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หนังสือ – rome-criteria


	Rome IV Print Collectionกรุงโรมให้ IV พิมพ์คลังสื่อ

คลังสื่อออนไลน์โรมให้ IV

กรุงโรมให้ IV ผู้เชี่ยวชาญด้านคลังสื่อ

	Rome IV Online CollectionMultidimensional องการรักษาโพรไฟล์

MDCP ตั้งค่าภาพนิ่ง

ตั้งค่าของ MDCP หนังสือและสไลด์เลือด

	Rome IV Expert Collectionกรุงโรม III:ที่งานที่เกี่ยวกับความผิดปกติที่ผู้หญิคือเสื้อผ้าผูก

กรุงโรม III:งทำงานที่เกี่ยวกับความผิดปกติที่ของการอุดกั้นทางทางเดินอาหางกล้องทางเดินอาหาร

	Multi-Dimensional Clinical Profileสอนภาษาสเปนรุ่นของกรุงโรม III

ความเข้าใจที่ irritable งเกิดในช่องท้อง

 


ชุด

	MDCP Book and Slide Set

Bristol เก้าอี้แบบฟอร์รูปแบบเสื้อ-ปานกลาง

Bristol เก้าอี้แบบฟอร์รูปแบบเสื้อตัวเล็ก

	Rome III: The Functional GI Disorders Cloth Bound

เสื้อ Bristol นม้านั่งรูปแบบแบบฟอร์-ใหญ่

Bristol เก้าอี้ปรับขนาดรูปแบบเสื้อออก-ใหญ่มาก

 


คอมพิวเตอร์โครงการฝึก

สมบูรณ์ตั้งค่า-บนแผ่นซีดีรอม
พื้นฐานวิทยาศาสตร์คิท-บนแผ่นซีดีรอม
คิท\n ในการวินิจฉัยโรค\n-บนแผ่นซีดีรอม
Epidemiological คิท-บนแผ่นซีดีรอม
Integrated ศูนย์ควบคุม kde ในโมดูลสำหรับ IBS-บนแผ่นซีดีรอม
สร้างศูนย์ควบคุม kde ในโมดูลการล็อคบนแผ่นซีดีรอม
เด็กของคิท-บนแผ่นซีดีรอม
ไอ้พิการโรคจิตคนไหนสังคมการตั้งค่า-ที่ซีดีรอมตัว
การรักษาคิท-บนแผ่นซีดีรอม

บุคคลหนึ่งคอมพิวเตอร์ curriculum

Prevalence การอุดกั้นทางทางเดินอาหาอาการในประชากรทั่วไป
แจกจ่าย
การเกิดขึ้นอีกของอาการของอัพเปอร์อีรอุดกั้นทางทางเดินอาหางกล้องทางเดินอาหาร
Defining ปัญหาในการศึกษาเกี่ยวกับ upper รอุดกั้นทางทางเดินอาหาอาการ
ส่องกล้อผลตรวจอยู่ติดคนธรรมดาได้กับ dyspepsia
อาการ
ส่องกล้อผลตรวจอยู่ติดคนธรรมดาได้กับ reflux

อาการ

Epidemiology ของงานที่เกี่ยวกับความผิดปกติที่อยู่ติดคนธรรมดาได้
ทั่วโลก Prevalence ของ dyspepsia อาการ
กรุงโรมและต่อต้านรุงโรมฉัน

 


  • Dyspepsia Prevalence According to Sex
  • Dyspepsia Prevalence According to Age
  • Dyspepsia Prevalence According to Socioeconomic Status
  • Dyspepsia Prevalence with NSAIDs Use
  • Dyspepsia Prevalence According to H pylori Status
  • Incidence of Dyspepsia in the General Population
  • Incidence of Dyspepsia in the UK General Population, Age 40 to 49 Years-Slide 1 of 2
  • Prognosis of Dyspepsia in the General Population-Slide 2 of 2
  • Quality of Life in the US and UK General Population in Those With and Without
  • Dyspepsia
  • Quality of Life and Dyspepsia
  • Quality of Life and Dyspepsia vs IBD
  • Economic Impact of Upper GI Disease in Sweden
  • Economic Impact of Dyspepsia in a Sample of the UK General Population
  • Extrapolation of Economic Impact on Dyspepsia to Different Countries
  • Prevalence of GI Functional Disorders
  • Prevalence of Bowel Habits in US IBS Populations
  • Definitional Problems with Studies
  • World Prevalence of IBS
  • IBS Prevalence According to Sex
  • Prevalence by IBS Subgroups
  • IBS Prevalence According To Age
  • IBS Prevalence According to Socioeconomic Status
  • IBS Following Infectious Gastroenteritis
  • Risk Factors for IBS After Acute Gastroenteritis-Slide 1 of 2
  • Risk Factors for IBS After Acute Gastroenteritis-Slide 2 of 2
  • Familial Association in Adults with Dyspepsia and IBS
  • Impact of IBS on Quality of Life Compared to the General Population
  • Incidence of IBS in the General Population
  • Cost of IBS
  • Direct Cost of IBS: Patients vs Controls in the US
  • Direct vs Indirect Costs of IBS
  • IBS and Surgery
  • US Annual Costs (US$ Millions)
  • World Prevalence of Constipation
  • Definition of Constipation
  • Constipation and Gender
  • Constipation and Age
  • Constipation and Socioeconomic Status
  • Constipation and Quality of life
  • Constipation and Exercise: Conflicting Data
  • Diarrhea in the Population
  • Diarrhea and Gender
  • Functional Disorders Overlap
  • Overlap Among GI Symptoms
  • IBS Coexists With Many Other Functional Symptoms
  • IBS – Most Common Diagnosis In Women With Chronic Pelvic Pain
  • Autonomic Nervous System Has Three Divisions
  • Enteric Nervous System Comprises the Myenteric and Submucosal Plexuses
  • Enteric Nervous System (ENS): The “Brain-In-The-Gut” Concept
  • Microcircuits of the ENS Formed by Synaptic Connections
  • Bidirectional Communication Occurs Between the ENS and the CNS
  • Three Main Types of Chemical Signaling Occur in the Enteric Nervous System
  • Sensory Neurons in the Enteric Nervous System
  • Motor Neurons in the Enteric Nervous System
  • Multiple Mediators Activate Secretomotor Neurons And Stimulate Secretion
  • Multiple Mediators Inhibit Secretomotor Neurons And Suppress Secretory Activity
  • Multiple Mediators Inhibit Excitatory Musculomotor Neurons and Cause Smooth Muscle
  • Relaxation
  • Multiple Mediators Activate Excitatory Musculomotor Neurons and Cause Smooth Muscle
  • Contraction
  • Multiple Mediators Suppress Inhibitory Musculomotor Neurons and Cause Smooth Muscle
  • Contraction
  • Multiple Mediators Activate Inhibitory Musculomotor Neurons and Cause Smooth Muscle
  • Relaxation
  • Neural Control of Muscles During Perstaltic Propulsion
  • Vagus Nerves: Mixed Afferent and Efferent
  • Dorsal Vagal Complex in Medulla Oblongata
  • Schematic of Vago-Vagal Reflex Circuit
  • Section Title: Sensory Physiology and Pathophysiology of the Gut
  • Multiple Types of Sensory Receptors Are Present in the Digestive Tract
  • Sensory Receptors Transform Changes in Stimulus Energy into Action Potential Codes
  • Sensory Afferents Transmit Signals to Both ENS and CNS
  • Serotonergic 5-HT3 Receptors Are Expressed on Digestive Tract Afferents
  • Distension of the Esophagus Evokes Firing In Vagal Afferent Fibers
  • Enteric Neurons Project Sensory Info from Large Intestine to Spinal Cord
  • Spinal Gasting for 3 Classes of Sensory Receptors Accounts for Normal Regulatory
  • Functions
  • Enteroendocrine Cells Are the First Step in the Transduction of Chemoreceptive Sensory
  • Information
  • Chemoreceptors for Acid in the Gastric or Duodenal Mucosa Evoke Firing in Vagal
  • Afferents
  • Sensory Signals Are Processed in Spinal Cord, Brain Stem, and Brain
  • Spinal Pain Circuits
  • Visceral Sensory Pathways: Ascending Pathways
  • Ascending Visceral Pain Pathway
  • Descending Pain Modulation
  • Mechanical Distention of the Colon Evokes Pain Referred to Specific Abdominal Regions
  • Convergence of Somatic and Visceral Afferents in the Spinal Cord Accounts for Referred
  • Pain
  • Silent Gastrointestinal Afferents are Sensitized and Activated by Inflammation
  • Gastrointestinal Sensory Afferents are Sensitized by Inflammation
  • Repetitive Mechanical Stimulation Sensitizes the Spinal Cord
  • The Phenomena of Hyperalgesia and Allodynia
  • Schema for Evaluation of Enteric Sensation and Reflexes in the Functional GI Disorders
  • Visceral Hypersensitivity to Gut Distension in the Functional GI Disorders
  • Patients with Functional Dyspepsia Can Exhibit a Reduced Tolerance to Fundic Distension
  • Functional Dyspepsia Patients Show Increased Antral, as Well as Fundic, Sensitivity to
  • Distention
  • Enhanced Perception of Physiological Intestinal Motility, Not Only Balloon Distension,
  • Occurs in IBS
  • Rectal Hypersensitivity in IBS is Provoked by Repetitive Sigmoid Colon Distension
  • Functional Dyspepsia Patients, As Well As IBS, Exhibit Rectal Hypersensitivity
  • Type of Functional GI Disorder Determines Pattern of Gastric and Rectal Hypersensitivity
  • Colonic and Rectal Sensitivity, Both Pain and Non-Pain, to Phasic Distension are
  • Correlated in IBS
  • Colonic Hypersensitivity to Barostat Distension in IBS is Increased After Duodenal Lipid
  • Infusion
  • Colonic Distension Postprandially Provokes an Altered Autonomic Response in IBS
  • Rectal Hypersensitivity in IBS is Associated With Greater Symptom Severity
  • Hypersensitivity to Rectal Distension in IBS: Shorter Latencies of Cerebral Evoked
  • Potentials
  • Rectal Barostat Sensory Testing in IBS: Sensitivity and Specificity
  • Colonic Hypersensitivity in IBS: Influence of Psychological Tendency Pain Reporting
  • Section Title: Motility and Dysmotility: Fundamental Concepts
  • IBS Patients, As Well As Functional Dyspepsia, Exhibit Esophageal Hypersensitivity
  • Gastrointestinal Smooth Muscles Have Properties of a Functional Electrical Syncytium
  • Electrical Activity Occurs at Different Frequencies in Stomach, Small Intestine, and Colon
  • Electrical Slow Waves Without Action Potentials Are Often Present in the Small Intestine
  • Contractions Are Seen When Action Potentials Appear on Slow Waves
  • Networks of Interstitial Cells of Cajal: Pacemakers for Elect Activity in the GI
  • Musculature
  • Activ of Inhib Motor Neurons to the Intest Circ Muscle Tonically Inhibits Contractions
  • Inhib Innervation of Sphincters Contin Inactive & Transiently Activated for Timed
  • Opening
  • Inhib Motor Innervation of Intest Circ Muscle Cont Active & Transiently Inactiv to Permit
  • Musc Cont
  • Enteric Nervous System Contains a Library of Programs for Specific Patterns of Intest
  • Motor Behavior
  • Gastrointestinal Motility and ENS-CNS Control
  • Measurement of Digestive Tract Motility: Transit I
  • Measurement of Digestive Tract Motility: Transit II
  • Measurement of Digestive Tract Motility: Intraluminal Pressure
  • Measurement of Digestive Tract Motility: Tone, Compliance and Reflexes
  • Measurement of Digestive Tract Motility: Myoelectric Activity
  • Measurement of Digestive Tract Motility: Wall Motion
  • Gastrointestinal Dysmotility in the Functional Gastrointestinal Disorders (FGIDs)
  • Gastrointestinal Dysmotility in the Functional Gastrointestinal Disorders (FGIDs)
  • Section Title: Regional Motility – Stomach
  • The Stomach Is Divided Into Multiple Anatomic and Only Two Functional Motor Regions
  • Relaxation in the Gastric Reservoir
  • Swallowing Evokes Gastric Receptive Relaxation
  • Swallowing Evokes Gastric Receptive Relaxation and Increased Gastric Volume
  • Adaptive Relaxation in the Gastric Reservoir Is a Vago-Vagal Reflex
  • Normal Meal-Induced Gastric Accommodation
  • Adaptive Relaxation in the Gastric Reservoir Is Absent After Vagotomy
  • CCK Is a Chemical Signal from the Duodenum for Feedback Reg of the Gastric Reservoir
  • Motility of the Antral Pump Is Initiated by a Dominant Pacemaker in the Mid-Corpus
  • Amount of Acetylcholine Determines Amplitude of Plateau Phase of Action Potential and
  • Contraction
  • Onset and Rate of Gastric Emptying Varies With the Composition of the Meal
  • Dysmotility of the Stomach Reported in Functional Dyspepsia
  • Functional Dyspepsia: Putative Pathophysiological Mechanisms According to Predominant
  • Symptom
  • Gastric Reflexes in FD: Impaired Fundic, Not Antral, Relax Occurs in Resp to Distention &
  • Nutrients
  • Electrogastrography: Noninvasive Recording of Gastric Antral Electrical Activity
  • Tachygastria and Bradygastria Are Dysrhythmias Detected by Electrogastrography
  • Section Title: Regional Motility – Small Intestine
  • The MMC Is the Gastric & Small Intestinal Motor Pattern of the Interdigestive State
  • The MMC Complex Occurs Periodically in the Interdigestive State in the Stomach & Small
  • Intestine
  • Functional Esophageal Disorders
  • Functional Heartburn: Diagnostic Criteria
  • Functional Chest Pain of Presumed Esophageal Origin: Diagnostic Criteria
  • Intercellular Spaces in Esophageal Squamous Epithelium by Transmission Electron
  • Microscopy
  • Hypersensitivity to Esophageal Balloon Distention in Patients with Unexplained Chest
  • Pain
  • PPI Test for Unexplained Chest Pain
  • Correlation of Chest Pain with Episodes of Acid Reflux
  • Combined Multichannel Intraluminal Impedance (MII) and pH Monitoring
  • Combined MII and pH Monitoring
  • Possible Symptom-Reflux Correlations-Slide 1 of 4
  • Symptom Index-Slide 2 of 4
  • Symptom Sensitivity Index-Slide 3 of 4
  • Symptom-Association Probability-Slide 4 of 4
  • Functional Dysphagia: Diagnostic Criteria
  • Globus: Diagnostic Criteria
  • Functional Gastroduodenal Disorders
  • Functional Gastroduodenal Disorders: Functional Dyspepsia
  • Uninvestigated Dyspepsia
  • Functional Dyspepsia: Two Categories
  • Functional Dyspepsia: Diagnostic Criteria
  • Dyspeptic Symptoms
  • Epigastric Pain Syndrome: Diagnostic Criteria
  • Postprandial Distress Syndrome: Diagnostic Criteria
  • Dyspeptic Symptoms
  • Functional Gastroduodenal Disorders: Belching Disorders
  • Belching Disorders: Diagnostic Criteria
  • Multichannel Intraluminal Impedance (MII) Monitoring
  • MII Monitoring
  • Functional Gastroduodenal Disorders: Nausea and Vomiting Disorders
  • Nausea and Vomiting
  • Functional Vomiting: Diagnostic Criteria
  • Cyclic Vomiting Syndrome: Diagnostic Criteria-Slide 1 of 2
  • Cyclic Vomiting Syndrome: Diagnostic Criteria-Slide 2 of 2
  • Functional Gastroduodenal Disorders: Rumination Syndrome
  • Rumination Syndrome: Diagnostic Criteria
  • Esophagogastric Manometry in the Rumination Syndrome
  • Antroduodenal Manometry and pH Monitoring of the Distal Esophagus in the Rumination
  • Syndrome
  • Functional Biliary Disorders
  • Gallbladder and Sphincter of Oddi Pain: Diagnostic Criteria-Slide 1 of 5
  • Gallbladder and Sphincter of Oddi Pain: Diagnostic Criteria-Slide 2 of 5
  • Gallbladder and Sphincter of Oddi Pain: Diagnostic Criteria-Slide 3 of 5
  • Gallbladder and Sphincter of Oddi Pain: Diagnostic Criteria-Slide 4 of 5
  • Rome III Diagnostic Criteria for Gallbladder and Sphincter of Oddi Pain-Slide 5 of 5
  • Gallbladder and Sphincter of Oddi Pain: Diagnostic Criteria
  • Functional Biliary Disorders: Clinical Presentation and Differential Diagnosis
  • Functional Biliary Disorders
  • Rome III Algorithm for Functional Gallbladder Disorder
  • Scintigraphic Gallbladder Ejection Fraction (GBEF) During CCK Infusion
  • Pain Relief and Histological GB Findings After Cholecystectomy According to GBEF in GB
  • Dysfunction
  • Proposed Origin of Defective Gallbladder Emptying and Pain
  • Epidemiology of Functional Gallbladder Disorder
  • Rome III Algorithm for Functional Biliary Sphincter of Oddi Disorders
  • Rome III Algorithm for Functional Biliary Sphincter of Oddi Disorders
  • Sphincter of Oddi (SO) Motor Abnormalities
  • Endoscopic Manometry of the Sphincter of Oddi in a Patient with Normal Motor Activity
  • Endoscopic Manometry in a Patient with Sphincter of Oddi Hypertonicity
  • Endoscopic Sphincter of Oddi Manometry in a Patient with Tachyoddia
  • Biliary (Choledocho) Scintigraphy
  • Common Bile Duct (CBD) Pressure in the Absence or Presence of a Gallbladder
  • Epidemiology of Functional Sphincter of Oddi Disorders
  • Functional Pancreatic Sphincter of Oddi Disorder: Diagnostic Criteria
  • Rome III Diagnostic and Therapeutical Algorithm for Functional Pancreatic SO Disorder
  • Functional Bowel Disorders
  • Irritable Bowel Syndrome: Diagnostic Criteria
  • History and Physical Examination for Lower GI Symptoms
  • Alarm Features for Organic Disorders
  • Usefulness of Red Flags
  • Diagnostic Strength of Red Flags in IBS
  • Investigation in Patients With No Alarm Features
  • Diagnostic Cost of Excluding Red Flags
  • Stool Form Depends on Water Content and Correlates With Transit Time
  • IBS Subtypes
  • IBS Subtypes: Stool Form is the Differentiating Factor
  • Proposed Pathophysiology of IBS
  • Multiple Contributing Factors for IBS
  • Natural History of IBS
  • Pragmatic Issues in IBS
  • Functional Bloating: Dagnostic Criteria
  • Primary Constipation Syndromes
  • Overlap Between Chronic Constipation and IBS With Constipation
    Supporting Symptoms for IBS-C and Chronic Constipation
  • BM Infrequency Is Not the Defining Symptom
  • ACG Task Force Recommendations on Diagnostic Testing for CC
  • Some Causes of Secondary Constipation
  • Primary Constipation Syndromes
  • Conceptual Categorization of Constipation
  • Colonic Transit Study (Hinton Technique)
  • Colonic Transit Study (Metcalf Technique)
  • Constipation: Diagnostic Algorithm
    Primary Constipation Syndromes: Coexistent Slow Colonic Transit and Defecation
  • Disorder
  • Functional Diarrhea: Diagnostic Criteria
  • Evaluation of Functional Diarrhea: History
  • Evaluation of Functional Diarrhea: Diagnostic Testing
  • Differential Diagnosis for Functional Diarrhea
  • Functional Abdominal Pain Syndrome: Diagnostic Criteria
  • Clinical Assessment in FAPS
  • Functional Anorectal Disorders
  • Functional Fecal Incontinence
  • Digital Exam for Continence-Slide 1 of 5
  • Digital Exam for Continence-Slide 2 of 5
  • Digital Exam for Continence-Slide 3 of 5
  • Digital Exam for Continence-Slide 4 of 5
  • Digital Exam for Continence-Slide 5 of 5
  • IAS Weakens With Passive Incontinence
  • Digital Exam – Coccygodynia
  • Chronic Proctalgia Syndrome
  • Proctalgia Fugax
  • Primary Constipation Syndromes: Association with Dyssynergia
  • Diagnostic Tests for Constipation
  • Defecography
  • Pelvic MRI
  • Rectocele
  • Anorectal Manometry
  • Rectoanal Pressure Profiles
  • Balloon Expulsion Test
  • Balloon Expulsion Device
  • Algorithm for Evaluation of Difficult Defecation
  • Feeding Shifts Neural Programming from the MMC to the Postprandial Pattern (Small-Bowel Segm.)
  • Power Propulsion Is a Specialized Pattern of Intestinal Motility
  • Power Propulsion Is an Intestinal Motor Pattern Specialized for Rapid Propulsion Over Long Distances
  • Emesis Interrupts the ENS Postprandial Program and Initiates Power-Propulsion Program
  • Video: Emesis Interrupts the ENS Postprandial Program and Initiates Power-Propulsion
  • Program
  • Dysmotility of the Small Intestine Reported in Irritable Bowel Syndrome
  • Postprandial Jejunal Dysmot Is more Freq in IBS Pts with Jejunal Perception
  • Hypersensitivity
  • High Amplitude Propagated Contractions in Ileum Reflect Power Propulsion
  • Section Title: Regional Motility: Large Intestine/Pelvic Floor
  • Colonic Motility: High-Amplitude Propagated Contractions (HPACs) Are Triggered on
  • Waking From Sleep
  • Colonic Motility: Nonpropagating Contractions Decrease During Sleep and Increase on Waking
  • Colonic Motility: Normal Tonic Response of Sigmoid Colon to a Meal
  • Activity of Inhibitory Neurons is Important for Generation of Haustra in the Colon
  • Dysmotility of the Colon Reported in Irritable Bowel Syndrome
  • Sigmoid Colon Motility Is Increased in IBS Both Fasting and Postprandially
  • Postprandial Sigmoid Colon Motility Index is Related to Plasma 5-HT Concentration in
  • IBS
  • Power Propulsion in the Colon is More Frequent in IBS
  • The Normal Colorectal Tonic Reflex Is Attenuated in Female IBS Patients
  • Dysmotility of the Colon and Ano-Rectum Reported in Functional Constipation
  • High-Amplitude Propagated Contractions (HAPCs) Occur Less Frequently in Slow-Transit
  • Constipation
  • External Anal Sphincter and Puborectalis Are Skeletal Muscles Under Spinal Motor
  • Control
  • Balloon Distension in the Rectum Normally Evokes Relaxation of the External Anal
  • Sphincter
  • Patterns of Anal Sphincter Dysfunction
  • Genetic Factors May Modulate Adrenergic and Serotonergic Functions in IBS
  • Section Title: Intestinal Bacteria, Intestinal Gas, Abdominal Bloating, and Distension
  • The Microbiota of the Human GI Tract
  • Alterations in Intestinal Microflora May Occur in IBS
  • Mild Increases of Small-Bowel Bacteria, but Not Overgrowth, Can Occur in IBS Patients
  • Normal Intestinal Gas Dynamics Balance Gas Production and Gas Elimination
  • Intestinal Gas Retention Occurs in the Supine but Not in the Standing Position
  • Distribution of Abdominal Gas on CT Scans Before and After Meal Ingestion in a Healthy
  • Subject
  • Abdominal Distension in IBS Increases During the Day and Decreases at Night
  • Mild Exercise Enhances Transit of Intestinal Gas
  • Tolerance is Less for Jejunal Than for Colonic Gas Infusion
  • Gas Retention Due to Intest Relaxation Is Better Tolerated Than Retention Due to
  • Restraint Evac
  • Composition of Intest Gas Is Not Different in Healthy Subjects & Pts with FGI Symptoms
  • Methane Infusion Into the Canine Distal Small Bowel Slows Transit in the Proximal Small
  • Bowel
  • The Degree of Breath Methane Production in IBS Correlates With Severity of
  • Constipation
  • Evacuation of Intestinal Gas is Impaired in IBS
  • IBS Patients Exhibit Impaired Gas Transit Associated With Enhanced Perception
  • Impaired Intestinal Transit of Gas in Patients with Bloating Occurs in the Small Bowel
  • Reflex Inhibition of Intestinal Gas Transit by Lipid Is Enhanced in IBS
  • Pts with Functional Bloating Exhibit Impaired Abdom Muscle Tone in Response to Colonic
  • Gas Infusion
  • Functional Abdominal Bloating and Distension: Mechanistic Hypotheses
  • Section Title: Stress, Inflammation, and Brain-Gut Interactions
  • Mast Cell Signaling: Intestinal Mast Cells Release Multiple Mediators
  • Sensory Afferents Express Receptors for Inflammatory Mediators
  • Inflammatory Mediators From Mast Cells Excite Enteric Neurons
  • Histamine Released From Mast Cells Binds to Enteric Neurons
  • Inflammatory Mediators Have a Dual Action to Evoke Neurogenic Secretion
  • Jejunal Mast Hyperplasia and Activation Is Present in IBS-Diarrhea Patients (IBS-D)
  • Mast Cells Infiltrate and Associate With Nerve Fibers in Colonic Mucosa of IBS Patients
  • Increased Mast Cell Mediators From Colonic Mucosa of IBS Patients Excite Rat Visceral
  • Sensory Nerves
  • Patients With Postinfective IBS Exhibit Mucosal 5-HT-Containing Enterochromaffin Cell
  • Hyperplasia
  • Postprandial 5-HT Release Is Elevated in IBS
  • IBS-C Pts Show Impaired and Postinfective IBS Pts Show Enhanced Posprandial 5-HT
  • Release
  • Brain-Gut Interactions as a Consequence of Psychosocial Stress
  • Cold Water Stress or Antigen Challenge Leads to Degranulation of Enteric Mast Cells in
  • Humans
  • Psychological Stress Converts Absorption of Water, Sodium, and Chloride to Secretion
  • Neonatal Stress Leads to Visceral Hypersensitivity and Altered Bowel Function in Adult
  • Rats
  • Acute Psychological Stress Provokes Rectal Hypersensitivity to distension in IBS
  • Experimentally-Induced Anxiety Impairs Gastric Accommodation to a Meal
  • Alteration of the MMC by Psychological Stress in Healthy Subjects and IBS Patients
  • Functional GI Disorders: Delayed Gut Transit Is Associated With Female Gender and
  • Depression
  • Corticotropin-Releasing Factor (CRF) Provokes an Exaggerated Descending Colon Motor
  • Response in IBS
  • A CRH Antagonist Inhibits Electrically-Stimulated Colonic Motility in IBS
  • The Mucosal Epithelium Is a Barrier to the Entry of Antigenic Threats From the Intestinal
  • Lumen
  • Increased Small-Intestinal Permeability Is Present in Both Postinfective-IBS (PI-IBS) and
  • IBS
  • Cold-Restraint Stress Increases Mucosal Permeability and Stimulates Secretion in Rats
  • Stress in Mice Is Associated With Mast-Cell Hyperplasia and Increased Colonic
  • Permeability
  • CRH Regulates In Vitro Permeability of Human Colonic Mucosa via Mast Cells
  • Section Title: Neuropharmacology of the Digestive Tract
  • Dynamics of Enteric Serotonin (5-HT)
  • Multiple Serotonergic (5-HT) Receptor Subtypes Are Expressed in the Gut
  • Cisapride & Tegaserod Act at Presynaptic 5-HT4 Receptors to Enhance the Amp of EPSPs
  • Alosetron Is an Antag at Serotonergic 5-HT3 Recept on Terminals of Spinal & Vagal
  • Sensory Afferents
  • Drugs Acting at Enteric Serotonergic (5-HT) Receptors
  • Serotonin (5-HT) Acts at 5-HT3 Receptors to Excite Neurons in the Enteric Nervous
  • System
  • Alosetron Blocks Serotonin-Evoked Excitation of Secretomotor Neurons
  • Domperidone Suppresses Presynaptic Inhibitory Action of Dopamine at the D2 Receptor
  • Subtype
  • Erythromycin Enhances Gastric Emptying by Stimulating Antral and Pyloric Contractions
  • The Gastrointestinal Prokinetic Action of Erythromycin Is at Motilin Receptors
  • Prokinetic Drugs Used to Enhance Gastric Emptying Have Different Sites and Mechanisms of Action
  • Opening of CIC-2 Channels by Lubiprostone Increases the Liquidity in the Intestinal
  • Lumen
  • Opiates and Opioid Antidiarrheal Drugs Suppress Excitability of Secretomotor Neurons
  • Mouth to Cecum Transit Time Can Be Pharmacologically Regulated in Healthy Subjects
  • Stim Laxatives Evoke Release of Serotonin From Enterochromaffin Cells Exciting
  • Secretomotor Neurons
  • Tricyclic Antidepressants (TCA) Block the Reuptake of Norepinephrine
  • Selective Serotonin Reuptake Inhibitors (SSRIs)
  • Imaging Slides-Overview
  • Why do Functional Imaging?
  • Evolution of Brain Imaging Studies of Visceral Sensation
  • Physiological Correlates of Brain Electrical Activity
  • Most Common Functional Brain Imaging Techniques for Activation Studies
  • Complementary Techniques to fMRI Brain Imaging
  • Functional Mapping Methods
  • Imaging Outcomes are Statistical Maps and Not Direct Measures of Activity
  • Modulation of Visceral Perception
  • Ascending Projections of the Lamina I Spino-Thalamo-Cortical System(1 of 5)
  • Ascending Projections of the Lamina I Spino-Thalamic-Cortical System(2 of 5)
  • Ascending Projections of the Lamina I Spino-Thalamo-Cortical System(3 of 5)
  • Ascending Projections of the Lamina I Spino-Thalamo-Cortical System(4 of 5)
  • Ascending Projections of the Lamina I Spino-Thalamo-Cortical System(5 of 5)
  • Prevalence of Activations from Rectal Inflations Across Imaging Studies
  • Cognitions and Emotions Modulate Visceral Pain and Discomfort(1 of 2)
  • Cognitions and Emotions Modulate Visceral Pain and Discomfort(2 of 2)
  • Increased Thalamus and Insula Activation and Decreased PAG Activation in IBS
  • Repeated Exposure to Rectal Distension Results in Decreased Perceptual Responses(1 of 2)
  • Repeated Exposure to Rectal Distension Results in Decreased Perceptual Responses(2 of 2)
  • IBS-Related Differences in Response to Visceral Stimulation
  • IBS Patients Show Greater Activation in dACC, INS, and Dorsal Brain Stem, Including
  • Locus Coeruleus
  • Increased dACC in IBS Consistent with Greater Affective Pain Experience
  • Increased ACC Activation In Somatic Pain Patients During Noxious Stimulation
  • Differences in Brain Responses to Visceral Pain Between Patients with IBS and Ulcerative
  • Colitis1-2
  • Differences in Brain Responses to Visceral Pain Between Patients with IBS and Ulcerative
  • Colitis2-2
  • IBS Patients Show Increased Volume of Cortical Activation to Subliminal Rectal
  • Distensions
  • More Activation to Noxious Rectal Distension in Subjects with History of Abuse
  • Increased Activation in Cingulate and Prefrontal Regions During Visceral Distension
  • Brain Imaging and Treatment Outcome
  • Alosetron Reduces Activation in Limbic and Paralimbic Regions of IBS Patients
  • Reduction in ACC Following Treatment with Amitriptyline (50 mg/day) vs Placebo During
  • Distension
  • Reduction in rCBF Following CBT During PostInflation Rest Scan
  • Developing Brain Imaging Technologies
  • Brain Stem Activations During Visceral and Somatic Pain
  • Spinal Cord Imaging
  • Connectivity Tracts from the Periaqueductal Grey (PAG)
  • Imaging Genomics – Functional Imaging as an Intermediate Biomarker of Gene Behavior
  • Interactions
  • Hypothesized Affective Circuit Altered in Subjects with 5-HTTLPR s Allele
  • Pediatrics – Topic Areas
  • Role of Development in Pediatric FGIDs
  • Pediatric FGIDs are Common
  • Prevalence of Pediatric Constipation
  • Prevalence of Functional Abdominal Pain in Children
  • Infant Regurgitation: Diagnostic Criteria
  • Prevalence of Regurgitation in Healthy Chicago Infants
  • Prevalence of Regurgitation in Healthy Thai Infants
  • Pathophysiology of Infant Regurgitation
  • Pathophysiology of Infant Regurgitation
  • Shorter Intra-Abdominal Esophagus in Infants
  • Volume of Feedings: Infant vs Adult
  • Infant Regurgitation Treatment: Commandments
  • Infant Colic: Diagnostic Criteria
  • Infant Colic: Theories for Genesis
  • Differences in Crying Characteristics Between Infants With Colic and Infants Without
  • Colic
  • Reassuring Parents About Infant Crying: The Traffic Light Parable
  • Film: Inconsolable Crying Behavior
  • Evaluation of Treatment for Infant Colic
  • Lactobacillus reuteri vs Simethicone in the Treatment of Breast-fed Infants with Colic
  • Treatment of Infant Colic: Limitations
  • Severe Infantile Colic May Indicate Susceptibility to GI Disease, Allergy, and
  • Psychological Disorde
  • Pediatric Functional Diarrhea: Diagnostic Criteria
  • Pediatric Functional Diarrhea: Possible Contributory Factors
  • Infant Dyschezia: Diagnostic Criteria
  • Infant Dyschezia: Treatment
  • Pediatric Cyclic Vomiting: Diagnostic Criteria
  • Cyclic vs Chronic Vomiting in Children
  • Pediatric CVS: On-Off, Intense, Stereotypical-Slide 1 of 2
  • Pediatric CVS: On-Off, Intense, Stereotypical-Slide 2 of 2
  • Characteristics of Pediatric Cyclic Vomiting Syndrome
  • Symptoms Associated with Pediatric CVS
  • Pediatric Cyclic Vomiting Syndrome: Episode Triggers
  • Pediatric Cyclic Vomiting Syndrome: Diagnostic Considerations
  • Management of Pediatric Cyclic Vomiting Syndrome
  • Progression: CVS to Abdominal Migraine to Migraine Headache
  • Abdominal Migraine: Diagnostic Criteria
  • Abdominal Migraine is a Real Entity
  • Similar Features in Abdominal Migraine and Migraine Headaches
  • Treatment and Prognosis of Abdominal Migraine
  • Paroxysmal Disorders Involving Interactions Between the CNS and GI Tract
  • Infant Rumination Syndrome: Diagnostic Criteria
  • Risk Factors for Infant Rumination
  • Adolescent Rumination Syndrome: Diagnostic Criteria
  • Adolescent Rumination Syndrome: Study Data
  • Esophagogastric Manometry in the Rumination Syndrome
  • Antroduodenal Manometry and pH Monitoring of the Distal Esophagus in the Rumination
  • Syndrome
  • Adolescent Rumination Syndrome: Treatment Options
  • Differential Diagnosis of Rumination
  • Aerophagia: Diagnostic Criteria
  • Clinical Manifestations in Children with Aerophagia
  • Esophageal Air Sign in Patients with Aerophagia and in Controls
  • Recurrent Abdominal Pain (RAP) vs Functional Gastrointestinal Disorder (FGID)
  • Irritable Bowel Syndrome in Children and Adolescents: Diagnostic Criteria
  • Pediatric Functional Abdominal Pain: Diagnostic Criteria
  • Abdominal Pain and IBS: Prevalence in Adolescents
  • Lower QOL in Children with Functional Abdominal Pain
  • Pain-Predominant FGID-Pediatric
  • Biopsychosocial Model of Pain & Coping in Children
  • Do Noxious Early Life Events Predispose to FGID?
  • Health Care Cost and Use Over a 3-year Calendar Period for All Children of IBS Parents
  • Evidence for Social Learning over Genetics in Twin Study
  • Relation Between Childhood Functional Abdominal Pain and Parental Health Complaints
  • Rectal Barostat Demonstrates Visceral Hyperalgesia in Children
  • Gastric Barostat Demonstrates Visceral Hyperalgesia in Children
  • Reproducibility of Pain During Rectal Barostat Testing in Children
  • Parent Attention vs Distraction-Pediatric
  • Mother’s/Child’s Agenda-Pediatric
  • Doctor’s Incorrect Agenda-Pediatric
  • Doctor’s Correct Agenda-Pediatric
  • Adult Outcomes of Functional Abdominal Pain
  • Prognostic Indicators in Children with Severe Functional Abdominal Pain (FAP)
  • Hypnotherapy in Children with FAP-Slide 1 of 2
  • Hypnotherapy in Children with FAP-Improvement After Therapy-Slide 1 of 2
  • Lactobacillus GG for Abdominal Pain in Children
  • Peppermint Oil in IBS in Children
  • Pain-Associated Disability Syndrome (PADS)
  • Pediatric Functional Dyspepsia: Diagnostic Criteria
  • Accommodation is Abnormal in 53% of Dyspeptic Children
  • Pediatric Functional Constipation: Diagnostic Criteria
  • Role of Genetics in Constipated Children
  • Age of Onset for Constipation
  • Population-Based Age Distribution of the Prevalence of Childhood Constipation
  • Cow Milk Intolerance and Chronic Constipation in Children
  • Pediatric Functional Constipation: Parents’ Reported Quality of Life
  • Retentive Posturing
  • Symptoms of Pediatric Functional Constipation
  • Long-Term Pediatric Functional Constipation
  • Volume at Urge to Defecate in Children with Functional Constipation
  • Disimpaction: Dose Response to PEG 3350-Pediatric
  • Effect of PEG 3350 With Electrolytes vs Lactulose-Pediatric
  • Effect of PEG 3350 vs Milk of Magnesia-Pediatric
  • Biofeedback Training: Defecation Disorders-Pediatric-Part 1
  • Biofeedback Training: Defecation Disorders-Pediatric-Part 2
  • Anorectal Biofeedback in Childhood Constipation
  • Treating Childhood Constipation
  • Cecostomy
  • Effect of Antegrade Colonic Enemas (ACE) in Children with Constipation
  • Outcome of Child Constipation-Part 1
  • Outcome of Child Constipation-Part 2
  • Nonretentive Fecal Incontinence: Diagnostic Criteria
  • Achievement of Bowel Control in Children
  • Prevalence of Fecal Incontinence in Children
  • Features of Nonretentive Fecal Incontinence (NRFI)
  • Symptoms in Nonretentive Fecal Incontinence (NRFI)
  • Functional Nonretentive Fecal Incontinence: Treatment Options
  • Outcome of Nonretentive Fecal Incontinence (NRFI) After Behavioral Therapy
  • Nonretentive Fecal Incontinence
  • Outcome of Childhood NRFI
  • Nature and Nurture
  • Evidence for Influence of Social Learning Over Genetics in Twin Study
  • Associations Between Maternal Reinforcement and Seriousness of Stomach Ache-Slide 1 of 2
  • Children of IBS Patients Make More Health Care Visits for GI Symptoms
  • Children of IBS Patients Make More Health Care Visits Overall
  • Effect of Family Life Events and Mothers’ Somatic Symptoms on Children’s FGID
  • Symptom Outcomes-Slide
  • Effect of Family Life Events and Mothers’ Somatic Symptoms on Children’s FGID
  • Symptom Outcomes-Slide
  • Effect of Family Life Events and Mothers’ Somatic Symptoms on Children’s FGID
  • Symptom Outcomes-Slide
  • Effect of Family Life Events and Mothers’ Somatic Symptoms on Children’s FGID
  • Symptom Outcomes-Slide
  • Associations Between Maternal Reinforcement and Parental IBS, and Illness Behavior-
  • Slide 2 of 2
  • Associations Between Distraction and Amount of Symptom Talk in Laboratory Setting
  • Parents Can Help Maximize Wellness Behaviors in Their Children
  • Associations Between Outcomes in FGIDs and Psychological Background in Adolescents
  • Academic Success Protects from More Severe Symptoms
  • Social Competence Moderates Effect of Stress on IBS Symptoms
  • Relationships Among Risk Factors and Outcomes in Children with FAP
  • Sexual and Physical Abuse
  • Stress Events Predict: Onset of FGIDs, Sx Exacerb, Health Seeking, & IBS Sx Intensity
  • Cognitive Triad
  • Health Beliefs & Coping-FGIDs-Cognitions
  • Psychosocial Assessment Toolkit-Slide 1 of 2
  • Psychosocial Assessment Toolkit-Slide 2 of 2
  • Depression and Anxiety Screening: Hospital Anxiety and Depression Scale (HADS)
  • Multiple Symptom Screening: Patient Health Questionnaire-15 (PHQ-15)
  • Catastrophizing Screening: Coping Strategies Questionnaire-Catastrophizing Scale (CSQ-C)
  • Symptom-Specific Anxiety: Visceral Sensitivity Index (VSI)
  • Screening for IBS-Specific Quality of Life: IBS QOL
  • Structured Clinical Interview for DSM (SCID)
  • Mini-International Neuropsychiatric Interview (MINI)
  • IBS – Patient’s Agenda
  • IBS – Doctor’s Agenda
  • A Typical Scenario: Physician Reaction
  • Psychological Comorbidity: Let’s Get Focused
  • Psychological Comorbidity: Approach
  • What the Doctor Says – What the Patient Hears
  • Common Psychiatric Diagnoses in FGIDs
  • Anxiety Disorders
  • A Treatment Algorithm for Patients with FGIDs
  • Red Flags – Mental Health Consultation
  • Targets for Psychological Treatment of FGIDs
  • Psychological Treatment Components
  • Barriers to Psychotherapy
  • Cognitive Behavioral Therapy
  • Hypnotherapy
  • Psychodynamic Interpersonal Therapy
  • Response to Psychological Treatment: Women versus Men
  • Future Research Directions
  • Paroxetine vs Psychological Treatment-Slide 1 of 2
  • Paroxetine vs Psychological Treatment Change in Health Care Costs-Slide 2 of 2
  • Antidepressants: Mechanism of Action?
  • TCA Receptor Activity
  • SSRI Antidepressant Receptor Activity
  • SNRI Antidepressant Receptor Activity
  • Tricyclic Antidepressant (TCA) Dosing
  • SSRI: Dosing Guidelines
  • Anti-anxiety or Antidepressants for Functional Dyspepsia: A Systematic Review
  • Psychotropic Drug Treatment: Females vs Males in FGIDs
  • Sex, Gender, and Gender Role
  • Key Characteristics of Sex Stereotypes in Western Culture
  • Gender Differences in Psychological Distress in FGIDs
  • Gender & Psychosocial Factors – Summary
  • Reported IBS Prevalence: Females Compared to Males
  • FGID Prevalence by Sex
  • Sex Differences in Visceral Pain in Healthy Humans-Slide 1 of 2
  • Sex Differences in Visceral Pain in Healthy Humans-Slide 2 of 2
  • Sex Differences in Rectal Perception in IBS
  • Sex Differences in Visceral Sensitivity
  • Central Processing of Visceral Stimuli
  • Men and Women May Process Aversive Information from the Pelvic Viscera Differently
  • Cardioautonomic Tone Differs Between Men and Women with IBS
  • Social Factors
  • FGID Prevalence by Age
  • Living with Functional Gastrointestinal Disorders
  • Uncertainty of Living With FGIDs
  • Patient-Physician Encounter
  • Patient-Physician Partnership
  • Culture and Health Care
  • Lack of Awareness of Cultural Factors
  • Patients’ Explanatory Models
  • Doctors’ Explanatory Models
  • Culture-Related Skills for the Health Care System: Doctors
  • Culture-Related Skills for the Health Care System: Patients
  • Cross-Cultural Research Competence
  • Summary
  • Multicomponent Approach to Functional GI Disorders-Slide 1 of 9
  • Establish Therapeutic Relationship
  • Multicomponent Approach to Functional GI Disorders-Slide 2 of 9
  • Assess Patient’s Medical History, Psychosocial Situation, and Family
  • Multicomponent Approach to Functional GI Disorders-Slide 3 of 9
  • Assess Quality of Life and Level of Daily Functioning
  • Multicomponent Approach to Functional GI Disorders-Slide 4 of 9
  • Assess Recent Life Stress and Psychological Distress or Any Precipitating Factors
  • Multicomponent Approach to Functional GI Disorders-Slide 5 of 9
  • Review Appropriate Diagnostic Testing and Discuss Results
  • Multicomponent Approach to Functional GI Disorders-Slide 6 of 9
  • Make A Confident Diagnosis
  • Multicomponent Approach to Functional GI Disorders-Slide 7 of 9
  • Explain and Reassure
  • Multicomponent Approach to Functional GI Disorders-Slide 8 of 9
  • Institute Appropriate Treatment
  • Multicomponent Approach to Functional GI Disorders: Summary Slide-Slide 9 of 9
  • Suggested General Measures for Constipation
  • Assess “Severity”: Mild-Slide 1 of 4
  • Assess “Severity”: Moderate-Slide 2 of 4
  • Assess “Severity”: Severe-Slide 3 of 4
  • Assess “Severity”: Mild, Moderate, Severe-Slide 4 of 4
  • Graded Treatment-Slide 1 of 4
  • Graded Treatment Response-Slide 2 of 4
  • Graded Treatment Response-Slide 3 of 4
  • Graded Treatment Response-Slide 4 of 4
  • Dietary Advice for IBS
  • Food: The forgotten Factor
  • Dietary Advice
  • Wheat Bran and Stool Weight: A Dose Response
  • Placebos in Clinical Trials
  • Components of a Therapeutic Outcome-Slide 1 of 2
  • Without Placebo and Time Effects . . .-Slide 2 of 2
  • The Power of a Positive Message-Slide 1 of 2
  • The Power of a Positive Message-Slide 2 of 2
  • To Maximize the Placebo Effect
  • Section Title-Design of Treatment Trials
  • Challenges to FGID Study Design-Slide 1 of 7
  • Challenges to FGID Study Design-Slide 2 of 7
  • Challenges to FGID Study Design-Slide 3 of 7
  • Challenges to FGID Study Design-Slide 4 of 7
  • Challenges to FGID Study Design-Slide 5 of 7
  • Challenges to FGID Study Design-Slide 6 of 7
  • Challenges to FGID Study Design-Slide 7 of 7
  • Defining the Question for a Treatment Trial
  • Population Sample-Slide 1 of 3
  • Population Sample-Slide 2 of 3
  • Population Sample-Slide 3 of 3
  • Defining Subject Eligibility-Slide 1 of 2
  • Defining Subject Eligibility-Slide 2 of 2
  • Population Characteristics Influence Outcome
  • Study Design
  • Maximizing Blinding
  • Minimize Bias
  • Outcome Assessment
  • Primary Outcome
  • Define Responder ‘A Priori’
  • Psychometric Validation: Face Validity
  • Psychometric Validation: Content Validity
  • Psychometric Validation: Construct Validity
  • Psychometric Validation: Reliability
  • Psychometric Validation: Responsiveness
  • Adequate Relief
  • Improved Pain and Stool Parameters in Alosetron Responders with “Adequate Relief”
  • Improved IBSQOL Quality of Life Scores in Alosetron Responders With “Adequate Relief”
  • Satisfactory Relief
  • Number of Symptoms Improved With Subjective Global Assessment (SGA) of Relief
  • Mean Symptom Score Changes in Responders Reporting Satisfactory Relief
  • Adequate and Satisfactory Relief
  • Secondary Outcome
  • Scales for Primary or Secondary Outcomes: Combined Scale-Slide 1 of 4
  • Scales for Primary or Secondary Outcomes: Combined Scale-Slide 2 of 4
  • Scales for Primary or Secondary Outcomes: Combined Scale-Slide 3 of 4
  • Scales for Primary or Secondary Outcomes: Combined Scale-Slide 4 of 4
  • Statistical Analysis: Sample Size
  • Main Data Analysis
  • The Consort E-Flowchart-August 2005
  • Ethics and Reporting
  • Section Title: Functional Dyspepsia
  • Dietary Recommendations for Functional Dyspepsia: What’s the Evidence?
  • Current Management of Functional Dyspepsia
  • Cochrane Collaboration Meta-Analysis of H pylori Cure for FD
  • The Rationale for Antisecretory Therapy in Functional Dyspepsia
  • Meta-Analysis of PPI Therapy for Functional Dyspepsia
  • Efficacy of PPI Therapy in Functional Dyspepsia Subgroups
  • Meta-Analysis of H2RA therapy for Functional Dyspepsia
  • Types of Prokinetics
  • Meta-Analysis of Prokinetic Therapy for Functional Dyspepsia
  • Funnel Plot Prokinetic Trials: Publication Bias?
  • Metoclopramide for Functional Dyspepsia
  • Domperidone for Functional Dyspepsia
  • Forest Plot of Domperidone Trials for Functional Dyspepsia
  • Cisapride for Functional Dyspepsia: A Meta-Analysis
  • Tegaserod Accelerates Gastric Emptying
  • Effect of Tegaserod on Gastric Accommodation in Functional Dyspepsia
  • Tegaserod for Functional Dyspepsia: Effect on Satisfactory Relief
  • Alosetron for Functional Dyspepsia: Effect on Adequate Relief
  • Levosulpiride or Cisapride for Dysmotility-like Functional Dyspepsia
  • Itopride for Functional Dyspepsia
  • Motilin Agonist ABT-229: The Disconnect Between Gastric Emptying and Symptoms
  • Influence of Motilin on Gastric Accommodation: Stiffens the Fundus
  • Investigational Therapies for Functional Dyspepsia
  • Herbal Remedies for Functional Dyspepsia: A Systematic Review
  • Other Complimentary Therapies for Functional Dyspepsia
  • STW 5 for Moderate to Severe FD: Results from a Placebo-Controlled, Double-Blind
  • Study
  • Treatment of Functional Dyspepsia-Epigastric Pain
  • Treatment of Functional Dyspepsia-Postprandial Distress
  • Section Title-IBS
  • Pharmacologic Treatments
  • Pharmacotherapy in IBS Should Be Directed to the Dominant Symptom(s)
  • Role of Food Allergy and Intolerance in IBS
  • Food Elimination Reduces IBS Symptoms
  • Practical Approach to Traditional Therapies
  • Efficacy of Fiber in IBS-C
  • Fiber/Bulking Agents for IBS: Effect on Global Symptoms
  • Antispasmodics in IBS
  • Efficacy of Antispasmodics in IBS
  • Loperamide for IBS-D
  • The Role of Neurotransmitters in GI Function
  • Serotonergic Agents
  • Efficacy of Alosetron in IBS: A Meta-Analysis of RCTs
  • Alosetron Improves Global Symptoms in Women with Severe IBS-D
  • Long-Term Efficacy with Alosetron
  • Safety Profile of Alosetron
  • Indications for Restricted Use of Alosetron
  • Ischemic Colitis in the General Population and IBS Patients Taking Alosetron
  • Tegaserod Improves Global Symptoms in IBS-C
  • Safety Profile of Tegaserod
  • Tegaserod
  • Lubiprostone for IBS-C: Data from 2 Phase III Trials
  • Incidence of Nausea with Lubiprostone in Clinical Trials
  • Effect of Linaclotide on Colonic Transit in IBS-C
  • Effect of Rifaximin in Patients with Bloating Without SIBO
  • Rifaximin for IBS: Global Improvement at 4 Weeks
  • Antibiotics for IBS: Points to Consider
  • Bifidobacterium infantis 35624 for IBS
  • Probiotic Bifidobacterium infantis Normalized Cytokine Levels in IBS
  • Complementary Therapy for IBS: Chinese Herbal Therapy
  • Complementary Therapy for IBS: Acupuncture
  • Drugs in Development for IBS-D
  • Autonomic Modulators
  • Renzapride, a 5-HT4 Agonist / 5-HT3 Antagonist, Accelerates Colonic Transit in Patients with IBS-C
  • Emerging Therapies for IBS
  • Evidence-Based Summary of Medical Therapies for IBS-C
  • Evidence-Based Summary of Medical Therapies for IBS-D
  • Section Title: Constipation
  • Functional Constipation
  • General Measures for Constipation
  • Medications Associated With Constipation
  • Fiber Supplementation and Bulk Laxatives Classification
  • Wheat Bran and Stool Weight: A Dose Response
  • Stimulant Laxatives: Classification and Mechanism of Action-Slide 1 of 2
  • Stimulant Laxatives: Classification and Mechanism of Action-Slide 2 of 2
  • Efficacy of Stimulant Laxatives
  • FDA-Approved Treatment Options for Constipation
  • Complete Spontaneous Bowel Movement Rate with Tegaserod vs Placebo in Chronic
  • Constipation
  • Osmotic Laxatives: Mono- and Disaccharides-Slide 1 of 2
  • Osmotic Laxatives: Mono- and Disaccharides-Slide 2 of 2
  • Osmotic Laxatives: Saline Laxatives
  • Osmotic Laxatives: Classification
  • Effectiveness and Safety Profile of Lactulose
  • Short-Term Effectiveness of PEG 3350 in Chronic Constipation
  • Long-Term Effectiveness of PEG 3350 in Chronic Constipation
  • Effectiveness and Safety Profile of PEG 3350
  • Serotonin Plays an Important Role in Bowel Function and Sensation
  • Sustained Improvement in Chronic Constipation With Tegaserod Over 13 Months
  • Polyethylene Glycol vs Tegaserod in Chronic Constipation
  • Chloride Channels in Intestinal Transport
  • Effects of Lubiprostone on Number of Spontaneous Bowel Movements
  • Lubiprostone: Global Assessment of Treatment from Open-Label Follow-up Trials
  • Safety Profile of Lubiprostone
  • Investigational Therapies for Chronic Constipation: Something Old, Something New…
  • Effect of Methylnaltrexone* on Opioid-Induced Constipation
  • Effects of Biofeedback on Dyssynergic Defecation
  • Biofeedback Improves Dyssynergic Defecation: Results from a Controlled Trial
  • Biofeedback for Dyssynergic Defecation
  • Comorbid Psych & Eating Dis Reduce Efficacy of Pelvic Floor Biofeedback
  • Colectomy for Refractory Slow-Transit Constipation
  • Section Title: Fecal Incontinence
  • Treatment of Fecal Incontinence
  • Biofeedback for Fecal Incontinence: Training Methods
  • Surgical Approaches for Fecal Incontinence

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