Drug V L, Brădăţan B, Taraşi I, Ciochină A D, Ionescu D L, Filip F, Stanciu C
Facultatea de Medicină, Clinica II-a Medicală Gastroenterologie, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2000 Jul-Sep;104(3):43-50.
Irritable Bowel Syndrome (IBS) represents a frequent cause for gastroenterological referral. 50% of all gastroenterological consultations are for functional gastrointestinal disorders (IBS included). Multiple motility abnormalities were described in IBS. The AIM of the study was to evaluate the role of ano-rectal manometry in the diagnosis of IBS.
24 patients with IBS (mean age 50.8 +/- 15.4) and a control group of 10 subjects with no abdominal symptoms (mean age 48.1 +/- 12.3) had each an ano-rectal manometry examination.
After exclusion of constipation predominant IBS subjects, the IBS patients presented lower perception threshold (22.1 +/- 10.9 ml) than the control group (60.2 +/- 11.3 ml) (p < 0.05) and than the constipation predominant group (81.3 +/- 44.0) (p < 0.05). In 44% of constipation predominant IBS concomitant pathology, revealed by manometry, was present: megarectum or hemorrhoids (spasm).
Anorectal manometry could be a useful tool for the evaluation of IBS patients.
肠易激综合征（IBS）是胃肠病转诊的常见原因。所有胃肠病会诊中有50%是针对功能性胃肠疾病（包括IBS）。IBS中描述了多种动力异常。本研究的目的是评估肛门直肠测压在IBS诊断中的作用。
24例IBS患者（平均年龄50.8±15.4岁）和10名无腹部症状的对照组受试者（平均年龄48.1±12.3岁）均接受了肛门直肠测压检查。
排除以便秘为主的IBS患者后，IBS患者的感知阈值（22.1±10.9 ml）低于对照组（60.2±11.3 ml）（p<0.05），也低于以便秘为主的组（81.3±44.0）（p<0.05）。在44%以便秘为主的IBS患者中，测压显示存在伴随病变：巨直肠或痔疮（痉挛）。
肛门直肠测压可能是评估IBS患者的有用工具。
