Maryangela (AGMD)

I suffer from chronic idiopathic intestinal pseudo-obstruction, gastroparesis, diffuse esophageal spasms, achalasia, GERD and other diseases. Founder of AGMD.

[Maryangela (AGMD) @gimotility]

New Video Available!
Visit the Center of Education page on our website, under the Gastroparesis section, to watch Dr. Kenneth Koch discuss Gastroparesis and Electrical Stimulation Therapy.
https://t.co/Zie4MCx6RH.
#agmdhope, #gimotility, #gastroparesis, #enterra

[Maryangela (AGMD) @gimotility]

You won't want to miss our upcoming program. Register today.
https://t.co/Ol3kXzftcc
#agmdhope, #gimotility, #digestivemotility, #gastroparesis

[Maryangela (AGMD) @gimotility]

April is IBS Awareness Month! Register today for our upcoming program featuring Dr. Mark Pimentel. https://t.co/RBpjrXFfIz
#agmdhope, #ibs, #ibsawareness, #ibsawarenessmonth, #sibo, #digestivemotility, #gimotility, #gastroparesis

[Maryangela (AGMD) @gimotility]

Register today for our upcoming program.
https://t.co/zej9J0VKIr
#agmdhope, #GImotility, #digestivesupport, #gastroparesis, #IBS, #GERD, #cipo

[Maryangela (AGMD) @gimotility]

Register for our upcoming program. https://t.co/EkDmk8I2G1
#agmdhope, #gimotility, #functionaldyspepsia, #gastroparesis

[Maryangela (AGMD) @gimotility]

Don't miss our upcoming program featuring Dr. Kenneth Koch. Register today. https://t.co/DFkn57uqPV

#agmdhope, #gimotility, #gastroparesis, #enterra

[Maryangela (AGMD) @gimotility]

CORRECTED POST:
This event takes place on February 16th.
Register for our upcoming program featuring Pamela Mason. https://t.co/EDvGhJubDS
#agmdhope, #GImotility, #advocacy, #digestivesupport, #gastroparesis, #IBS, #GERD, #motility

[Maryangela (AGMD) @gimotility]

Register for our upcoming program featuring Pamela Mason
https://t.co/EDvGhJubDS
#agmdhope, #GImotility, #advocacy, #digestivesupport, #gastroparesis, #IBS, #GERD, #motility

[Maryangela (AGMD) @gimotility]

Register today for our upcoming program!

https://t.co/atOqdUJyY8

#agmdhope, #gimotility, #digestivemotility, #gastroparesis, #IBS, #constipation, #cipo, #digestivesupport

[Maryangela (AGMD) @gimotility]

Enterra Medical Introduces the new, FDA approved Enterra ReliaStim® as the Next Step Toward the Future of GES Therapy - https://t.co/wjELE9VdB7

[Melissa VanHouten @melissarvh]

Severe Diabetic #Gastroparesis and Complex Discharge Planning: Home IV Cyclizine As the Only Solution: https://t.co/cwwMZbEqPS

#CureGP

[Kewin Siah @KewinSiah]

Chronic Intestinal Pseudo-Obstruction (CIPO): A severe motility disorder resembling mechanical obstruction. New review highlights gaps in data on surgical options, including intestinal transplants, and calls for improved research. #CIPO #GIHealth #Science https://t.co/JWyiomwTBW"

[Dr Parveen Yograj @ParveenYograj]

Hirschsprung Disease (Congenital Aganglionic Megacolon) is a congenital disorder of the intestine characterized by the absence of ganglion cells in the submucosal (Meissner) and myenteric (Auerbach) plexuses, most commonly affecting the distal colon and rectum. This results in a functional intestinal obstruction due to failure of relaxation of the affected bowel segment.
Etiology & Pathophysiology-
Caused by failure of neural crest cell migration during embryogenesis.
The aganglionic segment remains tonically contracted, while the proximal bowel becomes dilated (megacolon).
Can be sporadic or genetic (associated with mutations in the RET proto-oncogene).
Associated conditions: Down syndrome, congenital heart disease, MEN type 2.
Epidemiology Incidence: ~1 in 5,000 live births-Male predominance (≈4:1)
Majority present in the neonatal period
Clinical Features
Neonates -Failure to pass meconium within 24–48 hours ,Abdominal distension ,Bilious vomiting
Explosive stool on digital rectal examination
Infants & Children -Chronic constipation since birth
Poor feeding, failure to thrive
Recurrent enterocolitis (life-threatening)
Adults (rare) -Long-standing severe constipation Abdominal distension
Diagnosis -Contrast enema: Narrow distal segment with proximal dilatation (transition zone)
Anorectal manometry: Absence of recto-anal inhibitory reflex (RAIR)
Gold standard: Rectal biopsy showing: Absence of ganglion cells
Increased acetylcholinesterase
-positive. nerve fibers
Management Definitive treatment is surgical
Resection of aganglionic segment with pull-through procedures:
Swenson , Duhame , Soave
Temporary stoma may be required in sick neonates
Complications Hirschsprung-associated enterocolitis (HAEC)
Bowel perforation
Post-operative constipation or incontinence
Prognosis -Excellent with early diagnosis and appropriate surgery
Long-term bowel function usually satisfactory #MedTwitter #MedEd #MedX

[Maryangela (AGMD) @gimotility]

Our latest e-magazine is ready to view. Stay Informed and Inspired - Our Latest Issue is Just a Click Away! https://t.co/D2y3mTF64D
#agmdhope, #gimotility, #digestivemotility, #gastroparesis, #esophagus, #constipation, #diarrhea

[Maryangela (AGMD) @gimotility]

Don't miss our upcoming program featuring Dr. Kenneth Koch. Register today! https://t.co/nw4auydSZI
#agmdhope, #GImotility, #gastroparesis, #IBS, #digestivemotility, #GERD, #dysmotility

[Maryangela (AGMD) @gimotility]

Learn more about our upcoming program. Register today. https://t.co/Lbijck69pF
#clinicalresearch, #clinicaltrials, #cisrp, #agmdhope, #gimotility

[Maryangela (AGMD) @gimotility]

Feeling alone in your journey? Join us for our Patient Virtual Educational Support Group Meeting. Register today. https://t.co/r3m1AVBtcG
#agmdhope, #gimotility, #digestivesupport, #digestivemotility, #gastroparesis, #IBS, #GERD, #constipation, #chronicintestinalpseudoobstruction

[Neurogastro & Motil @NGMJournal]

🆕🔥#TranscutaneousElectricalAcustimulation improves #Gastroparesis symptoms & ameliorates #gastricpacemaking activity in patients with #DiabeticGastroparesis‼️
🎯TEA at #acupuncture points ST36 & PC6👏
👉https://t.co/BOgnvI86oC
@ANMSociety @esnm_eu #DGBIs

[Maryangela (AGMD) @gimotility]

Feeling alone in your journey? Join us for our Patient Virtual Educational Support Group Meeting. Register today.
https://t.co/urMrHs0U9g
#agmdhope, #gimotility, #digestionsupport, #supportgroup, #IBS, #gastroparesis, #gerd, #constipation