This new nosologic entity known as &#34;Nasio irritable digestive tract&#34;, is defined as the reversible, functional neuromyosecreory trouble of the whole or a segment of the digestive tract, that alternates with periods of health with an irregular and long evolution, influenced particularly by psychical factors, and that develops in neurovegetative distony constitutions.</p

Nasio, Juan

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Acta Medica OkayamaVolume 21, Issue 5 1967 Article 1OCTOBER 1967Irritable digestive tractJuan Nasio∗∗Humanisomo del Museo Social,Copyright c©1999 OKAYAMA UNIVERSITY MEDICAL SCHOOL. All rights reserved.Irritable digestive tract∗Juan NasioAbstractThis new nosologic entity known as “Nasio irritable digestive tract”, is defined as the re-versible, functional neuromyosecreory trouble of the whole or a segment of the digestive tract,that alternates with periods of health with an irregular and long evolution, influenced particularlyby psychical factors, and that develops in neurovegetative distony constitutions.∗PMID: 4232093 [PubMed - indexed for MEDLINE] Copyright c©OKAYAMA UNIVERSITYMEDICAL SCHOOLActa Moo. Okayama 21, 205-206 (1967)IRRITABLE DIGESTIVEJuan NASIO*La Facultad de Eugenesia Integral y Humanisomo del Museo SocialArgentino Buenos Aires, Republica ArgentinaReceived for publicatiun, September 2, 1967This new nosologic entity known as "Nasio irritable digestive tract", isdefined as the reversible, functional neuromyosecreory trouble of the whole ora segment of the digestive tract, that alternates with periods of health withan irregular and long evolution, influenced particularly by psychical factors, andthat develops in neurovegetative distony constitutions.Several predisponent and determinant factors take place in the etiopatho-geny of this disease; these are of general and local kind, but the psychical andconstitutional factors predominate.Pathogeny is characterized by motility and secretion troubles; they arevariable and alternate with normality.Symptoms are complex and varied; they depend upon the predominantneurovegetative distony. The most important are: 1) headache; 2) sea-sickness;3) termoregulation troubles; 4) cardiocirculatory troubles. Local symptoms areretrosternal and/or abdominal fullness; flatulence (belching or gases) general orlocal metheorism; pyrosis, nausea or vomiting. Pain varies its site, intensity.hours and duration. It can be sited in the esophagus, stomach, as gastric crisisand as vesicular, pancreatic or intestinal colics. The troubles of the intestinalevacuation are varied; constipation alternates with diarrhea. All these symp-toms are sited exceptionally on only one organ; habitually they are manifesta-tions of the whole digestive tract. The principal symptom of an irritable diges-tive tract is flatulence, particularly gases. Most of these symptoms show aspecial character: their simultanseous outbreak; they have a proteiform begin-ning, site and radiation, and a mild intensity and duration. They are irregularduring daylight, they have not periods and they are not progressive; theydisappear or become serious in an arbitrary way, alternating with calm andasymptomatic periods. be they under the influence of any stress.Diagnosis of irritable digestive tract, as that of every functional disease,must be established by exclusion, discarding first the existence of an organic* Director of "Archivos Internacionales de Gastroenterologia ", Charcas 1449, Buenos Aires,Repablica Argentina. Laureado Par La Academia de Medicina de Paris Miembro de Las RealesAcademias de MOOicina de Espana2051Nasio: Irritable digestive tractProduced by The Berkeley Electronic Press, 1967206 ]. NAsIOprocess.Being the irritable digestive tract a functional disease, the laboratory onlycan bring the evidence of alterations in general digestive secretion, connectedwith predominant and intermittent distony. (Variations are sometimes antipodesin the same patient when the secretion study is performed in several oppor-tunities). Radiologic alterations can be: 1. - of peristole (a: amputant contrac-tion; b: continuity contraction); 2. - of peristalsis (a: sack shape; b: filiform);4. - disfunctional of digestive sphincters. and 4. - special and transitory modifi-cations of the organ morphology.General treatment embraces: treatment of disneurovegetosis, by means ofpsychophysic desoppression, with central or peripheric ganglioplexic drugs, astimulating tonic and diet treatment. It is convenient: a) to avoid sedatives,specially these that have accumulative effects that increase the weakness sensa-tion and decrease the paychic pain threshold; b) to use stimulant by oral andparenteral way with high dose of vitamins (B complex and PP) sode cocadilateand strychnine sulfate; it is convenient to associate hepatic extracts; C. toadminister anabolizing hormons (metylandrostenediol type) and androstenolonemetyl enentate by oral way).To reinforce this treatment the desoxicorticosterone enantato (50 mg every20 days) and corticosteroids of prolonged effect in minimal dose (ACTH Extraslow Gel, 10 units) by parenteral way in alternate days, are very useful.REFERENCESALVAREZ, W. C.: Indigesti6n funcional. Sem. Med. 66, 550, 1960ARROYO, ].: Digestivo Irritable 0 enfermeded de Nasio. Medicina 164, 44, 161BARGEN, A.: The modern management of colitis. Thomas, Baltimore 1952BONORINO UDAONDO, C.: El colon irritable. Aniceto Lopez, Bs. As. 1942GALINDO TRIGUEROS, ]. M.: Estudio clinico de la enfermedad ulcerosa gastroduodenal "sineulcus" Clinica y Laboratorio 50, 81, 1950GALLART-MoNES, F. and y GALLART-EsQUERDO, A.: Colitis y falsa colitis. Salvat, Barcelona1944GUTIERREZ BLANCO, H.: Nuestro concepto sobre colon irritable. Rev. Espan. Enferm. A.Dig. y Nutric 18, 997, 1959]IMNEZ DIAZ, C.: Lecciones de patologia medica, T. V, Paz Montalvo, Madrid-Barcelona 1947KIRSNER, ]. B.: Irritable colon. Gastroentelogy 34, 491, 1958Nasio, Y.: Es6fago irritable Sinopsis. MM. Intel·n. 5, 11, 1956; Scmana Medica 190,1149 1956NASIO, ].: Tratamiento de la opresi6n psicofisica. Semana Med. 116. 416, 1960NASIO, ].: Digestive Irritable. Tratado de Castroenterologia, salvat, Barcelona, 1963, TornoIII. Pag. 1319.2Acta Medica Okayama, Vol. 21 [1967], Iss. 5, Art. 1http://escholarship.lib.okayama-u.ac.jp/amo/vol21/iss5/1

Irritable digestive tract

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