2023
The Clinical Utility of Antroduodenal Manometry in the Evaluation of Children with Upper Gastrointestinal Symptoms
Arbizu R, Trauernicht S, Pinillos S, Nurko S, Rodriguez L. The Clinical Utility of Antroduodenal Manometry in the Evaluation of Children with Upper Gastrointestinal Symptoms. Journal Of Pediatric Gastroenterology And Nutrition 2023, 77: 734-740. PMID: 37756372, DOI: 10.1097/mpg.0000000000003956.Peer-Reviewed Original ResearchMeSH KeywordsChildChronic DiseaseDuodenumGastrointestinal DiseasesGastrointestinal MotilityHumansIntestinal Pseudo-ObstructionManometryUpper Gastrointestinal TractVomitingConceptsGroup B symptomsUpper gastrointestinal symptomsIdiopathic etiologyB symptomsGastrointestinal symptomsPhase IIITreatment responseInitial successful responseIntestinal phase IIIOverall treatment responseSuccessful treatment responseSmall bowel motilityEvaluation of childrenSuccessful responseManometry measuresUGI symptomsAbdominal distentionAntroduodenal manometryPredominant symptomBowel motilityRetrospective reviewClinical findingsClinical utilitySymptomsEtiologyClinical Utility of Ileal Motility in Children With Defecation Disorders and Children With Chronic Intestinal Pseudo‐Obstruction
Colliard K, Nurko S, Flores A, Rodriguez L. Clinical Utility of Ileal Motility in Children With Defecation Disorders and Children With Chronic Intestinal Pseudo‐Obstruction. Journal Of Pediatric Gastroenterology And Nutrition 2023, 77: 327-331. PMID: 37229777, DOI: 10.1097/mpg.0000000000003841.Peer-Reviewed Original ResearchConceptsAntroduodenal manometryDefecation disordersPostprandial responseGroup BChronic Intestinal Pseudo-ObstructionIntestinal Pseudo-ObstructionNormal postprandial responseModerate agreementSmall bowel motilityLogistic regression analysisOstomy closurePseudo-ObstructionBowel motilityRetrospective reviewIleal motilityIndication groupGroup AClinical utilityYounger agePatientsMotility patternsPhase IIIMotor complexDisordersManometryClinical utility of colonic low‐amplitude propagating contractions in children with functional constipation
Colliard K, Patel D, Nurko S, Rodriguez L. Clinical utility of colonic low‐amplitude propagating contractions in children with functional constipation. Neurogastroenterology & Motility 2023, 35: e14543. PMID: 37096634, DOI: 10.1111/nmo.14543.Peer-Reviewed Original ResearchConceptsFunctional constipationLogistic regressionClinical utilityPediatric functional constipationConstipation groupRetrospective reviewColonic enemaClinical significanceLAPCConstipationNeuromuscular integrityLarger studyPatientsOutcomesChildrenAssociationContractionHigher proportionHAPCsGroupRegressionIleostomyEnema
2022
Diverting Ileostomy in Children With Functional Constipation
Rodriguez L, Colliard K, Nurko S, Flores A, Buchmiller TL. Diverting Ileostomy in Children With Functional Constipation. Journal Of Pediatric Gastroenterology And Nutrition 2022, 75: 578-583. PMID: 35897140, DOI: 10.1097/mpg.0000000000003579.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildChild, PreschoolColonConstipationFemaleGastrointestinal MotilityHumansIleostomyInfantMaleManometryRetrospective StudiesYoung AdultConceptsFunctional constipationOstomy closurePediatric functional constipationInstitutional review board approvalReview board approvalEnema failureColon motilityFurther surgeryInvasive evaluationRetrospective studySurgical interventionOstomyBoard approvalUseful interventionLarger studyConstipationSuccessful responsePatientsSurgeryChildrenRole of CMDemographicsAssociationInterventionIndications
2021
Upper Gastrointestinal Functional and Motility Disorders in Children
Miller J, Khlevner J, Rodriguez L. Upper Gastrointestinal Functional and Motility Disorders in Children. Pediatric Clinics Of North America 2021, 68: 1237-1253. PMID: 34736587, DOI: 10.1016/j.pcl.2021.07.009.Peer-Reviewed Original ResearchConceptsMotility disordersNew diagnostic studiesUpper gastrointestinal tractAbdominal painChest painMechanisms of diseaseClinical presentationMotor functionGastrointestinal tractGastrointestinal physiologyTherapeutic interventionsDiagnostic studiesDisordersNormal functionPainChildrenDysphagiaNauseaVomitingDysfunctionEsophagusSymptomsStomachDiseaseDiagnosisLower Gastrointestinal Functional and Motility Disorders in Children
Arbizu R, Freiberg B, Rodriguez L. Lower Gastrointestinal Functional and Motility Disorders in Children. Pediatric Clinics Of North America 2021, 68: 1255-1271. PMID: 34736588, DOI: 10.1016/j.pcl.2021.07.010.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnorectal MalformationsBiopsyChildChild, PreschoolColonic DiseasesConstipationErythromycinFemaleGastrointestinal DiseasesGastrointestinal MotilityHirschsprung DiseaseHumansInfantIntestinal Pseudo-ObstructionIntestine, SmallLower Gastrointestinal TractMaleManometryNutritional StatusQuality of LifeConceptsMotility disordersSignificant morbidityTherapeutic interventionsColorectal disordersPediatric gastroenterologistsClinical presentationSmall bowelGastrointestinal disordersCommon complaintDiagnostic evaluationSmall intestineDisordersMorbidityComplicationsSuch interventionsInterventionSocial stigmaPoor qualityBowelAnorectumGastroenterologistsColonMortalityComplaintsIntestineMelanosis Coli Is Not Associated with Colonic Dysmotility Nor Severity of Pediatric Functional Constipation
Chen JJ, Kitzia Colliard RN, Nurko S, Rodriguez L. Melanosis Coli Is Not Associated with Colonic Dysmotility Nor Severity of Pediatric Functional Constipation. Digestive Diseases And Sciences 2021, 67: 3922-3928. PMID: 34379221, DOI: 10.1007/s10620-021-07191-z.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolColonColonic DiseasesConstipationFemaleGastrointestinal MotilityHumansMaleManometryMelanosisProspective StudiesSennosidesConceptsPediatric functional constipationMelanosis coliFunctional constipationColonic manometryColonic motilityMarker of severityTreatment of constipationRate of surgeryColonic dysmotilityColonic biopsiesMedian agePediatric patientsManometry resultsMedication historyMethodsProspective studyPatient groupResultsA totalSurgical historyPathologic resultsConstipationPatientsCatheter positionDemographic dataSubsequent needSignificant differences
2020
Diagnostic and clinical utility of the wireless motility capsule in children: A study in patients with functional gastrointestinal disorders
Rodriguez L, Heinz N, Colliard K, Amicangelo M, Nurko S. Diagnostic and clinical utility of the wireless motility capsule in children: A study in patients with functional gastrointestinal disorders. Neurogastroenterology & Motility 2020, 33: e14032. PMID: 33184926, DOI: 10.1111/nmo.14032.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentCapsule EndoscopyChildFemaleGastric EmptyingGastrointestinal DiseasesGastrointestinal MotilityGastrointestinal TransitHumansMaleProspective StudiesConceptsWireless motility capsuleColon transitGastrointestinal symptomsCapsule retentionMotility capsuleLower gastrointestinal symptomsRadiopaque marker studiesFunctional gastrointestinal symptomsFunctional gastrointestinal disordersNuclear medicine gastricGastrointestinal motilityGastrointestinal disordersTransit abnormalitiesClinical utilityGastric transitSymptomsLarger studyPatientsInterpretation agreementMarker studiesMotility parametersStudy interpretationCROMSignificant correlationChildrenUtility of Colon Manometry in Guiding Therapy and Predicting Need for Surgery in Children With Defecation Disorders
Rodriguez L, Heinz N, Nurko S. Utility of Colon Manometry in Guiding Therapy and Predicting Need for Surgery in Children With Defecation Disorders. Journal Of Pediatric Gastroenterology And Nutrition 2020, 70: 232-237. PMID: 31978023, DOI: 10.1097/mpg.0000000000002504.Peer-Reviewed Original ResearchMeSH KeywordsChildColonConstipationDefecationFemaleGastrointestinal MotilityHumansMaleManometryRetrospective StudiesConceptsColon manometryChange of therapyGastrocolonic responseHigh response rateDefecation disordersResponse rateMedical interventionsLogistic regression analysisPresence/numberPediatric constipationFecal incontinenceSuccessful medical interventionDefecation problemsRetrospective reviewPredicting NeedPostsurgical evaluationSurgical interventionStimulant laxativesStudy indicationSurgeryTherapyFirst interventionInterventionConstipationManometry
2017
Prospective evaluation of same day versus next day colon manometry results in children with medical refractory constipation
Arbizu RA, Nurko S, Heinz N, Amicangelo M, Rodriguez L. Prospective evaluation of same day versus next day colon manometry results in children with medical refractory constipation. Neurogastroenterology & Motility 2017, 29 PMID: 28317231, PMCID: PMC5466533, DOI: 10.1111/nmo.13050.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolColonColonoscopyConstipationFemaleGastrointestinal MotilityHumansInfantMaleManometryProspective StudiesConceptsDay 1Day 2Normal studiesAbnormal studiesProportion of patientsSame dayStudy interpretationColon manometryGastrocolonic responseRefractory constipationProspective evaluationManometry parametersMotility indexPatientsChallenge phaseAbstractTextAnesthesiaCatheterStudy parametersColonoscopyDaysConstipationHAPCsManometryStudy
2016
Utility of Octreotide in Advancing Enteral Feeds in Children with Chronic Intestinal Pseudo-Obstruction
Ambartsumyan L, Flores A, Nurko S, Rodriguez L. Utility of Octreotide in Advancing Enteral Feeds in Children with Chronic Intestinal Pseudo-Obstruction. Pediatric Drugs 2016, 18: 387-392. PMID: 27520652, DOI: 10.1007/s40272-016-0189-x.Peer-Reviewed Original ResearchConceptsOctreotide responseEnteral toleranceAntroduodenal manometryChronic Intestinal Pseudo-ObstructionEfficacy of octreotideIntestinal phase IIIIntestinal Pseudo-ObstructionPresence of ileostomyTPN-dependent childrenTertiary care centerTotal parenteral nutritionMethodsThe study populationLimited effective therapiesHigher median increasePseudo-ObstructionParenteral nutritionEnteral feedsHigh morbidityProspective studyResultsA totalCare centerEffective therapyChallenging disorderAllergic reactionsStudy population
2013
Relationship between postprandial metabolomics and colon motility in children with constipation
Rodriguez L, Roberts LD, LaRosa J, Heinz N, Gerszten R, Nurko S, Goldstein AM. Relationship between postprandial metabolomics and colon motility in children with constipation. Neurogastroenterology & Motility 2013, 25: 420-e299. PMID: 23421516, PMCID: PMC3877617, DOI: 10.1111/nmo.12086.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChromatography, LiquidColonConstipationFemaleGastrointestinal MotilityHumansMaleManometryMass SpectrometryMetabolomicsPostprandial PeriodConceptsTreatment of constipationColonic motilityMotility indexMotility patternsNormal postprandial increasePostprandial motility patternCohort of childrenPostprandial metabolic changesSignificant metabolite changesColon manometryColon motilityConstipated childrenProspective studyStandardized mealKynurenic acidMeal challengePostprandial increasePostprandial changesMultiple time pointsConstipationLipid metabolitesPotential metabolic targetsAbstractTextSpecific metabolitesMetabolic changes
2012
Factors associated with successful decrease and discontinuation of antegrade continence enemas (ACE) in children with defecation disorders: a study evaluating the effect of ACE on colon motility
Rodriguez L, Nurko S, Flores A. Factors associated with successful decrease and discontinuation of antegrade continence enemas (ACE) in children with defecation disorders: a study evaluating the effect of ACE on colon motility. Neurogastroenterology & Motility 2012, 25: 140-e81. PMID: 23035840, PMCID: PMC3546133, DOI: 10.1111/nmo.12018.Peer-Reviewed Original ResearchMeSH KeywordsChildConstipationEnemaFemaleGastrointestinal MotilityHumansMaleManometryRetrospective StudiesConceptsAntegrade continence enemaColon manometryACE decreaseContinence enemaColon motilityDefecation disordersOlder ageReview of childrenGastrocolonic responseMotility indexOnly predictorMultivariate analysisDiscontinuationAbstractTextEnemaOutcomesPatientsSignificant increaseChildrenSuccessful decreaseDisordersAgeHAPCsMotilityCM changes
2010
Antegrade colonic enemas and intestinal diversion are highly effective in the management of children with intractable constipation
Christison-Lagay ER, Rodriguez L, Kurtz M, St. Pierre K, Doody DP, Goldstein AM. Antegrade colonic enemas and intestinal diversion are highly effective in the management of children with intractable constipation. Journal Of Pediatric Surgery 2010, 45: 213-219. PMID: 20105606, DOI: 10.1016/j.jpedsurg.2009.10.034.Peer-Reviewed Original ResearchConceptsAntegrade continence enemaIntractable constipationSatisfactory outcomeContinence enemaIntestinal continuityRetrospective reviewSurgical approachPredictors of successColonic manometry studiesPassage of stoolPrimary colonic resectionManagement of childrenOptimal surgical approachAntegrade colonic enemaInitial therapyAbdominal distensionIdiopathic constipationPrimary resectionColonic resectionAdditional surgeryColonic manometryMedical therapyPediatric patientsACE procedureColonic enema