直腸運動型分類からみた輸送遅延型慢性便秘症の病態生理

• 萩原 紀嗣

  日本大学医学部外科学講座外科1部門

• 富田 凉一

  日本大学医学部外科学講座外科1部門

• 福澤 正洋

  大阪大学大学院医学系研究科小児外科学講座

書誌事項

タイトル別名

• The Motility Patterns of the Rectum in Slow Transit Type Chronic Constipation

抄録

Purpose: We studied rectal motility in chronic constipation. Methods: Rectal manometric recordings using a transanal probe placed with manometric sensors in the rectum were made for 2 hours before meals and 2 hours after meal, in 10 slow-transit constipation patients (group A) and 10 healthy volunteers (group B). Results: Manometric waves recorded in group B were classified into 4 types: Type I was a low-amplitude continuous wave. Type II was a high-amplitude continuous wave or continuous wave with the base line ascending. Type III showed only the base line ascending. Type IV was a high-amplitude sharp wave. Before meals only type I waves appeared. After meals, the frequency of type I waves increased in group B (p<0.01). Types III and IV appeared only in group B. The incidents of type II waves was the same in both groups, but appearance in group B was ealier than that in group A (p<0.01). In group A, the higher frequency wave was delayed and no higher amplitude wave was observed. Conclusion: Our results suggest that slow-transit chronic constipation patients lack a rectal response to eating due to a gastro-rectal reflex disorder.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 38 (8), 1288-1295, 2005

  一般社団法人 日本消化器外科学会

キーワード

• rectal motility
• menometric classification
• chronic constipation

詳細情報

• CRID: 1390282679894230656
• NII論文ID: 110001553587
• NII論文ID: 130004344324
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.38.1288
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/38/8/38_8_1288/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005215304
• 本文言語コード: ja
• データソース種別:
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• 抄録ライセンスフラグ: 使用不可