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GI Motility Testing: A Laboratory and Office Handbook
Editors: Henry P. Parkman, Richard W. McCallum, Satish S.C. Rao

Pages:  448   Hard Cover
ISBN 13:
Slack, Inc.  2011
List Price:  $83.95

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MedicalScienceBooks.com Medical Book Review:

      Gastroenterology has become an increasingly subspecialized area of medicine over the past several decades.  This division of an already complex specialty is a direct result of expanded basic science research efforts aimed at understanding the interaction between the nervous system and the digestive tract.  Among the greatest benefits to patient care derived from this line of inquiry thus far has been the development of a powerful set of diagnostic tests and the organization of motility disorder laboratories by experts who are skilled in their interpretation.

     GI Motility Testing: A Laboratory and Office Handbook proposes to fill in the gaps of literature by providing a clinical “users guide” to the most important evaluation techniques in the field.  The book is divided into two main parts, one covering the procedures and the other covering the most common set of disorders seen in the clinic.  Each part is further subdivided into sections based on GI anatomy.  The technical aspect of each procedure is discussed in very practical and almost step by step terms.  There are also good tips on troubleshooting and identifying common data artifacts which are appropriate for assistants working with the patient.  Indications and interpretation sections are very concise with a minimal amount of explanation but adequately referenced to further reading at the end of each chapter.  These concise explanations will likely be appreciated by clinicians who are familiar with the test, but some readers may be left wanting more information before being turned to larger texts or the primary literature.

       Much more effective for the trainee or general practitioner interested in learning more about testing options is part B which includes excellent synopses of patient management.  Each motility disorder is outlined in terms of differential diagnosis, choice of diagnostic tests, results suggestive of a particular condition and brief treatment considerations. This disorder focused part of the book makes the book cohesive as a stand-alone publication because it ties the technical and clinical aspects of the testing procedures together.

     The illustration program is somewhat lackluster with the large majority of figures containing software computer screen shots and tabular data in gray-scale.  However, there is a good color atlas included in the middle of the text with a few select figures from the chapter in color.  In particular, the color images of the manometry data add to the significance of the results and would probably best be incorporated throughout the text for all such figures.    

     Overall, this text makes an important contribution to the gastroenterology literature.  No other single text exists on the topic of this comprehensive list of GI testing modalities written with not only the physician, but nurses and technical staff in mind. 

Ratings (1-4 , 4 being the highest):

Organization of information:    3

Usefulness of book:     3

Suitable for intended audience:    4

Author’s objectives met:      3

Significant number of illustrations:     3

Quality of illustrations:    2


GI Motility Testing: A Laboratory and Office Handbook is a comprehensive and practical book that describes how to properly perform and interpret GI motility tests in conjunction with learning GI motility and neurogastroenterology.

Drs. Henry P. Parkman, Richard W. McCallum, Satish S.C. Rao, and their contributors carefully detail the wide range of procedures that are used for the evaluation of patients in the GI motility laboratory. Inside GI Motility Testing, each chapter has been comprehensively written and fully illustrated with examples of tracings and studies. This detailed book discusses the most up-to-date equipment and technology, while providing a solid understanding of normal and abnormal manometry patterns as well as information on billing and coding.

Table of Contents:

Part A: Procedures Performed in the GI Motility Laboratory

Section I: Esophagus

Chapter 1: Overview and Evaluation of Esophageal Symptoms

Benson T. Massey, MD, FACP

Chapter 2: Esophageal Manometry

Javier Gomez, MD; Priyanka Sachdeva, MD; and Henry P. Parkman, MD

Chapter 3: Esophageal pH Monitoring

Srikant Muddana, MD, and Michael F. Vaezi, MD, PhD, MS (Epi)

Chapter 4: Impedance Testing of Esophageal Motor Function and Reflux

Radu Tutuian, MD, and Donald O. Castell, MD

Chapter 5: Radiographic Evaluation of Esophageal Function: Barium Esophagography

Elan Rosenthal, MD, and Dina F. Caroline, MD

Chapter 6: Sensory Testing of the Esophagus

Ronnie Fass, MD

Section II: Stomach and Small Intestine

Chapter 7: Overview and Evaluation of Gastric Symptoms

Rami El Abiad, MD; Bryan J. Feyen, DO; and Konrad S. Schulze, MD, FRCP(C)

Chapter 8: Gastric Emptying Scintigraphy

Alan H. Maurer, MD

Chapter 9: Electrogastrography

Jiande Chen, PhD; Zhiyue Lin, MS; and Jieyun Yin, MD

Chapter 10: Antroduodenal Manometry

William J. Snape, Jr, MD, and Linda Anh B. Nguyen, MD

Chapter 11: Satiety Testing

Michael Jones, MD, FACP, FACG

Chapter 12: Gastric Volume and Accommodation Measurement by SPECT and Barostat

Mhd Louai Manini, MD, and Michael Camilleri, MD

Chapter 13: Ambulatory Capsule Tests for Assessment of GI Transit and Pressure

Lenuta Kloetzer, MS; Satish S.C. Rao, MD, PhD, FRCP (Lon); and Braden Kuo, MD

Chapter 14: Breath Testing for Gastric Emptying

Seth Sweetser, MD, and Lawrence A. Szarka, MD

Chapter 15: Breath Testing for Carbohydrate Intolerance

Ashok Attaluri, MD, and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 16: Breath Tests for Small Intestine Bacterial Overgrowth

Reza A. Hejazi, MD, and Richard W. McCallum, MD, FACP, FRACP (Aust), FACG

Section III: Colon and Anorectum

Chapter 17: Overview and Evaluation of Colonic Symptoms

Wendy A. Mikulski, DO, and Asyia S. Ahmad, MD

Chapter 18: Anorectal Manometry

Kasaya Tantiphlachiva, MD, and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 19: Biofeedback Therapy for Constipation

Giuseppe Chiarioni, MD, and William E. Whitehead, PhD

Color Atlas

Chapter 20: Biofeedback Therapy (Neuromuscular Training) for Fecal Incontinence

Elisabeth C. McLemore, MD, and Dana R. Sands, MD, FACS, FASCRS

Chapter 21: Assessment of Colonic Transit: Radiopaque Markers, Scintigraphy, and Wireless Motility Capsule

Henry P. Parkman, MD; Javier Gomez, MD; and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Chapter 22: Rectal Barostat for Sensory Testing

S. Mark Scott, PhD, and Marc A. Gladman, PhD, MRCOG, FRCS (Gen Surg)

Chapter 23: Anorectal Imaging With Magnetic Resonance Imaging, Barium Defecography, and Ultrasound

Adil E. Bharucha, MBBS, MD, and Joel G. Fletcher, MD

Chapter 24: Colonic Manometry

Rosa Burgers, MD; Carlo Di Lorenzo, MD; and Satish S.C. Rao, MD, PhD, FRCP (Lon)

Section IV: Miscellaneous Topics and Procedures

Chapter 25: Establishing a GI Motility Laboratory

William C. Orr, PhD

Chapter 26: Functional Brain Imaging in GI Neurophysiology

Howard R. Mertz, MD

Chapter 27: Pediatric and Adolescent GI Motility Testing

Ann Aspirot, MD, FRCPC, and Hayat Mousa, MD, FAAP

Chapter 28: GI Hormone Testing

Reza A. Hejazi, MD, and Richard W. McCallum, MD, FACP, FRACP (Aust), FACG

Part B: GI Motility Disorders

Section V: Esophagus

Chapter 29: Gastroesophageal Reflux Disease

Ellen Stein, MD, and Philip O. Katz, MD

Chapter 30: Achalasia, Diffuse Esophageal Spasm, and Other Esophageal Motility Disorders

Zeeshan Ramzan, MD, and Joel E. Richter, MD, FACP, MACG

Section VI: Stomach

Chapter 31: Gastroparesis

Emori B. Bizer, MD, and John M. Wo, MD

Chapter 32: Functional Dyspepsia

Richard Saad, MD, and William D. Chey, MD, AGAF, FACG, FACP

Section VII: Small Intestine

Chapter 33: Chronic Intestinal Pseudo-Obstruction

Robert W. Summers, MD

Chapter 34: Small Intestinal Bacterial Overgrowth

Mark Pimentel, MD, FRCP(C)

Section VIII: Colon and Anorectum

Chapter 35: Chronic Constipation

Arnold Wald, MD

Chapter 36: Fecal Incontinence

Adil E. Bharucha, MBBS, MD

Chapter 37: Irritable Bowel Syndrome

Elizabeth J. Videlock, MD, and Lin Chang, MD

Chapter 38: Gas/Bloat Syndromes

William L. Hasler, MD

Section IX: Diffuse GI Disorders

Chapter 39: Scleroderma and Collagen Vascular Disorders

Deborah M. Bethards, MD, and Ann Ouyang, MD

Chapter 40: GI Complications of Diabetes Mellitus

Eva Sum, MD, and Robert S. Fisher, MD

Chapter 41: Visceral Hypersensitivity

Klaus Bielefeldt, MD, PhD

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