Research Topics
Species | A V EmmanuelSummaryAffiliation: Imperial College Country: UK Publications
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Detail Information
Publications
Anorexia nervosa in gastrointestinal practiceAnton V Emmanuel
St Mark s Hospital, Northwick Park, Harrow, UK, and Eating Disorder Unit, Maudsley Hospital, London, UK
Eur J Gastroenterol Hepatol 16:1135-42. 2004..To characterize the demographic, psychosocial and prognostic features of patients with anorexia nervosa (AN) presenting to a gastroenterology service, and to compare them with patients presenting to an eating disorders unit...
Erythromycin for the treatment of chronic intestinal pseudo-obstruction: description of six cases with a positive responseA V Emmanuel
St Mark s Hospital, London, UK
Aliment Pharmacol Ther 19:687-94. 2004..Chronic intestinal pseudo-obstruction, due to intestinal myopathy or neuropathy, is characterized by the signs and symptoms of intestinal obstruction in the absence of true obstruction. Episodes are resistant to medical therapy...
Amitriptyline modifies the visceral hypersensitivity response to acute stress in the irritable bowel syndromeN M Thoua
GI Physiology Unit, University College Hospital, London, UK
Aliment Pharmacol Ther 29:552-60. 2009..Acute physical stress causes alteration in gut autonomic function and visceral hypersensitivity in patients with irritable bowel syndrome (IBS). We have developed a model to measure this stress response...
Pharmacological modulation of gut mucosal and large vessel blood flowM A Kamm
St Mark s Hospital, London, UK
Aliment Pharmacol Ther 25:693-702. 2007..Constipation, diminished gut blood flow, ischaemic colitis and drug therapy may be associated...
Relationship between psychological state and level of activity of extrinsic gut innervation in patients with a functional gut disorderA V Emmanuel
St Mark's Hospital, Northwick Park, Watford Road, Harrow, Middlesex HA1 3UJ, UK
Gut 49:209-13. 2001..These findings suggest that psychological factors are likely to influence gut function via autonomic efferent neural pathways...
Behavioural therapy (biofeedback) for solitary rectal ulcer syndrome improves symptoms and mucosal blood flowM E D Jarrett
Physiology Unit, St Mark's Hospital, Harrow, UK
Gut 53:368-70. 2004..Successful outcome following biofeedback is associated with increased rectal mucosal blood flow, suggesting that improved extrinsic innervation to the gut may be partially responsible for the response to treatment...
Randomised clinical trial: the efficacy of prucalopride in patients with chronic intestinal pseudo-obstruction--a double-blind, placebo-controlled, cross-over, multiple n = 1 studyA V Emmanuel
University College, London, UK
Aliment Pharmacol Ther 35:48-55. 2012..Chronic intestinal pseudo-obstruction is a disabling condition for which there are no established drug therapies. The condition is caused by a diverse range of intestinal myopathies and neuropathies...
Relationship between gut-specific autonomic testing and bowel dysfunction in spinal cord injury patientsA V Emmanuel
University College Hospital, London, UK
Spinal Cord 47:623-7. 2009..Investigation of bowel function in 55 patients and 26 healthy volunteers using radiological, anorectal physiological and laser Doppler blood flow monitoring...
Response to a behavioural treatment, biofeedback, in constipated patients is associated with improved gut transit and autonomic innervationA V Emmanuel
St Mark's Hospital, Northwick Park, Watford Road, Harrow, Middlesex HA1 3UJ, UK
Gut 49:214-9. 2001..Successful outcome after biofeedback treatment is associated with improved activity of the direct cerebral innervation to the gut and improved gut transit. This effect is gut specific; cardiovascular autonomic reflexes were not altered...
Azathioprine dose escalation in inflammatory bowel diseaseC K Rayner
St Mark's Hospital, London, UK
Aliment Pharmacol Ther 20:65-71. 2004..5 mg/kg/day appears beneficial in patients who have not responded to 2 mg/kg/day. Further increase above 2.5 mg/kg/day is less likely to be efficacious, and is associated with a substantial risk of adverse reactions...
Gut mucosal response to food antigens in Crohn's diseaseJ Van Den Bogaerde
St Mark's Hospital, Harrow, Middlesex, UK
Aliment Pharmacol Ther 16:1903-15. 2002..CONCLUSIONS: Crohn's disease patients demonstrate in vivo and in vitro sensitization to food antigens, which is gut specific. Mucosal flowmetry allows the identification of sensitization to gut antigens...
Vector volume manometry--methods and normal valuesA M P Schizas
Department of Colorectal Surgery, Guy s and St Thomas Hospitals NHS Foundation Trust, London, UK
Neurogastroenterol Motil 23:886-e393. 2011..Currently no standard technique or equipment exists to assess anal canal VVM. This study aimed to assess the different techniques to produce repeatable results, and generate normal values for the vector volume profile...
Pharmacological management of constipationA V Emmanuel
Physiology Unit, University College Hospital, London, UK
Neurogastroenterol Motil 21:41-54. 2009..The approach of this review is to give a pragmatic approach to using laxatives, based on a combination of what is known about mechanism of action and the available literature on evidence...
Acid-related oesophageal sensitivity, not dysmotility, differentiates subgroups of patients with non-erosive reflux diseaseN M Thoua
Physiology Unit, University College Hospital, London, UK
Aliment Pharmacol Ther 27:396-403. 2008..Patients with non-erosive reflux disease can experience reflux symptoms with similar frequency and severity as those with erosive reflux disease. Oesophageal motility and acid sensitivity are thought to influence symptom occurrence...
Normal ranges for anorectal manometry and sensation in women of reproductive ageC Chaliha
University College Hospital, London, UK
Colorectal Dis 9:839-44. 2007..To derive a range of normal values for anal sphincter resting and squeeze pressure, and anorectal sensation in healthy women without anorectal disease before and after their first childbirth...
Prucalopride, a systemic enterokinetic, for the treatment of constipationA V Emmanuel
St. Mark's Hospital, Harrow, Middlesex, UK
Aliment Pharmacol Ther 16:1347-56. 2002..It improves transit in patients with slow transit. These changes are associated with improved well-being...
Ghrelin augments afferent response to distension in rat isolated jejunumC D R Murray
St Mark s Hospital, Harrow, UK
Neurogastroenterol Motil 18:1112-20. 2006..Ghrelin augments the mechanosensation of jejunal vagal afferents and hence may lead to increased perception of hunger contractions...
Long-term results of low-dose intravenous ciclosporin for acute severe ulcerative colitisC K Rayner
Department of Medicine, St Mark's Hospital, London, UK
Aliment Pharmacol Ther 18:303-8. 2003..Morbidity appears to be low...
Gastrointestinal symptoms related to autonomic dysfunction following spinal cord injuryEric A L Chung
St Mark's Hospital, Northwick Park, Watford Road, Harrow, Middlesex, HA1 3UJ, UK
Prog Brain Res 152:317-33. 2006..Together with a following summary of current bowel management regimens and techniques, this chapter aims to provide an overall view of the effect that autonomic dysfunction due to spinal cord injury has on gastrointestinal function...
Patterns of constipation in urogynecology: clinical importance and pathophysiologic insightsMarco Soligo
Department of Gynecological Surgery, University of Milan Bicocca Bassini Hospital, Cinisello Balsamo Milano, Italy
Am J Obstet Gynecol 195:50-5. 2006..We have analyzed the prevalence and patterns of constipation in women with urinary symptoms and/or genital prolapse...
Effect of acute physical and psychological stress on gut autonomic innervation in irritable bowel syndromeCharles D R Murray
St. Mark's Hospital, Harrow, Middlesex HA1 3UJ, England
Gastroenterology 127:1695-703. 2004..By contrast, only patients with IBS show heightened visceral sensation, suggesting involvement of a different regulatory mechanism, either central or peripheral...
