PMID: 3758814Sep 1, 1986Paper

Physiologic study of the terminal digestive tract in chronic painful constipation

Gut
P Meunier

Abstract

A manometric study of the sigmoid colon and of the anorectum was undertaken in 65 chronically constipated patients complaining of abdominal pain, and in a control group of 23 healthy volunteers. Rectal compliance was tested in both groups. The sigmoid motility study allowed for the segregation of the constipated patients into three groups: hypokinesia (12 cases), normokinesia (34 cases), hyperkinesia (19 cases). Rectal manometry showed anal hypertony in 24 patients, impaired rectal conscious sensitivity in 12 subjects, and normal functions in the remaining cases. The rectal compliance study disclosed a decreased compliance in 15 cases and increased compliance in 13 other patients. In 12 cases disordered sigmoid motility was the only abnormality; in 10 cases only a rectoanal abnormality was found. Most of the patients (52%) exhibited miscellaneous disorders. In contrast, all parameters were normal in nine subjects. No consistent pattern of motility disorders was thus demonstrated in this clinically homogeneous group of patients with chronic, painful, constipation.

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Citations

Oct 1, 1993·Digestive Diseases and Sciences·L SiproudhisM Gosselin
Oct 1, 1992·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·C H HoyleG Burnstock
Apr 1, 1994·Diseases of the Colon and Rectum·O O Rasmussen
Feb 1, 1988·Diseases of the Colon and Rectum·J S VarmaA N Smith
Jul 1, 2000·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Knowles Lunniss
Oct 19, 2013·Journal of Pediatric Gastroenterology and Nutrition·Iben Moeller JoenssonJens C Djurhuus
Mar 1, 2012·Digestive Diseases and Sciences·Somnath PalitS Mark Scott
Aug 4, 2010·Journal of Clinical Gastroenterology·Satish S C Rao, Siddharth Singh
Apr 17, 2004·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·B OhlssonE S Björnsson
Oct 15, 2009·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·P J LunnissS S Rao
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·Lesley A Houghton
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·S M ScottM A Benninga
Sep 7, 1989·The New England Journal of Medicine·K Wrenn
Oct 1, 1992·The British Journal of Surgery·M SørensenJ Christiansen
Apr 3, 2002·The American Journal of Gastroenterology·B BonazC Segebarth
May 16, 2006·The American Journal of Gastroenterology·Marc A GladmanMichael Swash
Jan 10, 2017·Techniques in Coloproctology·M BouchouchaR Benamouzig

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