Steven G. Desautels

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BACKGROUND & AIMS Persistent abdominal pain occurs in many patients after cholecystectomy, some of whom are described as having sphincter of Oddi dysfunction (SOD). Pain in SOD type III is thought to be of biliary origin with little objective data, and treatment is often unsatisfactory. Chronic abdominal pain without a biological disease marker is similar(More)
Visceral hyperalgesia has been demonstrated inpatients with irritable bowel syndrome who aReseen intertiary care centers. It has been hypothesized thatvisceral hyperalgesia may be related to psychological distress associated with health caReseekingbehavior in these patients. Patients with fibromyalgiaand sphincter of Oddi dysfunction, type III, share(More)
Intravenous erythromycin has been shown to improve gastric emptying in diabetic gastroparesis. Oral erythromycin also accelerates gastric emptying, but to a lesser degree. To determine if this is a dose-dependent phenomenon, gastric emptying was measured in 10 insulin-requiring diabetic patients with gastroparesis after administration of either 250 mg or(More)
BACKGROUND Hepatocellular carcinoma in cirrhotic patients increases the risk of variceal bleeding. We sought to characterize bleeding in a cirrhotic patient population undergoing intrahepatic artery chemotherapy for hepatocellular carcinoma and to determine the possible influence of this treatment on gastrointestinal bleeding. METHODS We retrospectively(More)
To characterize and compare the anorectal manometric findings of men and women with idiopathic fecal incontinence referred to a tertiary care center for pelvic floor disorders, we reviewed 86 consecutive patients who underwent anorectal manometry during a 13-month period. We determined the etiologies of all patients and analyzed men and women with no(More)
Objective:Health care reform is dramatically changing the practice and delivery of medical care. The goal of this investigation was to examine gastroenterology trainees' outlook on the impact of health care reform on training programs.Methods:A 24-question survey was mailed in February 1996 to 780 GI fellows obtained from the comprehensive American College(More)
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