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Rectal pressure response to a meal in patients with high spinal cord injury
Linköping University, Department of Molecular and Clinical Medicine, Gastroenterology and Hepatology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Biomedicine and Surgery, Surgery. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Biomedicine and Surgery, Surgery. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Biomedicine and Surgery, Surgery. Linköping University, Faculty of Health Sciences.
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
Abstract [en]

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.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-25051DOI: 10.1053/apmr.2003.50071Local ID: 9479OAI: oai:DiVA.org:liu-25051DiVA: diva2:245377
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved

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Walter, SusannaHallböök, Olof

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