title: [The gastrointestinal changes in dystrophia myotonica].
abstract: Myotonic dystrophy is a multisystemic disorder inherited as an autosomal dominant trait. The secondary gastrointestinal disturbances are not well recognized. Two cases of myotonic dystrophy in a 51-year-old and 39-year-old woman with gastrointestinal symptoms disturbances are reported. One patient presented motor dysfunction in the colon and esophagus, organoaxial gastric volvulus and cholestasis. The second patient developed an acute colonic pseudo-obstruction. The patient improved with cisapride. The digestive manifestations of myotonic dystrophy and the treatment are reviewed.
authors.affiliation: Servicio de Digestivo, Hospital Ntra. Sra. de Aránzazu, San Sebastián.
authors.forename: L
authors.initials: L
authors.lastname: Bujanda
authors.forename: A
authors.initials: A
authors.lastname: López de Munain
authors.forename: A
authors.initials: A
authors.lastname: Alcón
authors.forename: M A
authors.initials: MA
authors.lastname: Gutiérrez Stampa
authors.forename: A
authors.initials: A
authors.lastname: Martínez Pérez-Balsa
authors.forename: J I
authors.initials: JI
authors.lastname: Arenas
mesh_terms: D000328:Adult; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications / Q000175:diagnosis*