GI MOTILITY DISORDERS PART 2 Jackie Wood PhD Professor, Department of Physiology and Cell Biology.

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Presentation transcript:

GI MOTILITY DISORDERS PART 2 Jackie Wood PhD Professor, Department of Physiology and Cell Biology

GI MOTILITY DISORDERS PART 2 TOPICS Small Intestine Large Intestine Pelvic Floor

GI MOTILITY DISORDERS PART 2 Small Intestinal Motility

Objectives – Small Intestinal Motility

Enteric Nervous System in the Small Bowel has “APPS” for five kinds of motor behavior

An Abnormal Power Propulsion is running pathologic states with cramping abdominal pain fecal urgency and acute watery diarrhea

An Orally Directed Power Propulsion APP is running during emesis

Obstructive Ileus and Paralytic Ileus Causes Narrowed lumen Closed lumen Characteristics Strong propulsive circular muscle contractions Symptoms Severe abdominal pain Abdominal distention Obstructive Ileus Causes Sequelae labarotomy (postoperative ileus) Peritonitis Metabolic dysregulation (diabetic ketoacidosis) Characteristics Propulsive circular muscle contractions diminished or absent Symptoms Severe abdominal pain Abdominal distention Paralytic Ileus Wood 2156 are forms of Pathologic Ileus

GI MOTILITY DISORDERS PART 2 Large Intestinal Motility

Objective – Large Intestinal Motility Describe the pathophysiology of Hirschsprung’s Disease

An APP in the ENS of the Colon Programs The Musculature for Formation of Haustra

Radioopague Sitz Markers Sitz (Plastic) Markers Used to Diagnose Slow Transit Constipation

HIRSCHSPRUNG DISEASE

GI MOTILITY DISORDERS PART 2 Pelvic Floor

Objective - Pelvic Floor

Pelvic Floor

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