Functional magnetic stimulation in constipation associated with Parkinsonâ€™s disease

Chiu, Cheng Ming; Wang, Chih Pin; Sung, Wen-Hsu; Huang, Shih Fong; Chiang, Shu Chiung; Tsai, Po Yi

doi:10.2340/16501977-0456

Cited by 38 publications

(30 citation statements)

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“…[202][203][204] EMST, which uses currentchanging magnetic fields, allows the induction of electrical stimulation in the desired deep tissue. The mechanism of EMST in the S2-S3 dermatomes for constipation is unclear.…”

Section: Extracorporeal Magnetic Stimulation Therapymentioning

confidence: 99%

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Shin

Jung

Lee

et al. 2016

J Neurogastroenterol Motil

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The Korean Society of Neurogastroenterology and Motility first published guidelines for chronic constipation in 2005 and was updated in 2011. Although the guidelines were updated using evidence-based process, they lacked multidisciplinary participation and did not include a diagnostic approach for chronic constipation. This article includes guidelines for diagnosis and treatment of chronic constipation to realistically fit the situation in Korea and to be applicable to clinical practice. The guideline development was based upon the adaptation method because research evidence was limited in Korea, and an organized multidisciplinary group carried out systematical literature review and series of evidence-based evaluations. Six guidelines were selected using the Appraisal of Guidelines for Research & Evaluation (AGREE) II process. A total 37 recommendations were adopted, including 4 concerning the definition and risk factors of chronic constipation, 8 regarding diagnoses, and 25 regarding treatments. The guidelines are intended to help primary physicians and general health professionals in clinical practice in Korea, to provide the principles of medical treatment to medical students, residents, and other healthcare professionals, and to help patients for choosing medical services based on the information. These guidelines will be updated and revised periodically to reflect new diagnostic and therapeutic methods.

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Section: Extracorporeal Magnetic Stimulation Therapymentioning

confidence: 99%

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Shin

Jung

Lee

et al. 2016

J Neurogastroenterol Motil

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“…In patients with outlet-type constipation, including PD patients, the angle may not widen enough and the contrast will not be completely expelled (Fig. 3) [33,34]. This may be due to failure of the puborectalis muscle to relax.…”

Section: Defecographymentioning

confidence: 95%

Anorectal dysfunctions in Parkinson's disease

Kim

Sung

Lee

et al. 2011

Journal of the Neurological Sciences

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“…133 Other studies reported non-significantly increased rectal volume, significantly increased residual volumes after defecation, and decreased rectal contraction in PD 128, 141 However, Edwards et al 127 found no significant increase in post-defecation residuals in mild-to-moderate stage PD cases in the off state. A small study showed that botulinum toxin injection in the puborectalis muscle was efficacious in decreasing tonus in the anorectal muscle and an improvement in the anorectal angle was also seen during straining.…”

Section: Functional Imaging Of the Gastrointestinal Tractmentioning

confidence: 99%

Imaging Parkinson’s disease below the neck

Borghammer

Knudsen

Fedorova

et al. 2017

npj Parkinson's Disease

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Parkinson’s disease is a systemic disorder with widespread and early α-synuclein pathology in the autonomic and enteric nervous systems, which is present throughout the gastrointestinal canal prior to diagnosis. Gastrointestinal and genitourinary autonomic symptoms often predate clinical diagnosis by several years. It has been hypothesized that progressive α-synuclein aggregation is initiated in hyperbranched, non-myelinated neuron terminals, and may subsequently spread via retrograde axonal transport. This would explain why autonomic nerves are so prone to formation of α-synuclein pathology. However, the hypothesis remains unproven and in vivo imaging methods of peripheral organs may be essential to study this important research field. The loss of sympathetic and parasympathetic nerve terminal function in Parkinson’s disease has been demonstrated using radiotracers such as 123I-meta-iodobenzylguanidin, 18F-dopamine, and 11C-donepezil. Other radiotracer and radiological imaging methods have shown highly prevalent dysfunction of pharyngeal and esophageal motility, gastric emptying, colonic transit time, and anorectal function. Here, we summarize the methodology and main findings of radio-isotope and radiological modalities for imaging peripheral pathology in Parkinson’s disease.

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Functional magnetic stimulation in constipation associated with Parkinsonâ€™s disease

Cited by 38 publications

References 0 publications

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Guidelines for the Diagnosis and Treatment of Chronic Functional Constipation in Korea, 2015 Revised Edition

Anorectal dysfunctions in Parkinson's disease

Imaging Parkinson’s disease below the neck

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