Pelvic floor neuropathy: a comparative study of diabetes mellitus and idiopathic faecal incontinence.

Abstract:

:Twenty one patients with diabetic peripheral neuropathy, 18 with idiopathic faecal incontinence and 11 normal controls were studied with techniques of mucosal electrosensitivity, rectal distension for the quantitative assessment of anorectal sensation, and manometric and electromyographic tests for the assessment of anorectal motor function. An asymptomatic sensorimotor deficit was found in the anal canal of patients with diabetic peripheral neuropathy. Mucosal electrosensitivity thresholds in the anal canal were significantly higher (p less than 0.01 v controls) and fibre density of the external anal sphincter significantly raised (p less than 0.0001 v controls). Anal manometry and pudendal nerve terminal motor latencies were similar to controls. In patients with idiopathic faecal incontinence the tests of sensory and motor function also showed a sensorimotor neuropathy; compared with controls, mucosal electrosensitivity thresholds were significantly higher (p less than 0.002), anal canal resting and maximum squeeze pressures were significantly lower (p less than 0.05 and p less than 0.002 respectively), and pudendal nerve terminal motor latencies and fibre density of the external anal sphincter were significantly raised (both p less than 0.05). Sensory thresholds to rectal distension were similar in all groups. Pelvic floor sensorimotor neuropathy in diabetic patients has several features in common with that of patients with idiopathic faecal incontinence but its functional significance remains uncertain.

journal_name

Gut

journal_title

Gut

authors

Rogers J,Levy DM,Henry MM,Misiewicz JJ

doi

10.1136/gut.29.6.756

subject

Has Abstract

pub_date

1988-06-01 00:00:00

pages

756-61

issue

6

eissn

0017-5749

issn

1468-3288

journal_volume

29

pub_type

杂志文章

相关文献

GUT文献大全
  • Histocompatibility antigens in inflammatory bowel disease. Their clinical significance and their association with arthropathy with special reference to HLA-B27 (W27).

    abstract::Histocompatibility (HLA) antigen phenotypes have been studied in 100 patients with ulcerative colitis, 100 with Crohn's disease, and 283 normal controls. In addition the incidence of ankylosing spondylitis, sacroiliitis, and "enteropathic" peripheral arthropathy was determined in the patients with inflammatory bowel d...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.17.11.906

    authors: Mallas EG,Mackintosh P,Asquith P,Cooke WT

    更新日期:1976-11-01 00:00:00

  • Isolation, maturational level, and functional capacity of human colon lamina propria plasma cells.

    abstract:BACKGROUND AND AIMS:Large numbers of plasma cells (PC) localise in the intestinal lamina propria (LP) where they play a critical role in the defence against pathogens. This study analyses the level of maturation reached by normal human colon LPPC in comparison with that of bone marrow (BM) PC. METHODS:A technique was ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.3.383

    authors: Medina F,Segundo C,Campos-Caro A,Salcedo I,García-Poley A,Brieva JA

    更新日期:2003-03-01 00:00:00

  • Asymptomatic primary biliary cirrhosis.

    abstract::Four asymptomatic patients are described with raised serum alkaline phosphatase values and a positive serum mitochondrial antibody test. In all four needle liver biopsy showed destructive bile duct lesions. Lymphocyte transformation to phytohaemagglutinin was normal in three and impaired in one who also suffered from ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.6.444

    authors: Fox RA,Scheuer PJ,Sherlock S

    更新日期:1973-06-01 00:00:00

  • Alterations of the PPP2R1B gene located at 11q23 in human colorectal cancers.

    abstract:BACKGROUND/AIMS:In 1998 the PPP2R1B gene encoding the A subunit of the serine/threonine protein phosphatase was identified as a putative tumour suppressor gene in lung and colon cancer in the chromosome region 11q22-24. The aim of the present study was to determine the type of alterations in primary rectal cancers as w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.2.268

    authors: Takagi Y,Futamura M,Yamaguchi K,Aoki S,Takahashi T,Saji S

    更新日期:2000-08-01 00:00:00

  • Absorption of sodium and water by human rectum measured by a dialysis method.

    abstract::A dialysis method for the study of intestinal absorption is described. Its use has been assessed in animals and normal human subjects and it has been applied to the measurement of rectal transport of sodium and water.When the luminal solution was of high sodium concentration (145 m-equiv/1), the sodium influx rate (lu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.5.356

    authors: Edmonds CJ

    更新日期:1971-05-01 00:00:00

  • Rectal absorption of short chain fatty acids in the absence of chloride.

    abstract::The absorption of short chain fatty acids by the human rectum in the absence of chloride has been studied using a dialysis bag technique. Absorption rates of sodium, water, and short chain fatty acids were unchanged on replacing chloride with sulphate. Final concentrations of bicarbonate were 35.4 +/- 3.4 mmol/l in th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.5.400

    authors: McNeil NI,Cummings JH,James WP

    更新日期:1979-05-01 00:00:00

  • Oestrus and gasric secretion in the dog.

    abstract::Marked decreases in 24-hour Heidenhain pouch secretion, lasting from nine to 18 days, were observed in five mongrel bitches during periods of naturally occurring oestrus. Neither oophorectomy nor control celiotomy caused significant change in Heidenhain pouch secretion in bitches who were not experiencing oestrus. The...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.10.855

    authors: Landor JH,Wild RA

    更新日期:1970-10-01 00:00:00

  • T cell-dependent protective effects of CpG motifs of bacterial DNA in experimental colitis are mediated by CD11c+ dendritic cells.

    abstract:BACKGROUND:Oligodeoxynucleotides (ODNs) containing unmethylated cytosine-guanosine (CpG) sequence motifs constitute the immunostimulatory components of bacterial DNA which potently activate innate immunity. Administration of CpG-ODNs before the onset of experimental colitis prevents intestinal inflammation by induction...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2009.193177

    authors: Hofmann C,Dunger N,Grunwald N,Hämmerling GJ,Hoffmann P,Schölmerich J,Falk W,Obermeier F

    更新日期:2010-10-01 00:00:00

  • Empyema of the gall bladder - reappraisal of a neglected disease.

    abstract::Thirty two patients with empyema of the gall bladder were identified among 1327 cases of gall-bladder disease presenting to one hospital over a six year period. Abdominal pain had been present for a median of eight days and, in eight cases, for between one and four months. In a few cases, the disease was painless and ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.12.1183

    authors: Thornton JR,Heaton KW,Espiner HJ,Eltringham WK

    更新日期:1983-12-01 00:00:00

  • BVES regulates c-Myc stability via PP2A and suppresses colitis-induced tumourigenesis.

    abstract:OBJECTIVE:Blood vessel epicardial substance (BVES) is a tight junction-associated protein that regulates epithelial-mesenchymal states and is underexpressed in epithelial malignancy. However, the functional impact of BVES loss on tumourigenesis is unknown. Here we define the in vivo role of BVES in colitis-associated c...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-310255

    authors: Parang B,Kaz AM,Barrett CW,Short SP,Ning W,Keating CE,Mittal MK,Naik RD,Washington MK,Revetta FL,Smith JJ,Chen X,Wilson KT,Brand T,Bader DM,Tansey WP,Chen R,Brentnall TA,Grady WM,Williams CS

    更新日期:2017-05-01 00:00:00

  • Palliative laser therapy for malignant dysphagia.

    abstract::Seventy six patients with dysphagia caused by malignant tumours of the oesophagus or gastric cardia have been treated using the Neodymium Yttrium Aluminium Garnet (NdYag) laser. The laser was set to deliver 80-100 watts of power for 0.5-1 second pulses. To obtain improvement, patients on average needed four treatment ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.7.792

    authors: Krasner N,Barr H,Skidmore C,Morris AI

    更新日期:1987-07-01 00:00:00

  • Gastric emptying of two radiolabelled antacids.

    abstract::The rate of gastric emptying of two antacids, magaldrate and Maalox, was investigated using scintigraphy. Successful labelling of the antacids was carried out with 99mTc. The stability of the 99mTc-labelled antacids was satisfactory and there was no difference in antacid capacity between the labelled and unlabelled an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.2.147

    authors: Monés J,Carrió I,Roca M,Estorch M,Calabuig R,Sainz S,Martinez-Duncker C,Vilardell F

    更新日期:1991-02-01 00:00:00

  • The applicability of hepatocellular carcinoma risk prediction scores in a North American patient population with chronic hepatitis B infection.

    abstract:BACKGROUND:Patients with chronic hepatitis B (CHB) infection are at an increased risk of developing hepatocellular carcinoma (HCC). Risk scores have been developed in Asian populations to predict HCC risk over time. AIM:To assess the performance of HCC risk prediction models in a heterogeneous population of patients w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-309099

    authors: Abu-Amara M,Cerocchi O,Malhi G,Sharma S,Yim C,Shah H,Wong DK,Janssen HL,Feld JJ

    更新日期:2016-08-01 00:00:00

  • Histopathologist features predictive of diagnostic concordance at expert level among a large international sample of pathologists diagnosing Barrett's dysplasia using digital pathology.

    abstract:OBJECTIVE:Guidelines mandate expert pathology review of Barrett's oesophagus (BO) biopsies that reveal dysplasia, but there are no evidence-based standards to corroborate expert reviewer status. We investigated BO concordance rates and pathologist features predictive of diagnostic discordance. DESIGN:Pathologists (n=5...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2019-318985

    authors: van der Wel MJ,Coleman HG,Bergman JJGHM,Jansen M,Meijer SL,BOLERO working group.

    更新日期:2020-05-01 00:00:00

  • Evolution of hereditary non-polyposis colorectal cancer.

    abstract::The prevalence of colorectal adenoma in 23 affected patients with hereditary non-polyposis colorectal cancer (HNPCC) was compared with that in an age matched forensic autopsy population. The mean ages at diagnosis of colorectal cancer in men (13) and women (10) were 39 and 37 years respectively. In HNPCC patients who ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.6.783

    authors: Jass JR,Stewart SM

    更新日期:1992-06-01 00:00:00

  • Water and electrolyte balance in subjects with a permanent ileostomy.

    abstract::Water and electrolyte balance has been studied in 39 patients with a permanent ileostomy, who had had a proctocolectomy for ulcerative colitis. The findings have been compared with those in 39 healthy subjects who were matched for age and sex. The ileostomists were found to lose excessive quantities of water and sodiu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.8.702

    authors: Kennedy HJ,Al-Dujaili EA,Edwards CR,Truelove SC

    更新日期:1983-08-01 00:00:00

  • Dietary polyamines are essential luminal growth factors for small intestinal and colonic mucosal growth and development.

    abstract:BACKGROUND:Polyamines are essential for cell growth. Dietary and probably gut bacterial derived polyamines contribute significantly to the polyamine body pool. AIMS:To evaluate the influence of dietary, luminal polyamines on growth and development of different gastrointestinal organs in normally growing rats. METHODS...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.1.12

    authors: Löser C,Eisel A,Harms D,Fölsch UR

    更新日期:1999-01-01 00:00:00

  • Sulforaphane targets pancreatic tumour-initiating cells by NF-kappaB-induced antiapoptotic signalling.

    abstract:BACKGROUND AND AIMS:Emerging evidence suggests that highly treatment-resistant tumour-initiating cells (TICs) play a central role in the pathogenesis of pancreatic cancer. Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) is considered to be a novel anticancer agent; however, recent studies have shown th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2008.149039

    authors: Kallifatidis G,Rausch V,Baumann B,Apel A,Beckermann BM,Groth A,Mattern J,Li Z,Kolb A,Moldenhauer G,Altevogt P,Wirth T,Werner J,Schemmer P,Büchler MW,Salnikov AV,Herr I

    更新日期:2009-07-01 00:00:00

  • Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation.

    abstract:BACKGROUND:Interstitial cells of Cajal (ICC) are required for normal intestinal motility. ICC are found throughout the human colon and are decreased in the sigmoid colon of patients with slow transit constipation. AIMS:The aims of this study were to determine the normal distribution of ICC within the human colon and t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.4.496

    authors: Lyford GL,He CL,Soffer E,Hull TL,Strong SA,Senagore AJ,Burgart LJ,Young-Fadok T,Szurszewski JH,Farrugia G

    更新日期:2002-10-01 00:00:00

  • The predictive value of transabdominal ultrasonography in the diagnosis of biliary tract complications after orthotopic liver transplantation.

    abstract:BACKGROUND:In transplant recipients with choledococholedocostomy (CDCD), endoscopic retrograde cholangiopancreatography (ERCP) remains the gold standard for the diagnosis of biliary leak or strictures. Transabdominal ultrasonography (TAUS) has been used to screen patients with suspected biliary tract complications, pri...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.6.900

    authors: Hussaini SH,Sheridan MB,Davies M

    更新日期:1999-12-01 00:00:00

  • Coeliac disease presenting with intestinal pseudo-obstruction.

    abstract::A 22 year old woman presenting with recurrent intestinal pseudo-obstruction is reported. Jejunal biopsy showed subtotal villous atrophy which improved markedly during a period of total parenteral nutrition and with steroid treatment. It did not relapse on a gluten free diet. The reasons why this patient represents a c...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.9.1003

    authors: Dawson DJ,Sciberras CM,Whitwell H

    更新日期:1984-09-01 00:00:00

  • Gut microbial translocation corrupts myeloid cell function to control bacterial infection during liver cirrhosis.

    abstract:OBJECTIVE:Patients with liver cirrhosis suffer from increased susceptibility to life-threatening bacterial infections that cause substantial morbidity. METHODS:Experimental liver fibrosis in mice induced by bile duct ligation or CCl4 application was used to characterise the mechanisms determining failure of innate imm...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-311224

    authors: Hackstein CP,Assmus LM,Welz M,Klein S,Schwandt T,Schultze J,Förster I,Gondorf F,Beyer M,Kroy D,Kurts C,Trebicka J,Kastenmüller W,Knolle PA,Abdullah Z

    更新日期:2017-03-01 00:00:00

  • Studies on breath methane: the effect of ethnic origins and lactulose.

    abstract::The prevalence of methane production in an adult population of 256 subjects was 41%, but it was significantly higher in females (49%), than males (33%). When the population was subdivided into ethnic groups. Caucasians (48%) and Black (45%) had significantly more methane producers than Orientals (24%) and Indians (32%...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.11.951

    authors: Pitt P,de Bruijn KM,Beeching MF,Goldberg E,Blendis LM

    更新日期:1980-11-01 00:00:00

  • Chronic immune colitis in rabbits.

    abstract::A chronic colitis has been induced in rabbits having many of the histological features of human ulcerative colitis. Animals were first immunised with the common enterobacterial antigen of Kunin and haemagglutinating antibodies demonstrated in high titre. An immune complex colitis was then established by the injection ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.1.1

    authors: Mee AS,McLaughlin JE,Hodgson HJ,Jewell DP

    更新日期:1979-01-01 00:00:00

  • Intestinal absorption of two dipeptides in Hartnup disease.

    abstract::The results of oral tolerance tests of two dipeptides and of their constitutent amino acids are compared in normal subjects and in a case of Hartnup disease. In the control subjects the rate of absorption of phenylalanine from phenylalanyl-phenylalanine and of tryptophan from glycyl-tryptophan was slower than after th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.5.380

    authors: Asatoor AM,Cheng B,Edwards KD,Lant AF,Matthews DM,Milne MD,Navab F,Richards AJ

    更新日期:1970-05-01 00:00:00

  • Location of tumour necrosis factor alpha by immunohistochemistry in chronic inflammatory bowel disease.

    abstract::This study determined the location and tissue density of cells immunoreactive for tumour necrosis factor alpha (TNF alpha) in intestinal specimens from 24 patients with chronic inflammatory bowel disease (15 with Crohn's disease, nine with ulcerative colitis) and 11 controls. There was significantly increased density ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.12.1705

    authors: Murch SH,Braegger CP,Walker-Smith JA,MacDonald TT

    更新日期:1993-12-01 00:00:00

  • Gastrokine 1 induces senescence through p16/Rb pathway activation in gastric cancer cells.

    abstract:BACKGROUND AND AIMS:Gastrokine 1 (GKN1) is a stomach-specific protein that is normally expressed in gastric mucosa but not in primary tumours and cell lines. Based on this evidence, it was presumed that GKN1 might play a role in gastric cancer development; however, its function and molecular mechanism are not clear. A ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.230623

    authors: Xing R,Li W,Cui J,Zhang J,Kang B,Wang Y,Wang Z,Liu S,Lu Y

    更新日期:2012-01-01 00:00:00

  • Improving the selection of patients for upper gastrointestinal endoscopy.

    abstract::A retrospective study was undertaken to investigate how endoscopies yielding positive findings differ a priori from those yielding negative findings: and how those judged 'helpful' (in the sense of influencing management) differ a priori from those judged 'unhelpful'. A total of 483 patients undergoing endoscopy was s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.2.187

    authors: Naji SA,Brunt PW,Hagen S,Mowat NA,Russell IT,Sinclair TS,Tang TM

    更新日期:1993-02-01 00:00:00

  • Comparison of magnetic resonance imaging colonography with conventional colonoscopy for the assessment of intestinal inflammation in patients with inflammatory bowel disease: a feasibility study.

    abstract:AIM:Magnetic resonance imaging (MRI) based colonography represents a new imaging tool which has mainly been investigated for polyp screening. To evaluate this approach for patients with inflammatory bowel disease (IBD), we compared MRI based colonography with conventional colonoscopy for assessing the presence and exte...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.037390

    authors: Schreyer AG,Rath HC,Kikinis R,Völk M,Schölmerich J,Feuerbach S,Rogler G,Seitz J,Herfarth H

    更新日期:2005-02-01 00:00:00

  • Double-blind trial of deglycyrrhizinated liquorice in gastric ulcer.

    abstract::In order to investigate further the reported beneficial effect of deglycyrrhizinated liquorice in gastric ulcer, a trial with a double-blind, cross-over design was performed. The patients were treated during two consecutive periods of four weeks each with either liquorice extract during the first period and placebo du...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.14.9.711

    authors: Engqvist A,von Feilitzen F,Pyk E,Reichard H

    更新日期:1973-09-01 00:00:00