Current Concepts in Colonic Disorders

288 Pages·2011·11.442 MB·English

by  G. Lule

CURRENT CONCEPTS IN
COLONIC DISORDERS

Edited by Godfrey Lule
Current Concepts in Colonic Disorders
Edited by Godfrey Lule

Published by InTech
Janeza Trdine 9, 51000 Rijeka, Croatia

Copyright © 2011 InTech
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Image Copyright Eraxion, 2011. DepositPhotos

First published December, 2011
Printed in Croatia

A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from [email protected]

Current Concepts in Colonic Disorders, Edited by Godfrey Lule
p. cm.
ISBN 978-953-307-957-8
free online editions of InTech
Books and Journals can be found at
www.intechopen.com

Contents

Preface IX
Part 1 Intussusception 1
Chapter 1 Adult Intussusception 3
Saulius Paskauskas and Dainius Pavalkis
Chapter 2 Predictors and Ultrasonographic Diagnosis of
Intussusception in Children 23
Luca Lideo and Milan Roberto
Chapter 3 Appendiceal Intussusception 47
Nikolaos Varsamis, Konstantinos Pouggouras,
Nikolaos Salveridis, Aekaterini Theodosiou, Eftychios Lostoridis,
Georgios Karageorgiou, Athanasios Mekakas
and Konstantinos Christodoulidis
Part 2 Diarrhoea 65
Chapter 4 Management of Secretory Diarrhea 67
Claudia Velázquez, Fernando Calzada,
Mirandeli Bautista and Juan A. Gayosso
Chapter 5 Clostridia Difficile Diarrhea 85
Enoch Lule
Chapter 6 Introduction and Classification
of Childhood Diarrhoea 91
Angela Ine Frank-Briggs
Chapter 7 Traveller’s Diarrhoea and Intestinal Protozoal
Diarrhoeal Disease 105
Constantine M. Vassalos and Evdokia Vassalou
VI Contents

Part 3 Appendicitis 141
Chapter 8 Alvarado Score Between 4 and 6,
the Place of the CT Scan 143
S. Loudjedi, M. Bensenane, N. Meziane,
F. Ghirane and M. Kherbouche
Chapter 9 Perforated Appendicitis 151
Ali Akbar Salari
Part 4 The Colon Pathologies 167
Chapter 10 Colonic Pseudo-Obstruction 169
Abdulmalik Altaf and Nisar Haider Zaidi
Chapter 11 Treatment of Colorectal Stricture After Circular
Stapling Anastomoses 187
S. Shimada, M. Kuramoto, A. Matsuo, S. Ikeshima,
H. Kuhara, K. Eto and H. Baba
Chapter 12 Postoperative Ileus: Pathophysiology and Treatment 203
N.S. Tropskaya and T.S. Popova
Part 5 Inflammatory Bowel Syndrome 221
Chapter 13 Prospective Uses of Genetically Engineered Lactic
Acid Bacteria for the Prevention of Inflammatory
Bowel Diseases 223
Jean Guy LeBlanc, Silvina del Carmen, Fernanda Alvarenga Lima,
Meritxell Zurita Turk, Anderson Miyoshi,
Vasco Azevedo and Alejandra de Moreno de LeBlanc
Chapter 14 Prognostic Relevance of Subjective Theories of Illness
on the Clinical and Psychological Parameters in Irritable
Bowel Syndrome Patients – A Longitudinal Study 239
A. Riedl, J. Maass, A. Ahnis, A. Stengel,
H. Mönnikes, B.F. Klapp and H. Fliege
Chapter 15 Modulation of Visceral Pain by Stress:
Implications in Irritable Bowel Syndrome 251
Agata Mulak, Muriel Larauche and Yvette Taché
Chapter 16 Dysbiosis of the Intestinal Microbiota in IBS 261
Anna Lyra and Sampo Lahtinen

Preface

The primary objective of the first edition of this book of colonic disorders is to try to
fill the gap in the fields of gastroenterology that have not been properly covered in the
past.
Gastrointestinal diseases are the leading causes of morbidity and mortality in clinical
practice with diarrhea and abdominal pain accounting for over 50% of the symptoms
that patients present to their doctors. It is therefore not surprising that many of the
chapters in this book are on diarrhea and acute or chronic abdominal pain.
The chapters have been written by world renown experts in their respective fields, all
of which are related to gastroenterology.
Dr. Saulius Paskauskas has covered the area of adult intussusceptions, Prof. Azevedo
et al write about prospective uses of genetic engineering, while dysbiosis of intestinal
microbiota in irritable bowel syndrome has been very well covered by Dr. Anna Lyra
and Dr. Sampo Lahtinen.
Other interesting titles like perforated appendicitis, travelers’ diarrhea and
management of various gastrointestinal conditions are some of the topics presented in
simple and accessible language with well labeled illustrations where appropriate.
Advances in the pathophysiology and treatment of postoperative ileus has been
covered by Dr. Tropskaya and Dr. Popova, with evidence based on experiments
carried out in animal models, while Prof. Yvette Tache et al ably handle modulation of
visceral pain by stress implication and modulation. The later is a must read for all
professionals as it utilizes simple theories to explain some of the recurrent
symptomatologies that patients present with.
This book will form useful reading for the inquisitive undergraduate medical student
who wants to read more about the pathophysiology of various gastrointestinal
diseases such as intussusceptions but also offers detail to the specialists out to explain
causes and management of various conditions such as acute and chronic diarrhea.
Most of the chapters have an introduction and objective, epidemiology, clinical
presentation and investigation sections, with outlines on management and
X Preface

conclusions at the end. They have been presented in this way to make them easy to
understand and for quick reference by the reader while in the clinic or classroom in
these days of pressure for answers and maximum time constraint.
To the reader, we hope that this book will offer you the right knowledge that would
favorably modify your approach to problems of the gastrointestinal tract in the future.

Godfrey Lule FRCP (E)
Consultant Physician & Gastroenterologist/
Infectious Disease Specialist
Professor of Medicine, Department of Medicine,
University of Nairobi,
Kenya