Product Description

GI Motility Testing: A Laboratory and Office Handbook is a comprehensive and practical book that describes how to properly perform and interpret GI motility tests in conjunction with learning GI motility and neurogastroenterology.

Drs. Henry P. Parkman, Richard W. McCallum, Satish S.C. Rao, and their contributors carefully detail the wide range of procedures that are used for the evaluation of patients in the GI motility laboratory. Inside GI Motility Testing, each chapter has been comprehensively written and fully illustrated with examples of tracings and studies. This detailed book discusses the most up-to-date equipment and technology, while providing a solid understanding of normal and abnormal manometry patterns as well as information on billing and coding.

Some Chapter Topics Include:

• Impedance Studies, High Resolution Manometry and Sensitivity Testing in Assessing Esophageal Disorders
• Gastric Emptying Scintigraphy
• Breath Testing for Carbohydrate Malabsorption and Bacterial Overgrowth
• Assessment of Gut Transit with Radiopaque Markers and Scintigraphy
• Novel Tests such as Wireless Motility Capsule for Evaluation of Regional and Whole Gut Transit/Motility
• Functional Brain Imaging in GI Neurophysiology
• Gastroesophageal Reflux Disease
• Gastroparesis
• Irritable Bowel Syndrome
• Constipation
• Fecal Incontinence

GI Motility Testing: A Laboratory and Office Handbook carefully explains how to integrate diagnostic information into decision making for day-to-day patient care, making it ideal for gastroenterologists, surgeons, GI fellows , internists, physician assistants, technicians, nurses, and nurse practitioners.

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Contents

Part A: Procedures Performed in the GI Motility Laboratory

Section I: Esophagus

Chapter 1: Overview and Evaluation of Esophageal Symptoms

Benson T. Massey, MD, FACP

Chapter 2: Esophageal Manometry

Javier Gomez, MD; Priyanka Sachdeva, MD; and Henry P. Parkman, MD

Chapter 3: Esophageal pH Monitoring

Srikant Muddana, MD, and Michael F. Vaezi, MD, PhD, MS (Epi)

Chapter 4: Impedance Testing of Esophageal Motor Function and Reflux

Radu Tutuian, MD, and Donald O. Castell, MD

Chapter 5: Radiographic Evaluation of Esophageal Function: Barium Esophagography

Elan Rosenthal, MD, and Dina F. Caroline, MD

Chapter 6: Sensory Testing of the Esophagus

Ronnie Fass, MD

Section II: Stomach and Small Intestine

Chapter 7: Overview and Evaluation of Gastric Symptoms

Rami El Abiad, MD; Bryan J. Feyen, DO; and Konrad S. Schulze, MD, FRCP(C)

Chapter 8: Gastric Emptying Scintigraphy

Alan H. Maurer, MD

Chapter 9: Electrogastrography

Jiande Chen, PhD; Zhiyue Lin, MS; and Jieyun Yin, MD

Chapter 10: Antroduodenal Manometry

William J. Snape, Jr, MD, and Linda Anh B. Nguyen, MD

Chapter 11: Satiety Testing

Michael Jones, MD, FACP, FACG

Chapter 12: Gastric Volume and Accommodation Measurement by SPECT and Barostat

Mhd Louai Manini, MD, and Michael Camilleri, MD

Chapter 13: Ambulatory Capsule Tests for Assessment of GI Transit and Pressure

Lenuta Kloetzer, MS; Satish S.C. Rao, MD, PhD, FRCP (Lon); and Braden Kuo, MD

Chapter 14: Breath Testing for Gastric Emptying

Seth Sweetser, MD, and Lawrence A. Szarka, MD

Chapter 15: Breath Testing for Carbohydrate Intolerance

Ashok Attaluri, MD, and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 16: Breath Tests for Small Intestine Bacterial Overgrowth

Reza A. Hejazi, MD, and Richard W. McCallum, MD, FACP, FRACP (Aust), FACG

Section III: Colon and Anorectum

Chapter 17: Overview and Evaluation of Colonic Symptoms

Wendy A. Mikulski, DO, and Asyia S. Ahmad, MD

Chapter 18: Anorectal Manometry

Kasaya Tantiphlachiva, MD, and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 19: Biofeedback Therapy for Constipation

Giuseppe Chiarioni, MD, and William E. Whitehead, PhD

Color Atlas

Chapter 20: Biofeedback Therapy (Neuromuscular Training) for Fecal Incontinence

Elisabeth C. McLemore, MD, and Dana R. Sands, MD, FACS, FASCRS

Chapter 21: Assessment of Colonic Transit: Radiopaque Markers, Scintigraphy, and Wireless Motility Capsule

Henry P. Parkman, MD; Javier Gomez, MD; and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 22: Rectal Barostat for Sensory Testing

S. Mark Scott, PhD, and Marc A. Gladman, PhD, MRCOG, FRCS (Gen Surg)

Chapter 23: Anorectal Imaging With Magnetic Resonance Imaging, Barium Defecography, and Ultrasound

Adil E. Bharucha, MBBS, MD, and Joel G. Fletcher, MD

Chapter 24: Colonic Manometry

Rosa Burgers, MD; Carlo Di Lorenzo, MD; and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Section IV: Miscellaneous Topics and Procedures

Chapter 25: Establishing a GI Motility Laboratory

William C. Orr, PhD

Chapter 26: Functional Brain Imaging in GI Neurophysiology

Howard R. Mertz, MD

Chapter 27: Pediatric and Adolescent GI Motility Testing

Ann Aspirot, MD, FRCPC, and Hayat Mousa, MD, FAAP

Chapter 28: GI Hormone Testing

Reza A. Hejazi, MD, and Richard W. McCallum, MD, FACP, FRACP (Aust), FACG

Part B: GI Motility Disorders

Section V: Esophagus

Chapter 29: Gastroesophageal Reflux Disease

Ellen Stein, MD, and Philip O. Katz, MD

Chapter 30: Achalasia, Diffuse Esophageal Spasm, and Other Esophageal Motility Disorders

Zeeshan Ramzan, MD, and Joel E. Richter, MD, FACP, MACG

Section VI: Stomach

Chapter 31: Gastroparesis

Emori B. Bizer, MD, and John M. Wo, MD

Chapter 32: Functional Dyspepsia

Richard Saad, MD, and William D. Chey, MD, AGAF, FACG, FACP

Section VII: Small Intestine

Chapter 33: Chronic Intestinal Pseudo-Obstruction

Robert W. Summers, MD

Chapter 34: Small Intestinal Bacterial Overgrowth

Mark Pimentel, MD, FRCP(C)

Section VIII: Colon and Anorectum

Chapter 35: Chronic Constipation

Arnold Wald, MD

Chapter 36: Fecal Incontinence

Adil E. Bharucha, MBBS, MD

Chapter 37: Irritable Bowel Syndrome

Elizabeth J. Videlock, MD, and Lin Chang, MD

Chapter 38: Gas/Bloat Syndromes

William L. Hasler, MD

Section IX: Diffuse GI Disorders

Chapter 39: Scleroderma and Collagen Vascular Disorders

Deborah M. Bethards, MD, and Ann Ouyang, MD

Chapter 40: GI Complications of Diabetes Mellitus

Eva Sum, MD, and Robert S. Fisher, MD

Chapter 41: Visceral Hypersensitivity

Klaus Bielefeldt, MD, PhD

Financial Disclosures
Index

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Reviews

"...this disorder focused part of the book makes the book cohesive as a stand-alone publication because it ties the technical and clinical aspects of the testing procedures together. Overall, this text makes an important contribution to the gastroenterology literature. No other single text exists on the topic of this comprehensive list of GI testing modalities written with not only the physician, but nurses and technical staff in mind."

MedicalScienceBooks.com

"I find this book a useful reference. The sheer breadth of topics covered is probably its greatest strength."

— Lisbeth A. Selby, MD, (University of Kentucky College of Medicine) Doody Enterprises Inc.

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About the Editors

Henry P. Parkman, MD, is Professor of Medicine in the Gastroenterology Section of the Department of Medicine at Temple University School of Medicine.

Dr. Parkman’s gastroenterology training began with a GI fellowship at the University of Pennsylvania. His research investigated the inhibitory neural circuitry of the lower esophageal sphincter (LES)—the barrier preventing gastroesophageal reflux. At the University of Pennsylvania, he also compared the clinical outcomes and costs of pneumatic dilation and surgical esophagomyotomy for treatment of patients with achalasia, a disorder involving abnormal LES neural control. Dr. Parkman extended his research training with a National Institutes of Health research training fellowship in the Department of Physiology at Mayo Clinic where he studied the inferior mesenteric ganglion and its involvement in colonic motility.

Dr. Parkman has been at Temple University School of Medicine for 20 years where he is Director of the Clinical GI Motility Laboratory at Temple University Hospital. He has developed expertise in a comprehensive array of GI motility tests for clinical evaluation of patients, including specialized tests of gastric motility. His clinical research studies have focused primarily on esophageal and gastric motility in normal individuals and on clinical motility disorders of the esophagus and stomach. His main clinical focus has been treating patients with GI motility disorders, primarily gastroparesis. Dr. Parkman is a past President of the American Neurogastroenterology and Motility Society. Dr. Parkman has been co-director of the ANMS Motility Courses held in 2002, 2004, 2006, 2008, and 2010.

Richard W. McCallum, MD, FACP, FRACP (Aust), FACG, is Professor and Founding Chairman of the Department of Internal Medicine, Texas Tech University Health Sciences Center at El Paso. Dr. McCallum also serves as the Medical Director of the Diagnostic Center for GI Motility and Functional Bowel Disorders serving as a referral center for patients locally, regionally, and nationally.

After completing his undergraduate studies at the University of Queensland, he earned his medical degree at the Queensland Medical School in Brisbane, Australia. Dr. McCallum completed gastroenterology fellowship training at the University of California Los Angeles and Wadsworth VA Medical Center. He joined the faculty of Yale University School of Medicine in 1996. Dr. McCallum was Professor of Medicine, Chief, and Program Director of the Division of Gastroenterology, Hepatology, and Nutrition at the University of Virginia School of Medicine, Charlottesville from 1985 to 1996 where he was awarded the Paul Janssen Endowed Chair and Professorship. From 1996 to 2004, Dr. McCallum was then Chief and Program Director, Division of Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City. Dr. McCallum was the Director of the Center for GI Nerve and Muscle Function and Chief of Division of GI Motility, University of Kansas School of Medicine from 2004 to 2009.

Among his professional honors and memberships are Fellow of the American College of Physicians, Fellow of the Royal Australian College of Physicians, Fellow of the American College of Gastroenterology, member of the American Society for Clinical Investigation, President of the Southern Society for Clinical Investigation, and President of the International Electrogastrogram Society. He is currently a member of the American Neurogastroenterology and Motility Society (ANMS) Council and has been Co-Director of the ANMS courses on Clinical Practice conducted in 2002, 2004, 2006, 2008 and 2010. He was the organizer and host for two national programs for ANMS in Charlottesville, Virginia in 1994 and Kansas City, Kansas in 2002.

Dr. McCallum’s area of clinical interest and research is the field of GI motility, neurogastroenterology, and functional bowel disorders. He has been focused on advancing knowledge related to pathophysiology, diagnostic approaches, pharmacology, and device technology. He is a pioneer in the area of gut electrophysiology and developed the concept of electrical “pacing” of the stomach to treat gastroparesis, particularly related to diabetes mellitus. Recently he has rediscovered and extensively advanced new knowledge in understanding and managing a cyclic vomiting syndrome in adults.

Satish S.C. Rao, MD, PhD, FRCP (Lon), received his MD from Osmania Medical College, Hyderabad, India; his PhD from the University of Sheffield, UK; and the Fellowship of the Royal College of Physicians (FRCP) in London, UK, in 1997. Currently, Dr. Rao is a Professor of Medicine and Director, Neurogastroenterology and GI Motility Program, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City.

Dr. Rao is one of a rare breed of academicians who has excelled as an outstanding researcher, distinguished educator, and as a master clinician. Dr. Rao’s research interests focus on the pathophysiology and treatment of irritable bowel syndrome, constipation and fecal incontinence, and visceral pain, particularly esophageal chest pain, dietary fructose intolerance, and neurobiological mechanisms of biofeedback therapy. He has pioneered several new techniques of evaluating and treating motility disorders. He has received numerous awards including the American Gastroenterological Association (AGA) Distinguished Clinician Award, AGA Masters Award for Outstanding Clinical Research, and the AGA Distinguished Educator Award. In 2005, he also received the American College of Gastroenterology (ACG) Auxiliary Research Award, the highest research award from ACG. In 2009, he was awarded the International Foundation for Functional GI disorders Senior Clinical Investigator Award and in 2010 the University of Iowa Regents Award for Faculty Excellence.

A very productive, federally funded investigator and sought-after speaker, Dr. Rao has edited 3 books, Disorders of the Anorectum (2001), Anorectal and Pelvic Floor Disorders (2008) for Gastroenterology Clinics of North America, and Gastrointestinal Motility—Tests and Problem-Oriented Approach. He has published more than 250 articles.

Dr. Rao is a member of several distinguished medical and research societies. He is the current President of the American Neurogastroenterology and Motility Society.

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