Dr. Alberto Casillas Romo

01/04/2026

¿Más fibra siempre es mejor? 🤔

No todos los pacientes responden igual. En algunos casos, especialmente en trastornos de la interacción intestino-cerebro, puede aumentar los síntomas.

🔎 La clave está en individualizar el tratamiento.

25/03/2026

19/03/2026

28/02/2026

21/02/2026

🩺 Gastroenterology Myths vs Facts — High-Yield Clinical Pearls

❌ Myth 1:
Normal endoscopy excludes GERD

✅ Fact:
Most GERD patients have non-erosive reflux disease (NERD) with normal endoscopy.

❌ Myth 2:
IBS is a diagnosis of exclusion

✅ Fact:
IBS is a positive clinical diagnosis using Rome criteria when alarm features are absent.

❌ Myth 3:
Hemorrhoids explain all re**al bleeding

✅ Fact:
Always consider malignancy, IBD, and advanced polyps — especially with anemia or weight loss.

❌ Myth 4:
PPI therapy must be lifelong

✅ Fact:
Many patients benefit from step-down, on-demand, or deprescribing strategies once symptoms are controlled.

❌ Myth 5:
Dyspepsia always requires endoscopy

✅ Fact:
In patients

15/02/2026

Ya puedes formar parte de NeuroGastro 2026.
Elige tu modalidad: presencial o virtual y no te quedes fuera.

🔎 Conoce todos los detalles en:
https://motilidad.org/neurogastro-2026/

¡Asegura tu lugar!

31/01/2026

You’ve heard of constipation, but what is refractory constipation?

Many people aren’t familiar with the lesser-known condition.

While constipation is infrequent or hard-to-pass bowel movements, refractory, or hard-to-treat constipation, is ongoing trouble with bowel movements, even after trying lifestyle changes, diet, medications, and other therapies.

Treating refractory constipation requires more than a standard laxative. The good news is there are tests and treatment courses outlined in our newest clinical practice update that health care providers can use, including:

1️⃣ Anore**al manometry with balloon expulsion test
2️⃣ Colonic transit testing

Learn more about refractory constipation, tests, and treatment options. Get started: https://ow.ly/kwLk50Y27Vp.