Intestinal and anorectal motility and functional disorders
Intestinal and anorectal motility and functional disorders
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DOI：
10.1016/j.bpg.2009.02.012
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发表时间：
2009-06-01
影响因子：
3.2
通讯作者：
Layer, Peter
中科院分区：
文献类型：
--
作者：
Keller, Jutta;Layer, Peter
小肠、结肠和肛门直肠的运动和功能障碍可诱发或促成腹泻、便秘和腹痛等症状，严重时可损害营养吸收。肠道功能的急性影响，例如在胃肠道感染期间，通常不需要功能性诊断，而是自发地或通过对基础疾病的适当治疗而消退。相比之下，小肠、结肠和肛门直肠运动和/或敏感性的慢性紊乱要进行胃肠道功能检查。这些测试的诊断和治疗处理的严重肠动力障碍/慢性假性肠梗阻，严重便秘，腹泻，大便失禁和肠易激综合征的作用将在本次审查中讨论，主要集中在成人。(C)2009爱思唯尔有限公司保留所有权利。
Motility and functional disorders of the small intestine, the colon and the anorectum can induce or contribute to symptoms such as diarrhoea, constipation and abdominal pain and may impair nutrient absorption in severe cases. Acute affections of intestinal functions e.g. during gastrointestinal infections usually need no functional diagnostics but resolve spontaneously or with adequate therapy of the underlying disease. By contrast, chronic disturbances of small intestinal, colonic and anorectal motility and/or sensitivity are subject to gastrointestinal function tests. The role of these tests for diagnosis and therapeutic handling of severe intestinal dysmotility/chronic intestinal pseudo-obstruction, severe constipation, diarrhoea, fecal incontinence and irritable bowel syndrome will be discussed in this review that mainly focuses on adults. (C) 2009 Elsevier Ltd. All rights reserved.