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- Hagiwara Noritsugu
- First Department of Surgery, Nihon University School of Medicine
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- Tomita Ryoichi
- First Department of Surgery, Nihon University School of Medicine
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- Fukuzawa Masahiro
- Department of Pediatric Surgery, Osaka University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 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
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Abstract
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.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 38 (8), 1288-1295, 2005
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390282679894230656
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- NII Article ID
- 110001553587
- 130004344324
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed