Imaging of Gastrointestinal Motility Disorders

Common tests used to evaluate and diagnose gastrointestinal motility disorders are discussed, and findings of common motility disorders throughout the gastrointestinal tract are described.

Course ID: Q00787 Category:
Modalities: , , , ,

2.75

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$29.00

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.00
Procedures: 2.00
Abdomen and Pelvis: 2.00

Magnetic Resonance Imaging: 2.00
Procedures: 2.00
Body: 2.00

Nuclear Medicine Technology: 2.00
Procedures: 2.00
Gastrointestinal and Genitourinary Procedures: 2.00

Radiography: 2.00
Procedures: 2.00
Thorax and Abdomen Procedures: 2.00

Registered Radiologist Assistant: 2.75
Procedures: 2.75
Abdominal Section: 2.75

Outline

  1. Introduction
  • Imaging Modalities
    1. Gastric-Emptying Scintigraphy
    2. Small-Bowel Scintigraphy
    3. Colon Scintigraphy
    4. Gastric Accommodation Testing
    5. Esophagography
    6. Upper Gastrointestinal Series
    7. Small-Bowel Follow-through Study
    8. Radiopaque Marker Study
    9. Defecography
    10. Cine MR Enterography
    11. Computed Tomography
    12. Manometry
    13. Small-Bowel Manometry
    14. Anorectal Manometry
  • Esophagus
    1. Achalasia
    2. Esophagogastric Junction Outflow Obstruction
    3. Scleroderma
    4. Distal Esophageal Spasm
    5. Hypercontractile Esophagus
    6. Postsurgical Dysmotility
  • Stomach
    1. Gastroparesis
    2. Rumination Syndrome
    3. Cannabis-Induced Gastroparesis
    4. Impaired Gastric Accommodation
  • Small Intestine
    1. Chronic Intestinal Pseudo-Obstruction
    2. Scleroderma
    3. Amyloidosis
    4. Enteric Visceral Myopathy
    5. Opioid-Induced Hypomotility
  • Large Intestine, Rectum, and Anus
    1. Constipation and Colonic Inertia
    2. Acute Colonic Pseudo-Obstruction
    3. Hirschsprung Disease
    4. Pelvic Floor Dysfunction
  • Conclusion
  • Objectives

    Upon completion of this course, students will:

    1. be familiar with the function of the submucosal plexus within the enteric nervous system
    2. be familiar with the primary source of gastrointestinal motility disorders
    3. identify the nonspecific symptoms associated with gastrointestinal motility disorders
    4. identify the criteria for determining delayed gastric emptying standards
    5. be familiar with the use of Indium 111 charcoal particles
    6. be familiar with the normal values for a gastric emptying scintigraphy
    7. be familiar with the imaging technique used for gastric accommodation diagnosis
    8. be familiar with the primary purpose of esophagography in the evaluation of patients with dysphagia
    9. recognize the position typically used to observe esophageal motility during esophagography
    10. be familiar with the primary purpose of performing an upper gastrointestinal series
    11. identify the positioning of the patients during defecography for the injection of barium into the rectum
    12. be familiar with the physiological changes associated with the pelvic floor during defecography
    13. understand the role catheter-based manometry plays in the assessment of small bowel motility patterns
    14. be familiar with the characteristic findings observed in barium esophagography for patient with achalasia
    15. identify the diagnostic tool instrumental in confirming the diagnosis of achalasia
    16. be familiar with the subtypes of achalasia
    17. be familiar with the postoperative changes leading to EGJOO
    18. be familiar with how the diagnosis of EGJOO is obtained
    19. identify the subtypes of scleroderma
    20. be familiar with the treatment for patients with scleroderma
    21. be familiar with the manometric characteristics in hypercontractile esophagus
    22. be familiar with the role of phasic contraction in the gastric antrum
    23. be familiar with the behavioral techniques for treating rumination syndrome
    24. recognize the potential effects of cannabinoids on the stomach
    25. identify the cells responsible for pacemaker activity in gastrointestinal motility
    26. be familiar with the part of the gastrointestinal tract primarily involved in CIPO
    27. be familiar with the dysmotility associated with scleroderma
    28. identify the diagnostic procedure required to confirm gastrointestinal amyloidosis
    29. be familiar with the primary components involved in coordinated defecation
    30. be familiar with the purpose of fluoroscopic contrast enema examination for constipation
    31. identify the diagnostic testing necessary for differentiating pseudo-obstruction from mechanical obstruction
    32. identify the portion of the colon predominately affected in Hirschsprung disease
    33. identify the diagnostic tests used to diagnose dyssynergic dysfunction