Prospective Study of Motor, Sensory, Psychologic, and Autonomic Functions in Patients With Irritable Bowel Syndrome  Michael Camilleri, Sanna McKinzie,

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Presentation transcript:

Prospective Study of Motor, Sensory, Psychologic, and Autonomic Functions in Patients With Irritable Bowel Syndrome  Michael Camilleri, Sanna McKinzie, Irene Busciglio, Phillip A. Low, Seth Sweetser, Duane Burton, Kari Baxter, Michael Ryks, Alan R. Zinsmeister  Clinical Gastroenterology and Hepatology  Volume 6, Issue 7, Pages 772-781.e5 (July 2008) DOI: 10.1016/j.cgh.2008.02.060 Copyright © 2008 AGA Institute Terms and Conditions

Figure 1 SCL-90 mean T scores. Note there are statistically significant differences in anxiety, depression, somatization, general severity index (gsi), and positive symptom total (pst). Clinical Gastroenterology and Hepatology 2008 6, 772-781.e5DOI: (10.1016/j.cgh.2008.02.060) Copyright © 2008 AGA Institute Terms and Conditions

Figure 2 Comparison of colonic GC at 24 and 48 hours in healthy controls and IBS patients with different types of bowel dysfunction. #P = .078; *P < .05; **P = .056. Clinical Gastroenterology and Hepatology 2008 6, 772-781.e5DOI: (10.1016/j.cgh.2008.02.060) Copyright © 2008 AGA Institute Terms and Conditions

Figure 3 Percentage of participants in each group reaching threshold for first sensation, gas, urgency, and pain in response to step-wise increase in intraballoon pressure; note the significant overlap and lack of any significant differences in any group or any sensation relative to controls. Clinical Gastroenterology and Hepatology 2008 6, 772-781.e5DOI: (10.1016/j.cgh.2008.02.060) Copyright © 2008 AGA Institute Terms and Conditions

Figure 4 Sensory ratings of participants in each group for urgency and pain in response to random-order, phasic increase in intraballoon pressure; note the significant overlap for the sensation of pain and the lower sensory ratings for urgency in IBS-C (P = .04 vs healthy controls). Clinical Gastroenterology and Hepatology 2008 6, 772-781.e5DOI: (10.1016/j.cgh.2008.02.060) Copyright © 2008 AGA Institute Terms and Conditions

Supplementary Figure Overlap of abnormal transit and increased sensation in patients with IBS. Clinical Gastroenterology and Hepatology 2008 6, 772-781.e5DOI: (10.1016/j.cgh.2008.02.060) Copyright © 2008 AGA Institute Terms and Conditions