[Gastrointestinal dysmotility in children].
Motility disorders were previously impossible to penetrate, but new technics have made it possible to investigate these disorders. An overview of neurophysiological functions of the gastrointestinal tract is given, and various conditions representing primary and secondary motility disorders are discussed. Diagnostic procedures and treatment options are presented. The clinical picture of such disorders is demonstrated by two cases. A girl born in 1995, having megacystis microcolon hypoperistalsis syndrome was the first Norwegian individual to have an intestinal transplantation, which was performed in London, UK. A girl with hypoganglionosis is also reported. Since May 1998, manometry of the oesophagus was performed in 44 children, and pathological findings were demonstrated in 18 of these patients. The motoric activity of the stomach was investigated in 17 patients using two-dimensional ultrasound and electrogastrography pre- and post-prandially. Disturbed function was found in nine of these children. Anorectal manometry was performed in 147 individuals, and Hirschsprung's disease was diagnosed in four.
Fluge
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Seksjon for gastroenterologi og ernaering Barneklinikken Haukeland Sykehus 5021 Bergen. gjermund.fluge@pedi.uib.no
Olafsdottir
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D002648:Child; D002675:Child, Preschool; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D005769:Gastrointestinal Motility / Q000235:genetics / Q000502:physiology; D006801:Humans; D007223:Infant; D007410:Intestinal Diseases / Q000503:physiopathology; D010528:Peristalsis / Q000235:genetics / Q000502:physiology