1. GI MOTILITY DISORDERS PART 2 Jackie Wood PhD Professor, Department of Physiology and Cell Biology

2. GI MOTILITY DISORDERS PART 2 TOPICS Small Intestine Large Intestine Pelvic Floor

3. GI MOTILITY DISORDERS PART 2 Small Intestinal Motility

4. Objectives – Small Intestinal Motility

5. Enteric Nervous System in the Small Bowel has “APPS” for five kinds of motor behavior

6. An Abnormal Power Propulsion is running pathologic states with cramping abdominal pain fecal urgency and acute watery diarrhea

7. An Orally Directed Power Propulsion APP is running during emesis

8. Obstructive Ileus and Paralytic Ileus Causes Narrowed lumen Closed lumen Characteristics Strong propulsive circular muscle contractions Symptoms Severe abdominal pain Abdominal distention Obstructive Ileus Causes Sequelae labarotomy (postoperative ileus) Peritonitis Metabolic dysregulation (diabetic ketoacidosis) Characteristics Propulsive circular muscle contractions diminished or absent Symptoms Severe abdominal pain Abdominal distention Paralytic Ileus Wood 2156 are forms of Pathologic Ileus

9. GI MOTILITY DISORDERS PART 2 Large Intestinal Motility

10. Objective – Large Intestinal Motility Describe the pathophysiology of Hirschsprung’s Disease

11. An APP in the ENS of the Colon Programs The Musculature for Formation of Haustra

12. Radioopague Sitz Markers Sitz (Plastic) Markers Used to Diagnose Slow Transit Constipation

13. HIRSCHSPRUNG DISEASE

15. GI MOTILITY DISORDERS PART 2 Pelvic Floor

16. Objective - Pelvic Floor

17. Pelvic Floor

22. Thank you for completing this module Questions? Contact me at: Jackie.Wood@osumc.edu

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