What we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.
What we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.
What we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.
What we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.
What we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.
The Colorectal Quiz Episode 8: Motility Disorders Part 1
▶Ep 91 · 3:35
clinicalReliance on rectal therapy or retrograde enemas with continued soiling causing significant effect on functioning is considered failure of medical management↗
▶Ep 91 · 3:57
clinicalGeneral pediatricians typically prescribe osmotic laxatives (MiraLax, lactulose) and stimulant laxatives (Senna, bisacodyl), but there are other medications GI specialists use that pediatricians are not accustomed to prescribing↗
▶Ep 91 · 4:46
clinicalInitial evaluation includes history (triggers, stooling frequency, sensation of complete emptying), physical exam (abdominal distension, palpable stool, rectal exam), and diagnostic imaging (abdominal X-ray, water-soluble contrast enema)↗
▶Ep 91 · 4:58
clinicalSome children stool every day but don't completely evacuate↗
▶Ep 91 · 9:35
clinicalAnorectal manometry uses a catheter with sensors measuring pressure and a balloon to assess anal sphincter function and its relationship to the rectum↗
▶Ep 91 · 10:00
clinicalHigh pressures on anorectal manometry may suggest underlying inability to relax, causing a functional obstruction↗
▶Ep 91 · 10:09
clinicalPatients with Hirschsprung disease have an absent rectoanal inhibitory reflex (RAIR)↗
▶Ep 91 · 10:19
clinicalAnorectal manometry provides information about defecation dynamics by having patients bear down, squeeze, and attempt to defecate, comparing sensation to defecate with internal anal sphincter response↗
The Colorectal Quiz Episode 9: Motility Disorders Part 2
▶Ep 93 · 1:45
clinicalColonic transit and colonic function must be assessed in this patient; it is not purely a sphincter issue.↗
▶Ep 93 · 2:04
clinicalThe massively dilated colon is a result of colonic dysfunction, with dilatation predominantly in the rectosigmoid.↗
▶Ep 93 · 2:15
quoteWe really have to assess the colonic function and provide some sort of mechanical modes of remedy for this.↗
▶Ep 93 · 4:51
clinicalSitz markers can be used as a colonic transit study by obtaining X-rays at days 0, 1, 2, and 4 to visualize marker transit through the colon.↗
▶Ep 93 · 7:07
clinicalColonic manometry provides information on peristaltic activity, specifically the motion of the colon.↗
▶Ep 93 · 7:07
quoteThe colonic manometry, I think, is additionally giving us information on the peristaltic activity, which is basically the motion of the colon.↗
▶Ep 93 · 7:21
clinicalNormal colonic physiology includes two strong contractions per day, called high-amplitude propagating contractions (HAPCs).↗
▶Ep 93 · 7:29
quoteThose are called high amplitude propagating contractions.↗
▶Ep 93 · 7:32
clinicalHAPCs start in the cecum and progress distally in a coordinated manner.↗
▶Ep 93 · 7:37
quoteThen we are able to see these contractions starting on the right side of the colon in the cecum area, and then going proximately in a progressive way.↗
▶Ep 93 · 7:45
clinicalPresence of two HAPCs during an 18- or 24-hour colonic manometry study rules out colonic dysmotility.↗
▶Ep 93 · 7:52
quotePresence of HAPC will essentially rule out colonic slowness or problems, and that's not uncommon.↗
▶Ep 93 · 9:36
clinicalEven if HAPCs are present and colonic motility appears normal, absence of response to stimulants on manometry indicates abnormal colonic motility.↗
▶Ep 93 · 9:45
quoteIf you do not see a response to stimulants, then by definition that patient does not have a normal colonic manometry or. Normal colonic motility.↗
▶Ep 93 · 12:17
quoteWhat we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.↗
The Colorectal Quiz Episode 8: Motility Disorders Part 1
▶Ep 1 · 3:35
clinicalReliance on rectal therapy or retrograde enemas with continued soiling causing significant effect on functioning is considered failure of medical management↗
▶Ep 1 · 3:57
clinicalGeneral pediatricians typically prescribe osmotic laxatives (MiraLax, lactulose) and stimulant laxatives (Senna, bisacodyl), but there are other medications GI specialists use that pediatricians are not accustomed to prescribing↗
▶Ep 1 · 4:46
clinicalInitial evaluation includes history (triggers, stooling frequency, sensation of complete emptying), physical exam (abdominal distension, palpable stool, rectal exam), and diagnostic imaging (abdominal X-ray, water-soluble contrast enema)↗
▶Ep 1 · 4:58
clinicalSome children stool every day but don't completely evacuate↗
▶Ep 1 · 9:35
clinicalAnorectal manometry uses a catheter with sensors measuring pressure and a balloon to assess anal sphincter function and its relationship to the rectum↗
▶Ep 1 · 10:00
clinicalHigh pressures on anorectal manometry may suggest underlying inability to relax, causing a functional obstruction↗
▶Ep 1 · 10:09
clinicalPatients with Hirschsprung disease have an absent rectoanal inhibitory reflex (RAIR)↗
▶Ep 1 · 10:19
clinicalAnorectal manometry provides information about defecation dynamics by having patients bear down, squeeze, and attempt to defecate, comparing sensation to defecate with internal anal sphincter response↗
The Colorectal Quiz Episode 8: Motility Disorders Part 1
▶Ep 39 · 3:35
clinicalReliance on rectal therapy or retrograde enemas with continued soiling causing significant effect on functioning is considered failure of medical management↗
▶Ep 39 · 3:57
clinicalGeneral pediatricians typically prescribe osmotic laxatives (MiraLax, lactulose) and stimulant laxatives (Senna, bisacodyl), but there are other medications GI specialists use that pediatricians are not accustomed to prescribing↗
▶Ep 39 · 4:46
clinicalInitial evaluation includes history (triggers, stooling frequency, sensation of complete emptying), physical exam (abdominal distension, palpable stool, rectal exam), and diagnostic imaging (abdominal X-ray, water-soluble contrast enema)↗
▶Ep 39 · 4:58
clinicalSome children stool every day but don't completely evacuate↗
▶Ep 39 · 9:35
clinicalAnorectal manometry uses a catheter with sensors measuring pressure and a balloon to assess anal sphincter function and its relationship to the rectum↗
▶Ep 39 · 10:00
clinicalHigh pressures on anorectal manometry may suggest underlying inability to relax, causing a functional obstruction↗
▶Ep 39 · 10:09
clinicalPatients with Hirschsprung disease have an absent rectoanal inhibitory reflex (RAIR)↗
▶Ep 39 · 10:19
clinicalAnorectal manometry provides information about defecation dynamics by having patients bear down, squeeze, and attempt to defecate, comparing sensation to defecate with internal anal sphincter response↗
The Colorectal Quiz Episode 9: Motility Disorders Part 2
▶Ep 41 · 1:45
clinicalColonic transit and colonic function must be assessed in this patient; it is not purely a sphincter issue.↗
▶Ep 41 · 2:04
clinicalThe massively dilated colon is a result of colonic dysfunction, with dilatation predominantly in the rectosigmoid.↗
▶Ep 41 · 2:15
quoteWe really have to assess the colonic function and provide some sort of mechanical modes of remedy for this.↗
▶Ep 41 · 4:51
clinicalSitz markers can be used as a colonic transit study by obtaining X-rays at days 0, 1, 2, and 4 to visualize marker transit through the colon.↗
▶Ep 41 · 7:07
clinicalColonic manometry provides information on peristaltic activity, specifically the motion of the colon.↗
▶Ep 41 · 7:07
quoteThe colonic manometry, I think, is additionally giving us information on the peristaltic activity, which is basically the motion of the colon.↗
▶Ep 41 · 7:21
clinicalNormal colonic physiology includes two strong contractions per day, called high-amplitude propagating contractions (HAPCs).↗
▶Ep 41 · 7:29
quoteThose are called high amplitude propagating contractions.↗
▶Ep 41 · 7:32
clinicalHAPCs start in the cecum and progress distally in a coordinated manner.↗
▶Ep 41 · 7:37
quoteThen we are able to see these contractions starting on the right side of the colon in the cecum area, and then going proximately in a progressive way.↗
▶Ep 41 · 7:45
clinicalPresence of two HAPCs during an 18- or 24-hour colonic manometry study rules out colonic dysmotility.↗
▶Ep 41 · 7:52
quotePresence of HAPC will essentially rule out colonic slowness or problems, and that's not uncommon.↗
▶Ep 41 · 9:36
clinicalEven if HAPCs are present and colonic motility appears normal, absence of response to stimulants on manometry indicates abnormal colonic motility.↗
▶Ep 41 · 9:45
quoteIf you do not see a response to stimulants, then by definition that patient does not have a normal colonic manometry or. Normal colonic motility.↗
▶Ep 41 · 12:17
quoteWhat we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.↗
The Colorectal Quiz Episode 8: Motility Disorders Part 1
▶Ep 41 · 3:35
clinicalReliance on rectal therapy or retrograde enemas with continued soiling causing significant effect on functioning is considered failure of medical management↗
▶Ep 41 · 3:57
clinicalGeneral pediatricians typically prescribe osmotic laxatives (MiraLax, lactulose) and stimulant laxatives (Senna, bisacodyl), but there are other medications GI specialists use that pediatricians are not accustomed to prescribing↗
▶Ep 41 · 4:46
clinicalInitial evaluation includes history (triggers, stooling frequency, sensation of complete emptying), physical exam (abdominal distension, palpable stool, rectal exam), and diagnostic imaging (abdominal X-ray, water-soluble contrast enema)↗
▶Ep 41 · 4:58
clinicalSome children stool every day but don't completely evacuate↗
▶Ep 41 · 9:35
clinicalAnorectal manometry uses a catheter with sensors measuring pressure and a balloon to assess anal sphincter function and its relationship to the rectum↗
▶Ep 41 · 10:00
clinicalHigh pressures on anorectal manometry may suggest underlying inability to relax, causing a functional obstruction↗
▶Ep 41 · 10:09
clinicalPatients with Hirschsprung disease have an absent rectoanal inhibitory reflex (RAIR)↗
▶Ep 41 · 10:19
clinicalAnorectal manometry provides information about defecation dynamics by having patients bear down, squeeze, and attempt to defecate, comparing sensation to defecate with internal anal sphincter response↗
The Colorectal Quiz Episode 9: Motility Disorders Part 2
▶Ep 42 · 1:45
clinicalColonic transit and colonic function must be assessed in this patient; it is not purely a sphincter issue.↗
▶Ep 42 · 1:45
clinicalColonic transit and colonic function must be assessed in this patient; it is not purely a sphincter issue.↗
▶Ep 42 · 2:04
clinicalThe massively dilated colon is a result of colonic dysfunction, with dilatation predominantly in the rectosigmoid.↗
▶Ep 42 · 2:04
clinicalThe massively dilated colon is a result of colonic dysfunction, with dilatation predominantly in the rectosigmoid.↗
▶Ep 42 · 2:15
quoteWe really have to assess the colonic function and provide some sort of mechanical modes of remedy for this.↗
▶Ep 42 · 2:15
quoteWe really have to assess the colonic function and provide some sort of mechanical modes of remedy for this.↗
▶Ep 42 · 4:51
clinicalSitz markers can be used as a colonic transit study by obtaining X-rays at days 0, 1, 2, and 4 to visualize marker transit through the colon.↗
▶Ep 42 · 4:51
clinicalSitz markers can be used as a colonic transit study by obtaining X-rays at days 0, 1, 2, and 4 to visualize marker transit through the colon.↗
▶Ep 42 · 7:07
quoteThe colonic manometry, I think, is additionally giving us information on the peristaltic activity, which is basically the motion of the colon.↗
▶Ep 42 · 7:07
clinicalColonic manometry provides information on peristaltic activity, specifically the motion of the colon.↗
▶Ep 42 · 7:07
quoteThe colonic manometry, I think, is additionally giving us information on the peristaltic activity, which is basically the motion of the colon.↗
▶Ep 42 · 7:07
clinicalColonic manometry provides information on peristaltic activity, specifically the motion of the colon.↗
▶Ep 42 · 7:21
clinicalNormal colonic physiology includes two strong contractions per day, called high-amplitude propagating contractions (HAPCs).↗
▶Ep 42 · 7:21
clinicalNormal colonic physiology includes two strong contractions per day, called high-amplitude propagating contractions (HAPCs).↗
▶Ep 42 · 7:29
quoteThose are called high amplitude propagating contractions.↗
▶Ep 42 · 7:29
quoteThose are called high amplitude propagating contractions.↗
▶Ep 42 · 7:32
clinicalHAPCs start in the cecum and progress distally in a coordinated manner.↗
▶Ep 42 · 7:32
clinicalHAPCs start in the cecum and progress distally in a coordinated manner.↗
▶Ep 42 · 7:37
quoteThen we are able to see these contractions starting on the right side of the colon in the cecum area, and then going proximately in a progressive way.↗
▶Ep 42 · 7:37
quoteThen we are able to see these contractions starting on the right side of the colon in the cecum area, and then going proximately in a progressive way.↗
▶Ep 42 · 7:45
clinicalPresence of two HAPCs during an 18- or 24-hour colonic manometry study rules out colonic dysmotility.↗
▶Ep 42 · 7:45
clinicalPresence of two HAPCs during an 18- or 24-hour colonic manometry study rules out colonic dysmotility.↗
▶Ep 42 · 7:52
quotePresence of HAPC will essentially rule out colonic slowness or problems, and that's not uncommon.↗
▶Ep 42 · 7:52
quotePresence of HAPC will essentially rule out colonic slowness or problems, and that's not uncommon.↗
▶Ep 42 · 9:36
clinicalEven if HAPCs are present and colonic motility appears normal, absence of response to stimulants on manometry indicates abnormal colonic motility.↗
▶Ep 42 · 9:36
clinicalEven if HAPCs are present and colonic motility appears normal, absence of response to stimulants on manometry indicates abnormal colonic motility.↗
▶Ep 42 · 9:45
quoteIf you do not see a response to stimulants, then by definition that patient does not have a normal colonic manometry or. Normal colonic motility.↗
▶Ep 42 · 9:45
quoteIf you do not see a response to stimulants, then by definition that patient does not have a normal colonic manometry or. Normal colonic motility.↗
▶Ep 42 · 12:17
quoteWhat we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.↗
▶Ep 42 · 12:17
quoteWhat we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.↗
The Colorectal Quiz Episode 8: Motility Disorders Part 1
▶Ep 2 · 3:35
clinicalReliance on rectal therapy or retrograde enemas with continued soiling causing significant effect on functioning is considered failure of medical management↗
▶Ep 2 · 3:57
clinicalGeneral pediatricians typically prescribe osmotic laxatives (MiraLax, lactulose) and stimulant laxatives (Senna, bisacodyl), but there are other medications GI specialists use that pediatricians are not accustomed to prescribing↗
▶Ep 2 · 4:46
clinicalInitial evaluation includes history (triggers, stooling frequency, sensation of complete emptying), physical exam (abdominal distension, palpable stool, rectal exam), and diagnostic imaging (abdominal X-ray, water-soluble contrast enema)↗
▶Ep 2 · 4:58
clinicalSome children stool every day but don't completely evacuate↗
▶Ep 2 · 9:35
clinicalAnorectal manometry uses a catheter with sensors measuring pressure and a balloon to assess anal sphincter function and its relationship to the rectum↗
▶Ep 2 · 10:00
clinicalHigh pressures on anorectal manometry may suggest underlying inability to relax, causing a functional obstruction↗
▶Ep 2 · 10:09
clinicalPatients with Hirschsprung disease have an absent rectoanal inhibitory reflex (RAIR)↗
▶Ep 2 · 10:19
clinicalAnorectal manometry provides information about defecation dynamics by having patients bear down, squeeze, and attempt to defecate, comparing sensation to defecate with internal anal sphincter response↗
The Colorectal Quiz Episode 9: Motility Disorders Part 2
▶Ep 3 · 1:45
clinicalColonic transit and colonic function must be assessed in this patient; it is not purely a sphincter issue.↗
▶Ep 3 · 2:04
clinicalThe massively dilated colon is a result of colonic dysfunction, with dilatation predominantly in the rectosigmoid.↗
▶Ep 3 · 2:15
quoteWe really have to assess the colonic function and provide some sort of mechanical modes of remedy for this.↗
▶Ep 3 · 4:51
clinicalSitz markers can be used as a colonic transit study by obtaining X-rays at days 0, 1, 2, and 4 to visualize marker transit through the colon.↗
▶Ep 3 · 7:07
quoteThe colonic manometry, I think, is additionally giving us information on the peristaltic activity, which is basically the motion of the colon.↗
▶Ep 3 · 7:07
clinicalColonic manometry provides information on peristaltic activity, specifically the motion of the colon.↗
▶Ep 3 · 7:21
clinicalNormal colonic physiology includes two strong contractions per day, called high-amplitude propagating contractions (HAPCs).↗
▶Ep 3 · 7:29
quoteThose are called high amplitude propagating contractions.↗
▶Ep 3 · 7:32
clinicalHAPCs start in the cecum and progress distally in a coordinated manner.↗
▶Ep 3 · 7:37
quoteThen we are able to see these contractions starting on the right side of the colon in the cecum area, and then going proximately in a progressive way.↗
▶Ep 3 · 7:45
clinicalPresence of two HAPCs during an 18- or 24-hour colonic manometry study rules out colonic dysmotility.↗
▶Ep 3 · 7:52
quotePresence of HAPC will essentially rule out colonic slowness or problems, and that's not uncommon.↗
▶Ep 3 · 9:36
clinicalEven if HAPCs are present and colonic motility appears normal, absence of response to stimulants on manometry indicates abnormal colonic motility.↗
▶Ep 3 · 9:45
quoteIf you do not see a response to stimulants, then by definition that patient does not have a normal colonic manometry or. Normal colonic motility.↗
▶Ep 3 · 12:17
quoteWhat we learn from each other is beyond what textbooks can teach us. I think a collaborative model like this should be promoted in every center where we provide care for colorectal cases.↗
