Neurogastroenterology

Neurogastroenterology deals with disorders of gut movement and gut-brain communication. The digestive tract has its own nerve network, and when that network or its signalling with the brain misfires, symptoms occur even though endoscopy looks normal.

It covers very common conditions such as irritable bowel syndrome and functional dyspepsia, and rarer motility disorders such as achalasia and gastroparesis. Care is led by gastroenterologists.

Bedingungen, die dieser Service betreut

• Irritable bowel syndrome
• Functional dyspepsia
• Gastroparesis
• Achalasia and oesophageal spasm
• Reflux that does not respond to treatment
• Chronic constipation and pelvic floor dyssynergia
• Faecal incontinence
• Cyclic vomiting and rumination syndromes

Tests, die Ihnen möglicherweise angeboten werden

• Endoscopy and basic blood and stool tests: Exclude coeliac disease, inflammation and cancer first.
• High-resolution oesophageal manometry: Measures swallowing pressures; the key test for achalasia.
• 24-hour pH-impedance monitoring: Shows whether symptoms truly relate to reflux.
• Gastric emptying scintigraphy: A 4-hour scan after a standard meal to diagnose gastroparesis.
• Anorectal manometry and balloon expulsion: Assess constipation and incontinence.
• Breath tests: For bacterial overgrowth and sugar intolerance, with known limitations.

Behandlungen verfügbar

• Diet therapy: A dietitian-led low FODMAP approach for IBS; small low-fat meals for gastroparesis.
• Medication: Antispasmodics, laxatives and secretagogues, prokinetics, and low-dose neuromodulators such as amitriptyline.
• Gut-directed psychological therapy: CBT and hypnotherapy have solid trial evidence in IBS.
• Biofeedback: Retrains pelvic floor coordination.
• Endoscopic or surgical treatment: Pneumatic dilatation, POEM or Heller myotomy for achalasia; G-POEM for selected gastroparesis.
• Sacral nerve stimulation: For faecal incontinence unresponsive to other measures.

Wann Sie eine Fachmeinung einholen sollten

• Food or liquid sticking after a normal endoscopy
• Vomiting of undigested food hours after meals
• Long-standing bowel symptoms affecting work or nutrition
• Reflux symptoms despite full-dose acid suppression
• Unintended weight loss, bleeding or onset after 50, which need prompt investigation

Reisen nach Türkiye für diese Pflege

Motility testing is concentrated in specialist centres, so travelling for manometry, pH studies and gastric emptying over 3 to 4 days is reasonable, as is a planned POEM. Several medicines must be paused before testing. Diet, psychological therapy and biofeedback need repeated sessions and are better arranged locally or by video.

Senden Sie Ihre Berichte, Scans und eine kurze Geschichte und eine Clinic-Y Koordinator Antworten innerhalb von 24 Stunden mit geeigneten Teams und schriftlich, All-inclusive Vorschläge nebeneinander. Die Überprüfung Ihres Falls ist kostenlos.

Häufig gestellte Fragen