Pk. Small et al., LARGE-SCALE AMBULATORY STUDY OF POSTPRANDIAL JEJUNAL MOTILITY IN IRRITABLE-BOWEL-SYNDROME, Scandinavian journal of gastroenterology, 32(1), 1997, pp. 39-47
Background: The relationship of small-bowel dysmotility to dietary int
ake in irritable bowel syndrome (IBS) is obscure. Methods: This study
evaluated postprandial jejunal motility in IBS patients classified as
constipation-predominant (n = 25) or diarrhoea-predominant (n = 35) an
d compared results against 18 volunteers. Twenty-four-hour ambulatory
jejunal manometry was carried out in all subjects, and recordings were
analysed by microcomputer and visual assessment. Results: By means of
analysis of variance (fitting factors for channels, meals, and time p
eriods) postprandial contraction frequency was greater in both patient
groups compared with normal (constipation-predominant versus normal,
diarrhoea-predominant versus normal; P < 0.001). In the constipation-p
redominant cohort, contraction amplitudes were lower (constipation-pre
dominant versus normal; P < 0.002). Discrete cluster contractions occu
rred with similar frequency and duration in both patient and volunteer
groups. Conclusions: Quantitative differences of postprandial jejunal
contraction characteristics have been shown between patients with IBS
and healthy volunteers. Contraction frequency is greater than normal
in both diarrhoea- and constipation-predominant categories, whereas co
ntraction amplitudes are lower in constipation-predominant patients.