Intestinal Motility Disorders Questions & Answers

Updated: Sep 16, 2020
  • Author: Mia L Manabat, DO; Chief Editor: Burt Cagir, MD, FACS  more...
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Questions & Answers

Overview

What are intestinal motility disorders?

What are upper GI motility disorders?

What are lower GI motility disorders?

What are the clinical manifestations of upper GI motility disorders?

What are the clinical manifestations of lower GI motility disorders?

What is the pathophysiology of intestinal motility disorders?

What is the Knowles and Martin classification of intestinal motility disorders?

What causes intestinal motility disorders?

What causes achalasia?

What causes gastroesophageal reflux disease (GERD)?

What causes gastroparesis?

What causes biliary dyskinesia?

What causes irritable bowel syndrome (IBS)?

What causes colonic inertia?

What causes acute colonic pseudo-obstruction (Ogilvie syndrome)?

What causes pelvic floor dyssynergia?

What causes Hirschsprung disease?

What causes fecal incontinence?

What causes constipation?

What is the role of genetics in the etiology of intestinal motility disorders?

What is the prevalence of intestinal motility disorders?

What is the morbidity and mortality associated with intestinal motility disorders?

Which age groups have the highest prevalence of intestinal motility disorders?

What is the prognosis for intestinal motility disorders?

What are the possible complications of intestinal motility disorders?

Presentation

Which clinical history findings are characteristic of intestinal motility disorders?

What is the focus of the clinical history in the evaluation of intestinal motility disorders?

Which clinical history findings are characteristic of chronic intestinal pseudo-obstruction (CIP)?

Which clinical history findings are characteristic of irritable bowel syndrome?

Which clinical history findings are characteristic of fecal incontinence?

Which clinical history findings are characteristic of constipation?

What is included in the physical examination of intestinal motility disorders?

Which physical findings are characteristic of chronic intestinal pseudo-obstruction (CIP)?

Which physical findings are characteristic of irritable bowel syndrome?

Which physical findings are characteristic of fecal incontinence?

Which physical findings are characteristic of constipation?

DDX

Which conditions are included in the differential diagnoses of irritable bowel syndrome?

What is the criteria for diagnosis of intestinal pseudo-obstruction?

Which conditions are included in the differential diagnoses of intestinal motility disorders?

Which specialist consultations may be helpful in the diagnosis of intestinal motility disorders?

What are the differential diagnoses for Intestinal Motility Disorders?

Workup

What is included in the workup for intestinal motility disorders?

What is the role of lab tests in the workup for intestinal motility disorders?

What is the role of imaging studies in the workup for achalasia?

What is the role of imaging studies in the workup for intestinal pseudo-obstruction?

What are the guidelines for the use of scintigraphy in the workup for intestinal motility disorders?

What is the role of rectal manometry in the workup for intestinal motility disorders?

What is the role of EMG in the workup for intestinal motility disorders?

What is the role of endoscopy in the workup for intestinal motility disorders?

When is diagnostic laparoscopy or laparotomy indicated in the workup for intestinal motility disorders?

Which histologic findings are characteristic of intestinal motility disorders?

Treatment

How are intestinal motility disorders treated?

What is the role of medications in the treatment of intestinal motility disorders?

What is the role of surgery in the treatment of intestinal motility disorders?

Which diet and activity modifications are used in the treatment of intestinal motility disorders?

How are intestinal motility disorders prevented?

Guidelines

What are the ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

Which procedures are deemed urgent under ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

Which procedures are deemed elective under ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

How is the risk of COVID-19 stratified in the ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

Which testing provisions are needed under the ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

What education and training should staff receive under the ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

Which tests require personal protective equipment (PPE) under the ESNM guidelines for conducting intestinal motility testing during the COVID-19 pandemic?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are the indications for small bowel motor function testing?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are the indications for colonic motor function testing?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are the key advances in the diagnosis of intestinal motility disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are general considerations in the diagnosis of intestinal motility disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, which disorders must be ruled out prior to GI motor function testing?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are the indications for gastric motor function testing?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what is the recommended diagnostic approach to gastric motor function disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what is the recommended diagnostic approach to small bowel motor function disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what is the recommended diagnostic approach to colonic motor function disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, which tests may be used to assess neuromuscular function and structures in intestinal motility disorders?

According to the International Working Group for Disorders of Gastrointestinal Motility and Function, what are emerging technologies for the diagnosis of intestinal motility disorders?

Medications

Which medications are used in the treatment of intestinal motility disorders?

Which medications in the drug class Secretagogues are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Acetylcholinesterase Inhibitors are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Antibiotics are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Antidiarrheals are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Opioid Reversal Agents are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Prokinetic Agents are used in the treatment of Intestinal Motility Disorders?

Which medications in the drug class Cholinergic Agonists are used in the treatment of Intestinal Motility Disorders?