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Opioid-Induced Bowel Dysfunction

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Presentation on theme: "Opioid-Induced Bowel Dysfunction"— Presentation transcript:

1 Opioid-Induced Bowel Dysfunction
Jay Thomas, MD, PhD  Journal of Pain and Symptom Management  Volume 35, Issue 1, Pages (January 2008) DOI: /j.jpainsymman Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

2 Fig. 1 Anatomy of the GI system (adapted from: Shetzline and Liddle 20025). Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

3 Fig. 2 ICC interactions (LM=longitudinal muscle; CM=circular muscle; ICMP=myenteric plexus interstitial cells; ICIM=intramuscular interstitial cells; ICSM=submucosal interstitial cells) (adapted from: Cook and Brookes, 20027). Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

4 Fig. 3 Chemical structure of alvimopan.
Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

5 Fig. 4 Chemical structure of methylnaltrexone.
Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions


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