Mathias J R, Clench M H
Department of Internal Medicine, University of Texas Medical Branch, Galveston 77555-0764.
Postgrad Med. 1995 Mar;97(3):95-8, 101-2, 105-8.
Gastrointestinal motor dysfunction, intestinal pseudo-obstruction syndromes, and hollow visceral neuropathy and myopathy were previously considered functional bowel diseases but are now recognized to be organic disorders. They may alter the muscle of the intestinal wall or the nerves of the myenteric plexus, or both. Their symptoms of chronic unexplained abdominal pain, abdominal distention and bloating, early satiety, nausea, vomiting, and alternating diarrhea and constipation are the most common and perhaps the most difficult problems encountered by gastroenterologists. New intestinal recording devices assess motility and allow objective classification of neuromuscular disease, permitting accurate diagnosis and better treatment.
胃肠道运动功能障碍、肠道假性梗阻综合征以及中空内脏神经病变和肌病，以前被认为是功能性肠病，但现在被认定为器质性疾病。它们可能会改变肠壁肌肉或肌间神经丛神经，或两者皆有改变。其慢性不明原因腹痛、腹胀、早饱、恶心、呕吐以及腹泻与便秘交替出现的症状最为常见，或许也是胃肠病学家所面临的最棘手问题。新型肠道记录设备可评估肠道运动，并能对神经肌肉疾病进行客观分类，从而实现准确诊断与更好的治疗。
