Motility and Functional Bowel Disorders
Jiande Chen, PhD
Department of Internal Medicine
Types of Diseases Seen
Swallowing disorders, achalasia and other esophageal motor disorders, gastroesophageal reflux disease (GERD), gastroparesis, intestinal pseudoobstruction, irritable bowel syndrome (IBS), fecal incontinence and other defecation disorders, biliary dyskinesia.
Types of Treatments Provided
Assessment of gastrointestinal motility and function (esophageal, antroduodenal, Sphincter of Oddi, and anorectal manometry, wireless and catheter pH monitoring, electrogastrography, hydrogen breath testing, gastrointestinal scintigraphy), various dilation procedures, gastric electrical stimulation, pelvic floor biofeedback, pharmacological options in motility disorders, and adjunctive services such as psychological evaluation and counseling.
Unique or New Things that UTMB Does in this Field
Provision of services to both assess and treat disorders of gastrointestinal motility not generally available in the community (examples above), access to investigational protocols in which research from the laboratory is brought to the clinic, and a team approach to difficult clinical problems involving disordered motility.
How to Make an Appointment
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Orderset
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medicaitons
- Parenteral Opioids
- Sepsis, Adult ICU
- 111 - Stroke Alert
- 112 - Stroke Activation
- 300086 - Stroke Floor Admission
- 3000000001 - Stroke Critical care without tPA
- 300088 Stroke - Transfer from Critical care to floor
- 3004002 - Stroke Discharge
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.