Rectosigmoid motility and myoelectric activity in progressive systemic sclerosis.

Abstract:

:Colon motility and myoelectric slow wave activity were compared in 10 patients with progressive systemic sclerosis and 18 controls. Recordings were made in the rectosigmoid and rectum, 25-30 cm and 10-15 cm from the anal margin, respectively, during two 4-min baselines and in response to stepwise distention of the colon with an air-filled balloon. During baseline, the motility (activity index, defined as cumulated areas of all waves divided by recording time) of the rectosigmoid was similar in patients with progressive systemic sclerosis (0.38 +/- 0.61 in baseline 1, 0.86 +/- 1.33 in baseline 2) and controls (1.15 +/- 2.02 in baseline 1, 0.77 +/- 1.01 in baseline 2). Rectal motility was also similar during baseline in patients with progressive systemic sclerosis (1.43 +/- 2.56 in baseline 1, 1.65 +/- 2.47 in baseline 2) and controls (0.56 +/- 0.80 in baseline 1, 0.62 +/- 0.94 in baseline 2). Patients showed a lower tolerance for balloon distention of the colon (average, 130 vs. 184 ml) and a greater amount of contractile activity than controls after balloon distention (rectosigmoid activity index, 1.05 +/- 1.24 vs. 0.07 +/- 0.14; rectal activity index, 2.75 +/- 3.71 vs. 0.13 +/- 0.31). Maximum tolerable volume of balloon distention was inversely correlated to complaints of diarrhea in patients. Slow wave myoelectric activity did not differentiate patients from controls. These findings suggest that diarrhea, and possibly other gastrointestinal symptoms associated with progressive systemic sclerosis, may be due to decreased compliance of the bowel.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Whitehead WE,Taitelbaum G,Wigley FM,Schuster MM

doi

10.1016/0016-5085(89)91567-9

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

428-32

issue

2 Pt 1

eissn

0016-5085

issn

1528-0012

pii

0016-5085(89)91567-9

journal_volume

96

pub_type

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