Clinical measurement of gastrointestinal motility and function: who, when and which test?

on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Symptoms related to abnormal gastrointestinal motility and function are common. Oropharyngeal and oesophageal dysphagia, heartburn, bloating, abdominal pain and alterations in bowel habits are among the most frequent reasons for seeking medical attention from internists or general practitioners and are also common reasons for referral to gastroenterologists and colorectal surgeons. However, the nonspecific nature of gastrointestinal symptoms, the absence of a definitive diagnosis on routine investigations (such as endoscopy, radiology or blood tests) and the lack of specific treatments make disease management challenging. Advances in technology have driven progress in the understanding of many of these conditions. This Review serves as an introduction to a series of Consensus Statements on the clinical measurements of gastrointestinal motility, function and sensitivity. A structured, evidence-based approach to the initial assessment and empirical treatment of patients presenting with gastrointestinal symptoms is discussed, followed by an outline of the contribution of modern physiological measurement on the management of patients in whom the cause of symptoms has not been identified with other tests. Discussions include the indications for and utility of high-resolution manometry, ambulatory pH-impedance monitoring, gastric emptying studies, breath tests and investigations of anorectal structure and function in day-to-day practice and clinical management.

Original languageEnglish (US)
Pages (from-to)568-579
Number of pages12
JournalNature Reviews Gastroenterology and Hepatology
Volume15
Issue number9
DOIs
StatePublished - Sep 1 2018

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Gastrointestinal Motility
Deglutition Disorders
Heartburn
Breath Tests
Gastric Emptying
Practice Management
Manometry
Hematologic Tests
Disease Management
Electric Impedance
Radiology
General Practitioners
Abdominal Pain
Endoscopy
Habits
Consensus
Referral and Consultation
Technology
Therapeutics
Gastroenterologists

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function (2018). Clinical measurement of gastrointestinal motility and function: who, when and which test? Nature Reviews Gastroenterology and Hepatology, 15(9), 568-579. https://doi.org/10.1038/s41575-018-0030-9

Clinical measurement of gastrointestinal motility and function : who, when and which test? / on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function.

In: Nature Reviews Gastroenterology and Hepatology, Vol. 15, No. 9, 01.09.2018, p. 568-579.

Research output: Contribution to journalReview article

on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function 2018, 'Clinical measurement of gastrointestinal motility and function: who, when and which test?', Nature Reviews Gastroenterology and Hepatology, vol. 15, no. 9, pp. 568-579. https://doi.org/10.1038/s41575-018-0030-9
on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function. Clinical measurement of gastrointestinal motility and function: who, when and which test? Nature Reviews Gastroenterology and Hepatology. 2018 Sep 1;15(9):568-579. https://doi.org/10.1038/s41575-018-0030-9
on behalf of the International Working Group for Disorders of Gastrointestinal Motility and Function. / Clinical measurement of gastrointestinal motility and function : who, when and which test?. In: Nature Reviews Gastroenterology and Hepatology. 2018 ; Vol. 15, No. 9. pp. 568-579.
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