Cassigneul J, Cros R C, Sarles H
Gastroenterol Clin Biol. 1983 Dec;7(12):992-6.
A prospective statistical study of clinical symptoms, radiological modifications of the colon and small bowel as judged by a morphometric method and dietary habits was performed in 106 patients who presented with functional intestinal disorders. Four different associations of symptoms and signs were found: a) pain, sometimes heavy, in the left upper quadrant and the ombilical region was associated with morphometric modifications of the small bowel: increased diameter of the upper part, decreased diameter and increased number of folds in the lower part of ileum; b) slight pain of the two upper quadrants and the two flanks was associated with flatulence, and was not correlated with modifications of the radiological aspect of the small bowel and colon; c) constipation and diarrhea were not correlated with any type of morphometric modifications of the colon; d) constipation was significantly correlated with low fiber diet.
对106例功能性肠道疾病患者进行了一项前瞻性统计研究,观察临床症状、采用形态测量法判断的结肠和小肠放射学改变以及饮食习惯。发现了四种不同的症状和体征组合:a)左上腹和脐周有时剧烈的疼痛与小肠形态测量改变有关:小肠上部直径增加,回肠下部直径减小且皱襞数量增加;b)上腹部两侧和两侧胁腹的轻微疼痛与肠胃胀气有关,且与小肠和结肠放射学表现的改变无关;c)便秘和腹泻与结肠的任何类型形态测量改变均无关;d)便秘与低纤维饮食显著相关。