Colonic Motility: From Bench Side to Bedside

Name: Colonic Motility: From Bench Side to Bedside
Brand: Morgan & Claypool
SKU: 9781615041503
Price: 4644.0 INR
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by Sushil K. Sarna

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ISBN13: 9781615041503
Binding: Paperback
Subject: N/A
Publisher: Morgan & Claypool
Publisher Imprint: Morgan & Claypool
Publication Date: January 10, 2011
Pages: 157
Original Price: USD 45.0
Language: English
Edition: N/A
Item Weight: 282 grams
BISAC Subject(s): Life Sciences / Human Anatomy & Physiology

About The Book

Three distinct types of contractions perform colonic motility functions. Rhythmic phasic contractions (RPCs) cause slow net distal propulsion with extensive mixing/turning over. Infrequently occurring giant migrating contractions (GMCs) produce mass movements. Tonic contractions aid RPCs in their motor function. The spatiotemporal patterns of these contractions differ markedly. The amplitude and distance of propagation of a GMC are several-fold larger than those of an RPC. The enteric neurons and smooth muscle cells are the core regulators of all three types of contractions. The regulation of contractions by these mechanisms is modifiable by extrinsic factors: CNS, autonomic neurons, hormones, inflammatory mediators, and stress mediators. Only the GMCs produce descending inhibition, which accommodates the large bolus being propelled without increasing muscle tone. The strong compression of the colon wall generates afferent signals that are below nociceptive threshold in healthy subjects. However, these signals become nociceptive; if the amplitudes of GMCs increase, afferent nerves become hypersensitive, or descending inhibition is impaired. The GMCs also provide the force for rapid propulsion of feces and descending inhibition to relax the internal anal sphincter during defecation. The dysregulation of GMCs is a major factor in colonic motility disorders: irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and diverticular disease (DD). Frequent mass movements by GMCs cause diarrhea in diarrhea predominant IBS, IBD, and DD, while a decrease in the frequency of GMCs causes constipation. The GMCs generate the afferent signals for intermittent short-lived episodes of abdominal cramping in these disorders. Epigenetic dysregulation due to adverse events in early life is one of the major factors in generating the symptoms of IBS in adulthood. Table of Contents: Introduction / Regulatory Mechanisms / Colonic Motility in Health / Colonic Motility Dysfunction / References

About The Author

Sarna, Sushil K.: - University of Texas Medical Branch

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