Gastrointestinal neuromuscular pathology in chronic constipation
Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fuelled research that has explored the presence of neuropathy, myopathy and more recently changes in...
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| Published in | Baillière's best practice & research. Clinical gastroenterology Vol. 25; no. 1; pp. 43 - 57 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.02.2011
Elsevier Limited |
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| Online Access | Get full text |
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| Abstract | Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fuelled research that has explored the presence of neuropathy, myopathy and more recently changes in interstitial cells of Cajal (ICC). In this chapter, the data from these studies have been critically reviewed in the context of the significant methodological and interpretative issues that beset the field of gastrointestinal neuromuscular pathology. On this basis, reductions in ICC appear to a consistent finding but one whose role as a primary cause of slow-transit constipation requires further evaluation. Findings indicative of significant neuropathy or myopathy are variable and in many studies subject to considerable methodological bias. Methods with practical diagnostic utility in the individual patient have rarely been employed and require further validation in respect of normative data. |
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| AbstractList | Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fueled research that has explored the presence of neuropathy, myopathy and more recently changes in interstitial cells of Cajal (ICC). In this chapter, the data from these studies have been critically reviewed in the context of the significant methodological and interpretative issues that beset the field of gastrointestinal neuromuscular pathology. On this basis, reductions in ICC appear to a consistent finding but one whose role as a primary cause of slow-transit constipation requires further evaluation. Findings indicative of significant neuropathy or myopathy are variable and in many studies subject to considerable methodological bias. Methods with practical diagnostic utility in the individual patient have rarely been employed and require further validation in respect of normative data.Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fueled research that has explored the presence of neuropathy, myopathy and more recently changes in interstitial cells of Cajal (ICC). In this chapter, the data from these studies have been critically reviewed in the context of the significant methodological and interpretative issues that beset the field of gastrointestinal neuromuscular pathology. On this basis, reductions in ICC appear to a consistent finding but one whose role as a primary cause of slow-transit constipation requires further evaluation. Findings indicative of significant neuropathy or myopathy are variable and in many studies subject to considerable methodological bias. Methods with practical diagnostic utility in the individual patient have rarely been employed and require further validation in respect of normative data. Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fuelled research that has explored the presence of neuropathy, myopathy and more recently changes in interstitial cells of Cajal (ICC). In this chapter, the data from these studies have been critically reviewed in the context of the significant methodological and interpretative issues that beset the field of gastrointestinal neuromuscular pathology. On this basis, reductions in ICC appear to a consistent finding but one whose role as a primary cause of slow-transit constipation requires further evaluation. Findings indicative of significant neuropathy or myopathy are variable and in many studies subject to considerable methodological bias. Methods with practical diagnostic utility in the individual patient have rarely been employed and require further validation in respect of normative data. Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of such tissue has, over the past 40 years, fueled research that has explored the presence of neuropathy, myopathy and more recently changes in interstitial cells of Cajal (ICC). In this chapter, the data from these studies have been critically reviewed in the context of the significant methodological and interpretative issues that beset the field of gastrointestinal neuromuscular pathology. On this basis, reductions in ICC appear to a consistent finding but one whose role as a primary cause of slow-transit constipation requires further evaluation. Findings indicative of significant neuropathy or myopathy are variable and in many studies subject to considerable methodological bias. Methods with practical diagnostic utility in the individual patient have rarely been employed and require further validation in respect of normative data. |
| Author | Knowles, Charles H. Farrugia, Gianrico |
| AuthorAffiliation | Neurogastroenterology Group, Blizard Institute of Cell and Molecular Science, Barts and the London School of Medicine & Dentistry, Queen Mary University of London, UK 1 Enteric NeuroScience Program, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA |
| AuthorAffiliation_xml | – name: Neurogastroenterology Group, Blizard Institute of Cell and Molecular Science, Barts and the London School of Medicine & Dentistry, Queen Mary University of London, UK – name: 1 Enteric NeuroScience Program, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA |
| Author_xml | – sequence: 1 givenname: Charles H. surname: Knowles fullname: Knowles, Charles H. email: c.h.knowles@qmul.ac.uk organization: Neurogastroenterology Group, Blizard Institute of Cell and Molecular Science, Barts and the London School of Medicine & Dentistry, Queen Mary University of London, UK – sequence: 2 givenname: Gianrico surname: Farrugia fullname: Farrugia, Gianrico email: farrugia.gianrico@mayo.edu organization: Enteric NeuroScience Program, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21382578$$D View this record in MEDLINE/PubMed |
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| Keywords | Enteric nervous system Histopathology Enteric neuropathy Enteric myopathy Interstial cells of Cajal Chronic constipation Slow-transit constipation |
| Language | English |
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| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Undefined-1 ObjectType-Feature-3 ObjectType-Article-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 Other address: Prof Gianrico Farrugia MD, Enteric NeuroScience Program, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA. Tel: +1 507 284 4695; fax: +1 507 284 0266; farrugia.gianrico@mayo.edu |
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| Snippet | Some patients with chronic constipation may undergo colectomy yielding tissue appropriate to diagnosis of underlying neuromuscular pathology. The analysis of... |
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| SubjectTerms | Chronic constipation Chronic Disease Classification Colectomy Colon - innervation Colon - surgery Constipation Constipation - pathology Constipation - physiopathology Constipation - surgery Enteric myopathy Enteric nervous system Enteric Nervous System - physiopathology Enteric neuropathy Gastroenterology and Hepatology Gastrointestinal Transit Histopathology Humans Interstial cells of Cajal Interstitial Cells of Cajal - pathology Muscle, Smooth - innervation Muscle, Smooth - surgery Pathology Research Design Slow-transit constipation Smooth muscle Studies Surgery |
| Title | Gastrointestinal neuromuscular pathology in chronic constipation |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S1521691810001575 https://www.clinicalkey.es/playcontent/1-s2.0-S1521691810001575 https://dx.doi.org/10.1016/j.bpg.2010.12.001 https://www.ncbi.nlm.nih.gov/pubmed/21382578 https://www.proquest.com/docview/1032751054 https://www.proquest.com/docview/856171704 https://pubmed.ncbi.nlm.nih.gov/PMC4175481 |
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