Matek W, Frühmorgen P, Demling L
Dtsch Med Wochenschr. 1982 Mar 12;107(10):375-7. doi: 10.1055/s-2008-1069937.
The diagnosis of irritable colon was found in about 50% of 227 patients who showed increased colonic contractions at colonoscopy. In 1240 patients without unusual motility of the colon during colonoscopy this diagnosis was made only in every twelfth case. Increased contractions of the colon observed during colonoscopy are thus a symptom of the irritable colon. When clinical complaints are taken into account this symptom has a diagnostic value of 90%. However, it is not pathognomonic for functional intestinal complaints as it does not occur in all patients with irritable colon and it can also be demonstrated in patients without evidence of functional gastrointestinal problems.
在227例结肠镜检查时显示结肠收缩增强的患者中，约50%被诊断为结肠易激综合征。在1240例结肠镜检查时结肠蠕动无异常的患者中，该诊断仅在每12例中出现1例。因此，结肠镜检查时观察到的结肠收缩增强是结肠易激综合征的一个症状。当考虑临床症状时，该症状的诊断价值为90%。然而，它并非功能性肠道疾病的特征性表现，因为并非所有结肠易激综合征患者都会出现，而且在无功能性胃肠疾病证据的患者中也可能出现。
