NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham, Nottingham, UK.
Nat Rev Gastroenterol Hepatol. 2019 Sep;16(9):559-579. doi: 10.1038/s41575-019-0167-1. Epub 2019 Jul 11.
Alterations in colonic motility are implicated in the pathophysiology of bowel disorders, but high-resolution manometry of human colonic motor function has revealed that our knowledge of normal motor patterns is limited. Furthermore, various terminologies and definitions have been used to describe colonic motor patterns in children, adults and animals. An example is the distinction between the high-amplitude propagating contractions in humans and giant contractions in animals. Harmonized terminology and definitions are required that are applicable to the study of colonic motility performed by basic scientists and clinicians, as well as adult and paediatric gastroenterologists. As clinical studies increasingly require adequate animal models to develop and test new therapies, there is a need for rational use of terminology to describe those motor patterns that are equivalent between animals and humans. This Consensus Statement provides the first harmonized interpretation of commonly used terminology to describe colonic motor function and delineates possible similarities between motor patterns observed in animal models and humans in vitro (ex vivo) and in vivo. The consolidated terminology can be an impetus for new research that will considerably improve our understanding of colonic motor function and will facilitate the development and testing of new therapies for colonic motility disorders.
结肠运动的改变与肠道疾病的病理生理学有关,但高分辨率测压法对人类结肠运动功能的研究表明,我们对正常运动模式的认识还很有限。此外,人们在描述儿童、成人和动物的结肠运动模式时使用了各种术语和定义。例如,人类的高幅传播收缩与动物的巨收缩之间的区别。需要制定适用于基础科学家和临床医生、成人和儿科胃肠病学家研究结肠运动的协调一致的术语和定义。随着临床研究越来越需要足够的动物模型来开发和测试新疗法,因此需要合理使用术语来描述动物和人类之间等效的运动模式。本共识声明首次对常用术语进行了协调解释,以描述结肠运动功能,并阐明了在动物模型和人类离体(ex vivo)和体内观察到的运动模式之间可能存在的相似性。统一的术语可以促进新的研究,这将极大地提高我们对结肠运动功能的理解,并促进开发和测试新的治疗结肠运动障碍的疗法。