Rectal pressure response to a meal in patients with high spinal cord injury
2003 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 84, no 1, 108-111 p.Article in journal (Refereed) Published
Objectives: To determine whether there is a postprandial increase of rectal pressure in patients with spinal cord injury (SCI) and to compare their rectal pressures with those of healthy volunteers.
Design: A before-after trial comparing SCI and control subjects.
Setting: Patients were recruited from the register of an SCI unit at a rehabilitation medicine department, and the study took place at the university hospital laboratory in Sweden.
Participants: Ten patients with high traumatic SCI and 9 healthy volunteers. Eight patients had a lesion above level T5.
Intervention: Continuous anorectal manometry was performed. Rectal activity was calculated before and at regular time intervals after a 1000-cal test meal.
Main Outcome Measure: Rectal activity measured as area under the pressure curve.
Results: There was a significant increase in rectal activity of 46% after 10 minutes in the patients but of 72% after 5 minutes in the volunteers. There was no difference in fasting rectal activity, but patients had a stronger mean rectal postprandial response during 60 minutes compared with volunteers.
Conclusions: These results support the theory that the colonic response to food is preserved in patients with high SCI.
Place, publisher, year, edition, pages
2003. Vol. 84, no 1, 108-111 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-25051DOI: 10.1053/apmr.2003.50071Local ID: 9479OAI: oai:DiVA.org:liu-25051DiVA: diva2:245377