo obstruction (Ogilvie syndrome), chronic constipation and fecal incontinence. [intmedsolutions.com]

• Insomnia

  Her medications include trazodone, 25 mg/d; fluoxetine, 40 mg/d, for negative symptoms and insomnia; docusate sodium, 200 mg/d; polyethylene glycol, 17 g/d; and bisacodyl suppository, 10 mg as needed for constipation. [mdedge.com]

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Clozapine serum levels were generally not included in the ADR reports, but available data showed that 37% of CIGH cases occurred within the first year of treatment. [psychiatryadvisor.com]

Clozapine is indicated for use in patients with treatment-resistant schizophrenia. [medsafe.govt.nz]

Treatment There is no specific treatment for individuals with CIP. Treatment is directed toward the specific symptoms that are apparent in each individual, and to support adequate nutritional needs. [rarediseases.org]

Treatment The main treatment is nutritional support to prevent malnutrition and antibiotics to treat bacterial infections. [aboutkidsgi.org]

Treatment and prognosis The overall prognosis is considered to be poor and treatment has been shown to be generally ineffective 6. It is usually lethal within the first year of life 3. History and etymology First described by W E Berdon in 1976 4. [radiopaedia.org]

Prognosis Depends on the underlying cause. Early medical management of animals with ileus carries an excellent prognosis. References Girling, S. [en.wikivet.net]

Prognosis Primary intestinal motility disorders or disorders that are not secondary to malignancy or debilitating pathology have a good prognosis. [emedicine.medscape.com]

Denton Clinical features and prognosis of primary biliary cirrhosis associated with systemic sclerosis [71.] S. Akimoto, O. Ishikawa, Y. Muro, H. Takagi, T. Tamura, Y. [reumatologiaclinica.org]

Diarrhea in hypothyroidism: Bacterial overgrowth as a possible etiology. J Clin Gastroenterol 1990;12:98-9. 13. Lappinga PJ, Abraham SC, Murray JA, Vetter EA, Patel R, Wu TT. [ijem.in]

[…] include the following: Impaired pelvic floor relaxation, prolonged storage in the rectosigmoid, outlet delay, anismus Avoidance of defecation, functional fecal retention (eg, poor pelvic floor training, poor diet, fear of pain, learned suppression) Etiology [emedicine.medscape.com]

Keywords Dyspeptic Gastric emptying Crohn Background Crohn’s disease is a chronic condition of unknown etiology in which inflammatory process may involve any location of gastrointestinal tract [ 1 ]. [bmcgastroenterol.biomedcentral.com]

[…] intestinal hypoperfusion --> postpradial epigastric pain --> food aversion and weight loss ischemic colitis - mechanism / presentation reduction in intestinal blood flow --> crampy abdominal pain followed by hematoscezia ischemic colitis - location and epidemiology [brainscape.com]

Epidemiology According to some epidemiologic reports, as many as 30 million Americans have intestinal motility disorders. [emedicine.medscape.com]

Sleisenger and Fordtran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management. Edited by: Feldman M, Friedman LS, Brandt L. 2006, Philadelphia: Saunders, 2459-2498. [bmcgastroenterol.biomedcentral.com]

Chen Systematic review: pathophysiology and management of gastrointestinal dysmotility in systemic sclerosis (scleroderma) Aliment Pharmacol Ther, 15 (2006), pp. 691-712 [5.] G. Bassotti, E. Battaglia, V. Debernardi, U. Germani, F. Quiriconi, L. [reumatologiaclinica.org]

Pathophysiology Coordinated movements of the stomach and intestines are required to digest and propel intestinal contents along the digestive tract. [emedicine.medscape.com]

Some medications may be useful in the treatment of some individuals, including: Antibiotics to prevent bacterial growth Anti-heartburn drugs to reduce gastric acid secretion Choleretic agents to prevent liver disease, due to better bile flow Hypomotility [news-medical.net]

People with intestinal pseudo-obstruction often need nutritional support to prevent malnutrition and weight loss. [aboutgimotility.org]

The appellant admitted that the oral composition of document (6), when applied in its usual way, prevents this side effect. [epo.org]

Prescriber Update 32(2): 14–15 June 2011 Prescribers are reminded of the importance of treating constipation in patients taking clozapine to prevent potentially life-threatening complications. [medsafe.govt.nz]