Jejunal motility in patients with functional abdominal pain.

A radiotelemetric system using dual pressure pills was used to record the jejunal motility in man. Prolonged recordings were made under relatively physiological conditions. Six patients with functional abdominal pain and six age/sex matched normal subjects were studied. Motility patterns varied markedly both within and between subjects. No differences were detected between the two groups. In particular, the occurrence of characteristic pain in the patients bore no relation to the recorded motor activity. The wide range of jejunal motility patterns in normal subjects needs to be appreciated before conclusions can be drawn about possible abnormalities in gut diseases or disorders.

[1]  C F Code,et al.  The interdigestive myo‐electric complex of the stomach and small bowel of dogs. , 1975, The Journal of physiology.

[2]  E. Swarbrick,et al.  SITE OF PAIN FROM THE IRRITABLE BOWEL , 1980, The Lancet.

[3]  R. Hardy,et al.  Normal patterns of human upper small bowel motor activity recorded by prolonged radiotelemetry. , 1980, Gut.

[4]  J. Szurszewski.  A migrating electric complex of canine small intestine. , 1969, The American journal of physiology.

[5]  Y. Ruckebusch,et al.  The propagation of segmental contractions along the small intestine * , 1972, The Journal of physiology.

[6]  D. Holdstock,et al.  Observations on the mechanism of abdominal pain , 1975, Pain.

[7]  J Hellemans,et al.  The interdigestive motor complex of normal subjects and patients with bacterial overgrowth of the small intestine. , 1977, The Journal of clinical investigation.

[8]  Y. Levo.  Letter: Hyposplenism in ulcerative colitis. , 1974, Lancet.

[9]  K. Heaton,et al.  Towards positive diagnosis of the irritable bowel. , 1978, British medical journal.

[10]  D. Wingate,et al.  ABNORMAL SMALL-BOWEL MOTILITY DEMONSTRATED BY RADIOTELEMETRY IN A PATIENT WITH IRRITABLE COLON , 1979, The Lancet.

[11]  J. Fioramonti,et al.  Electrical spiking activity and propulsion in small intestine in fed and fasted rats. , 1975, Gastroenterology.

[12]  S. Laird,et al.  Ketamine for Burns Surgery , 1972 .

[13]  A. Dawson,et al.  Functional abdominal pain: further evidence that whole gut is affected. , 1982, British medical journal.

[14]  J. Farrar,et al.  Intraluminal small intestinal pressures in normal patients and in patients with functional gastrointestinal disorders. , 1962, Gastroenterology.

[15]  Migrating myoelectrical complexes: disruption, enhancement and disorganization , 1978 .