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2013 | OriginalPaper | Chapter

Colonic Manometry: What Do the Squiggly Lines Really Tell Us?

Author : Phil G. Dinning

Published in: New Advances in Gastrointestinal Motility Research

Publisher: Springer Netherlands

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Abstract

Colonic motility consists of a range of motor patterns that ensure net flow rates appropriate for the break down of food, absorption of water and nutrients and excretion of waste. Abnormalities in these motor patterns remain a leading hypothesis to explain the cause of functional colonic disorders such as constipation. However, whilst manometric catheters are used as one of the primary tools to record colonic motor patterns, we are as yet unable to define motor patterns that clearly separate patients from controls. Indeed in many instances while some changes in the patterns of manometric squiggly lines can be identified, it remains a matter of intuition and speculation as to how these changes may relate to a patient’s symptoms. In this chapter, motor patterns recorded by colonic manometry will be compared to description of colonic wall motion and luminal transit. In doing so the chapter will attempt to detail what manometry is really telling us about colonic function. In addition the future direction and current advances in colonic manometry will also be discussed.

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Literature
1.
go back to reference Alvarez WC (1948) An introduction to gastroenterology, 4th edn. Paul B Hoeber Inc., New York Alvarez WC (1948) An introduction to gastroenterology, 4th edn. Paul B Hoeber Inc., New York
2.
go back to reference Arkwright JW, Underhill ID, Maunder SA, Blenman NG, Szczesniak MM, Wiklendt L, Lubowski DZ, Cook IJ, Dinning PG (2009) Design of a high-sensor count fibre optic manometry catheter for in vivo colonic diagnostics. Opt Express 17(25):22423–22431PubMedCrossRef Arkwright JW, Underhill ID, Maunder SA, Blenman NG, Szczesniak MM, Wiklendt L, Lubowski DZ, Cook IJ, Dinning PG (2009) Design of a high-sensor count fibre optic manometry catheter for in vivo colonic diagnostics. Opt Express 17(25):22423–22431PubMedCrossRef
3.
go back to reference Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, Cook IJ (2001) Prolonged multi-point recording of colonic manometry in the unprepared human colon: providing insight into potentially relevant pressure wave parameters. Am J Gastroenterol 96(6):1838–1848PubMedCrossRef Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, Cook IJ (2001) Prolonged multi-point recording of colonic manometry in the unprepared human colon: providing insight into potentially relevant pressure wave parameters. Am J Gastroenterol 96(6):1838–1848PubMedCrossRef
4.
go back to reference Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, de Carle DJ, Cook IJ (2000) Spatial and temporal organization of pressure patterns throughout the unprepared colon during spontaneous defecation. Am J Gastroenterol 95(4):1027–1035PubMedCrossRef Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, de Carle DJ, Cook IJ (2000) Spatial and temporal organization of pressure patterns throughout the unprepared colon during spontaneous defecation. Am J Gastroenterol 95(4):1027–1035PubMedCrossRef
5.
go back to reference Barclay AE (1912) Note on the movements of the large intestine. Br J Roentgenol 16:422–424 Barclay AE (1912) Note on the movements of the large intestine. Br J Roentgenol 16:422–424
6.
go back to reference Barclay AE (1935) Direct X-ray cinematography with a preliminary note on the nature of the non-propulsive movements of the large intestine. Br J Radiol 8:652–658CrossRef Barclay AE (1935) Direct X-ray cinematography with a preliminary note on the nature of the non-propulsive movements of the large intestine. Br J Radiol 8:652–658CrossRef
7.
go back to reference Bassotti G, Betti C, Pelli MA, Morelli A (1992) Extensive investigation on colonic motility with pharmacological testing is useful for selecting surgical options in patients with inertia colica. Am J Gastroenterol 87(1):143–147PubMed Bassotti G, Betti C, Pelli MA, Morelli A (1992) Extensive investigation on colonic motility with pharmacological testing is useful for selecting surgical options in patients with inertia colica. Am J Gastroenterol 87(1):143–147PubMed
8.
go back to reference Bassotti G, Chiarioni G, Vantini I, Betti C, Fusaro C, Pelli MA, Morelli A (1994) Anorectal manometric abnormalities and colonic propulsive impairment in patients with severe chronic idiopathic constipation. Dig Dis Sci 39(7):1558–1564PubMedCrossRef Bassotti G, Chiarioni G, Vantini I, Betti C, Fusaro C, Pelli MA, Morelli A (1994) Anorectal manometric abnormalities and colonic propulsive impairment in patients with severe chronic idiopathic constipation. Dig Dis Sci 39(7):1558–1564PubMedCrossRef
9.
go back to reference Bassotti G, Clementi M, Antonelli E, Pelli MA, Tonini M (2001) Low-amplitude propagated contractile waves: a relevant propulsive mechanism of human colon. Dig Liv Dis 33(1):36–40CrossRef Bassotti G, Clementi M, Antonelli E, Pelli MA, Tonini M (2001) Low-amplitude propagated contractile waves: a relevant propulsive mechanism of human colon. Dig Liv Dis 33(1):36–40CrossRef
10.
go back to reference Bassotti G, de Roberto G, Castellani D, Sediari L, Morelli A (2005) Normal aspects of colorectal motility and abnormalities in slow transit constipation. World J Gastroenterol 11(18):2691–2696PubMed Bassotti G, de Roberto G, Castellani D, Sediari L, Morelli A (2005) Normal aspects of colorectal motility and abnormalities in slow transit constipation. World J Gastroenterol 11(18):2691–2696PubMed
11.
go back to reference Bassotti G, Gaburri M (1988) Manometric investigation of high-amplitude propagated contractile activity of the human colon. Am J Physiol Gastrointest Liver Physiol 255:G660–664 Bassotti G, Gaburri M (1988) Manometric investigation of high-amplitude propagated contractile activity of the human colon. Am J Physiol Gastrointest Liver Physiol 255:G660–664
12.
go back to reference Bassotti G, Imbimbo BP, Betti C, Dozzini G, Morelli A (1992) Impaired colonic motor response to eating in patients with slow transit constipation. Am J Gastroenterol 87:504–508PubMed Bassotti G, Imbimbo BP, Betti C, Dozzini G, Morelli A (1992) Impaired colonic motor response to eating in patients with slow transit constipation. Am J Gastroenterol 87:504–508PubMed
13.
go back to reference Bazzocchi G, Ellis J, Villanueva-Meyer J, Fain JW, Jing J, Mena I, Snape WJ (1990) Postprandial colonic transit and motor activity in chronic constipation. Gastroenterology 96:686–693 Bazzocchi G, Ellis J, Villanueva-Meyer J, Fain JW, Jing J, Mena I, Snape WJ (1990) Postprandial colonic transit and motor activity in chronic constipation. Gastroenterology 96:686–693
14.
go back to reference Bedrich M, Ehrlein H (2001) Motor function of the large intestine and flow of digesta in sheep. Small Rumin Res 42:141–155CrossRef Bedrich M, Ehrlein H (2001) Motor function of the large intestine and flow of digesta in sheep. Small Rumin Res 42:141–155CrossRef
16.
go back to reference Brown AJ, Horgan AF, Anderson JH, McKee RF, Finlay IG (1999) Colonic motility is abnormal before surgery for rectal prolapse. Br J Surg 86(2):263–266PubMedCrossRef Brown AJ, Horgan AF, Anderson JH, McKee RF, Finlay IG (1999) Colonic motility is abnormal before surgery for rectal prolapse. Br J Surg 86(2):263–266PubMedCrossRef
17.
go back to reference Camilleri M, Bharucha AE, di Lorenzo C, Hasler WL, Prather CM, Rao SS, Wald A (2008) American neurogastroenterology and motility society consensus statement on intraluminal measurement of gastrointestinal and colonic motility in clinical practice. Neurogastroenterol Motil 20(12):1269–1282PubMedCrossRef Camilleri M, Bharucha AE, di Lorenzo C, Hasler WL, Prather CM, Rao SS, Wald A (2008) American neurogastroenterology and motility society consensus statement on intraluminal measurement of gastrointestinal and colonic motility in clinical practice. Neurogastroenterol Motil 20(12):1269–1282PubMedCrossRef
18.
go back to reference Cannon WB (1902) The movements of the intestines studied by means of the Rontgen rays. Am J Physiol 6:251–277 Cannon WB (1902) The movements of the intestines studied by means of the Rontgen rays. Am J Physiol 6:251–277
19.
go back to reference Chiarelli P, Brown W, McElduff P (2000) Constipation in Australian women: prevalence and associated factors. Int Urogynecol J 11(2):71–78CrossRef Chiarelli P, Brown W, McElduff P (2000) Constipation in Australian women: prevalence and associated factors. Int Urogynecol J 11(2):71–78CrossRef
20.
go back to reference Chiarioni G, Salandini L, Whitehead WE (2005) Biofeedback benefits only patients with outlet dysfunction, not patients with isolated slow transit constipation. Gastroenterology 129(1):86–97PubMedCrossRef Chiarioni G, Salandini L, Whitehead WE (2005) Biofeedback benefits only patients with outlet dysfunction, not patients with isolated slow transit constipation. Gastroenterology 129(1):86–97PubMedCrossRef
21.
go back to reference Cook IJ, Brookes SJ, Dinning PG (2010) Sensory and motor function of the colon. In: Feldman M, Friedman LS, Brandt LJ (eds) Sleisenger and Fordtran’s gastrointestinal and liver disease, vol 2, 9th edn. Saunders, Philadelphia, pp 1660–1674 Cook IJ, Brookes SJ, Dinning PG (2010) Sensory and motor function of the colon. In: Feldman M, Friedman LS, Brandt LJ (eds) Sleisenger and Fordtran’s gastrointestinal and liver disease, vol 2, 9th edn. Saunders, Philadelphia, pp 1660–1674
22.
go back to reference Cook IJ, Furukawa Y, Panagopoulos V, Collins PJ, Dent J (2000) Relationships between spatial patterns of colonic pressure and individual movements of content. Am J Physiol Gastrointest Liver Physiol 278:G329–G341PubMed Cook IJ, Furukawa Y, Panagopoulos V, Collins PJ, Dent J (2000) Relationships between spatial patterns of colonic pressure and individual movements of content. Am J Physiol Gastrointest Liver Physiol 278:G329–G341PubMed
23.
go back to reference Cook IJ, Talley NJ, Benninga MA, Rao SS, Scott SM (2009) Chronic constipation: overview and challenges. Neurgastroenterol Motil 21(s2):1–8 Cook IJ, Talley NJ, Benninga MA, Rao SS, Scott SM (2009) Chronic constipation: overview and challenges. Neurgastroenterol Motil 21(s2):1–8
24.
go back to reference Davenport HW (2011) Gastrointestinal physiology, 1895–1975: motility. Compr Physiol 1–101 Davenport HW (2011) Gastrointestinal physiology, 1895–1975: motility. Compr Physiol 1–101
25.
go back to reference De Schryver AM, Samsom M, Smout AI (2003) Effects of a meal and bisacodyl on colonic motility in healthy volunteers and patients with slow-transit constipation. Dig Dis Sci 48(7):1206–1212PubMedCrossRef De Schryver AM, Samsom M, Smout AI (2003) Effects of a meal and bisacodyl on colonic motility in healthy volunteers and patients with slow-transit constipation. Dig Dis Sci 48(7):1206–1212PubMedCrossRef
26.
go back to reference Di Lorenzo C, Flores AF, Reddy SN, Hyman PE (1992) Use of colonic manometry to differentiate causes of intractable constipation in children. J Pediatr 120(5):690–695PubMedCrossRef Di Lorenzo C, Flores AF, Reddy SN, Hyman PE (1992) Use of colonic manometry to differentiate causes of intractable constipation in children. J Pediatr 120(5):690–695PubMedCrossRef
27.
go back to reference Di Lorenzo C, Flores AF, Reddy SN, Snape WJ, Bazzochi G, Hyman PE (1993) Colonic manometry in children with chronic intestinal pseudo-obstruction. Gut 34(1):803–807PubMedCrossRef Di Lorenzo C, Flores AF, Reddy SN, Snape WJ, Bazzochi G, Hyman PE (1993) Colonic manometry in children with chronic intestinal pseudo-obstruction. Gut 34(1):803–807PubMedCrossRef
28.
go back to reference Dinning PG, Arkwright JW, Gregersen H, O’Grady G, Scott SM (2010) Technical advances in monitoring human motility patterns. Neurgastroenterol Motil 22(4):366–380CrossRef Dinning PG, Arkwright JW, Gregersen H, O’Grady G, Scott SM (2010) Technical advances in monitoring human motility patterns. Neurgastroenterol Motil 22(4):366–380CrossRef
29.
go back to reference Dinning PG, Bampton PA, Andre J, Kennedy ML, Lubowski DZ, King DW, Cook IJ (2004) Abnormal predefecatory colonic motor patterns define constipation in obstructed defecation. Gastroenterology 127:49–56PubMedCrossRef Dinning PG, Bampton PA, Andre J, Kennedy ML, Lubowski DZ, King DW, Cook IJ (2004) Abnormal predefecatory colonic motor patterns define constipation in obstructed defecation. Gastroenterology 127:49–56PubMedCrossRef
30.
go back to reference Dinning PG, Di Lorenzo C (2011) Colonic dysmotility in constipation. Best Prac Res Clin Gastrolenterol 25(1):89–101CrossRef Dinning PG, Di Lorenzo C (2011) Colonic dysmotility in constipation. Best Prac Res Clin Gastrolenterol 25(1):89–101CrossRef
31.
go back to reference Dinning PG, Fuentealba SE, Kennedy ML, Lubowski DZ, Cook IJ (2007) Sacral nerve stimulation induces pan-colonic propagating pressure waves and increases defecation frequency in patients with slow-transit constipation. Colorectal Dis 9(2):123–132PubMedCrossRef Dinning PG, Fuentealba SE, Kennedy ML, Lubowski DZ, Cook IJ (2007) Sacral nerve stimulation induces pan-colonic propagating pressure waves and increases defecation frequency in patients with slow-transit constipation. Colorectal Dis 9(2):123–132PubMedCrossRef
32.
go back to reference Dinning PG, McKay E, Cook IJ (2006) Validation of a semi-automated scintigraphic technique for detecting episodic, real time, colonic flow. Neurogastroenterol Motil 18:547–555PubMedCrossRef Dinning PG, McKay E, Cook IJ (2006) Validation of a semi-automated scintigraphic technique for detecting episodic, real time, colonic flow. Neurogastroenterol Motil 18:547–555PubMedCrossRef
33.
go back to reference Dinning PG, Scott SM (2011) Novel diagnostics and therapy of colonic motor disorders. Curr Opin Pharmacol 11:624–629PubMedCrossRef Dinning PG, Scott SM (2011) Novel diagnostics and therapy of colonic motor disorders. Curr Opin Pharmacol 11:624–629PubMedCrossRef
34.
go back to reference Dinning PG, Smith TK, Scott SM (2009) Pathophysiology of colonic causes of chronic constipation. Neurogastroenterol Motil 21(s2):20–30 Dinning PG, Smith TK, Scott SM (2009) Pathophysiology of colonic causes of chronic constipation. Neurogastroenterol Motil 21(s2):20–30
35.
go back to reference Dinning PG, Southwell BR, Benninga MA, Scott SM (2010) Paediatric and adult colonic manometry: A tool to help unravel the pathophysiology of constipation. World J Gastroenterol 16(41):5162–5172PubMedCrossRef Dinning PG, Southwell BR, Benninga MA, Scott SM (2010) Paediatric and adult colonic manometry: A tool to help unravel the pathophysiology of constipation. World J Gastroenterol 16(41):5162–5172PubMedCrossRef
36.
go back to reference Dinning PG, Szczesniak MM, Cook IJ (2008) Determinants of postprandial flow across the human ileocecal junction: a combined manometric and scintigraphic study. Neurogastroenterol Motil 20:1017–1021PubMedCrossRef Dinning PG, Szczesniak MM, Cook IJ (2008) Determinants of postprandial flow across the human ileocecal junction: a combined manometric and scintigraphic study. Neurogastroenterol Motil 20:1017–1021PubMedCrossRef
37.
go back to reference Dinning PG, Szczesniak MM, Cook IJ (2008) Proximal colonic propagating pressure waves sequences and their relationship with movements of content in the proximal human colon. Neurogastroenterol Motil 20:512–520PubMedCrossRef Dinning PG, Szczesniak MM, Cook IJ (2008) Proximal colonic propagating pressure waves sequences and their relationship with movements of content in the proximal human colon. Neurogastroenterol Motil 20:512–520PubMedCrossRef
38.
go back to reference Dinning PG, Szczesniak MM, Cook IJ (2008) Twenty-four hour spatiotemporal mapping of colonic propagating sequences provides pathophysiological insight into constipation. Neurogastroenterol Motil 20:1017–1021PubMedCrossRef Dinning PG, Szczesniak MM, Cook IJ (2008) Twenty-four hour spatiotemporal mapping of colonic propagating sequences provides pathophysiological insight into constipation. Neurogastroenterol Motil 20:1017–1021PubMedCrossRef
39.
go back to reference Dinning PG, Szczesniak MM, Cook IJ (2009) Spatio-temporal analysis reveals aberrant linkage among sequential propagating pressure wave sequences in patients with symptomatically defined obstructed defecation. Neurgastroenterol Motil 21(9):945–e975CrossRef Dinning PG, Szczesniak MM, Cook IJ (2009) Spatio-temporal analysis reveals aberrant linkage among sequential propagating pressure wave sequences in patients with symptomatically defined obstructed defecation. Neurgastroenterol Motil 21(9):945–e975CrossRef
40.
go back to reference Dinning PG, Zarate N, Hunt LM, Fuentealba SE, Mohammed SD, Szczesniak MM, Lubowski DZ, Preston SL, Fairclough PD, Lunniss PJ, Scott SM, Cook IJ (2010) Pancolonic spatiotemporal mapping reveals regional deficiencies in, and disorganization of colonic propagating pressure waves in severe constipation. Neurgastroenterol Motil 22:e340–e349CrossRef Dinning PG, Zarate N, Hunt LM, Fuentealba SE, Mohammed SD, Szczesniak MM, Lubowski DZ, Preston SL, Fairclough PD, Lunniss PJ, Scott SM, Cook IJ (2010) Pancolonic spatiotemporal mapping reveals regional deficiencies in, and disorganization of colonic propagating pressure waves in severe constipation. Neurgastroenterol Motil 22:e340–e349CrossRef
41.
go back to reference Dinning PG, Hunt L, Arkwright JW, Patton V, Szczesniak MM, Wiklendt L, Davidson JB, Lubowski DZ, Cook IJ (2012) Pancolonic motor response to subsensory and suprasensory sacral nerve stimulation in patients with slow-transit constipation. Br J Surg 99:1002–1010 Dinning PG, Hunt L, Arkwright JW, Patton V, Szczesniak MM, Wiklendt L, Davidson JB, Lubowski DZ, Cook IJ (2012) Pancolonic motor response to subsensory and suprasensory sacral nerve stimulation in patients with slow-transit constipation. Br J Surg 99:1002–1010
42.
go back to reference Ehrlein HJ, Reich H, Schwinger M (1983) Colonic motility and transit of digesta during hard and soft faeces formation in rabbits. J Physiol 338:75–86PubMed Ehrlein HJ, Reich H, Schwinger M (1983) Colonic motility and transit of digesta during hard and soft faeces formation in rabbits. J Physiol 338:75–86PubMed
43.
go back to reference Everhart JE, Ruhl CE (2009) Burden of digestive diseases in the united states Part I: overall and upper gastrointestinal diseases. Gastroenterology 136:376–386PubMedCrossRef Everhart JE, Ruhl CE (2009) Burden of digestive diseases in the united states Part I: overall and upper gastrointestinal diseases. Gastroenterology 136:376–386PubMedCrossRef
44.
go back to reference American College of Gastroenterology Chronic Constipation Task Force (2005) An evidence-based approach to the management of chronic constipation in North America. Am J Gastroenterol 100(Suppl 1):S1–4 American College of Gastroenterology Chronic Constipation Task Force (2005) An evidence-based approach to the management of chronic constipation in North America. Am J Gastroenterol 100(Suppl 1):S1–4
45.
go back to reference Grubel C, Hiscock R, Hebbard G (2008) Value of spatiotemporal representation of manometric data. Clin Gastroenterol Hepatol 6(5):525–530PubMedCrossRef Grubel C, Hiscock R, Hebbard G (2008) Value of spatiotemporal representation of manometric data. Clin Gastroenterol Hepatol 6(5):525–530PubMedCrossRef
46.
go back to reference Halls J (1965) Bowel content shift during normal defaecation [summary]. Proc R Soc Med 58:859–860PubMed Halls J (1965) Bowel content shift during normal defaecation [summary]. Proc R Soc Med 58:859–860PubMed
48.
go back to reference Hertz AF (1907) The passage of food along the human alimentary canal. Guy’s Hosp Rep 61:389–427 Hertz AF (1907) The passage of food along the human alimentary canal. Guy’s Hosp Rep 61:389–427
49.
go back to reference Hertz AF (1908) The pathology and treatment of chronic constipation. Proc R Soc Med 1(Med Sect):119–149 Hertz AF (1908) The pathology and treatment of chronic constipation. Proc R Soc Med 1(Med Sect):119–149
50.
go back to reference Hertz AF (1912) An Address on investigations of the motor functions of the alimentary canal by means of the x rays: delivered before the Brighton division of the British medical association on Nov. 22, 1911. Br Med J 1(2666):225–229PubMedCrossRef Hertz AF (1912) An Address on investigations of the motor functions of the alimentary canal by means of the x rays: delivered before the Brighton division of the British medical association on Nov. 22, 1911. Br Med J 1(2666):225–229PubMedCrossRef
51.
go back to reference Hertz AF (1913) The ileo-caecal sphincter. J Physiol 47(1–2):54–56PubMed Hertz AF (1913) The ileo-caecal sphincter. J Physiol 47(1–2):54–56PubMed
52.
go back to reference Hertz AF, Newton A (1913) The normal movements of the colon in man. J Physiol 47(1–2):57–65PubMed Hertz AF, Newton A (1913) The normal movements of the colon in man. J Physiol 47(1–2):57–65PubMed
53.
go back to reference Herve S, Savoye G, Behbahani A, Leroi AM, Denis P, Ducrotte P (2004) Results of 24-h manometric recording of colonic motor activity with endoluminal instillation of bisacodyl in patients with severe chronic slow transit constipation. Neurogastroenterol Motil 16(4):397–402PubMedCrossRef Herve S, Savoye G, Behbahani A, Leroi AM, Denis P, Ducrotte P (2004) Results of 24-h manometric recording of colonic motor activity with endoluminal instillation of bisacodyl in patients with severe chronic slow transit constipation. Neurogastroenterol Motil 16(4):397–402PubMedCrossRef
54.
go back to reference Hiroz P, Schlageter V, Givel JC, Kucera P (2009) Colonic movements in healthy subjects as monitored by a magnet tracking system. Neurgastroenterol Motil 21(8):838–857CrossRef Hiroz P, Schlageter V, Givel JC, Kucera P (2009) Colonic movements in healthy subjects as monitored by a magnet tracking system. Neurgastroenterol Motil 21(8):838–857CrossRef
55.
go back to reference Holdstock DJ, Misiewicz JJ, Smith T, Rowlands EN (1970) Propulsion (mass movements) in the human colon and its relationship to meals and somatic activity. Gut 11(2):91–99PubMedCrossRef Holdstock DJ, Misiewicz JJ, Smith T, Rowlands EN (1970) Propulsion (mass movements) in the human colon and its relationship to meals and somatic activity. Gut 11(2):91–99PubMedCrossRef
56.
go back to reference Holzknechtg G (1909) Die normale Persistatlik des Kolon. Muench Med Wochenschr 47:2401–2403 Holzknechtg G (1909) Die normale Persistatlik des Kolon. Muench Med Wochenschr 47:2401–2403
57.
go back to reference Huizinga JD, Martz S, Gil V, Wang XY, Jimenez M, Parsons S (2011) Two independent networks of interstitial cells of cajal work cooperatively with the enteric nervous system to create colonic motor patterns. Front Neurosci 5:93PubMedCrossRef Huizinga JD, Martz S, Gil V, Wang XY, Jimenez M, Parsons S (2011) Two independent networks of interstitial cells of cajal work cooperatively with the enteric nervous system to create colonic motor patterns. Front Neurosci 5:93PubMedCrossRef
58.
go back to reference Hurst AF (1925) An address on the sphincters of the alimentary canal and their clinical significance: delivered before the Manchester medical society (October 8th, 1924). Br Med J 1(3343):145–151PubMedCrossRef Hurst AF (1925) An address on the sphincters of the alimentary canal and their clinical significance: delivered before the Manchester medical society (October 8th, 1924). Br Med J 1(3343):145–151PubMedCrossRef
59.
go back to reference Kamm MA, Hawley PR, Lennard-Jones JE (1988) Outcome of colectomy for severe idiopathic constipation. Gut 29:969–973PubMedCrossRef Kamm MA, Hawley PR, Lennard-Jones JE (1988) Outcome of colectomy for severe idiopathic constipation. Gut 29:969–973PubMedCrossRef
60.
go back to reference Kamm MA, van der Sijp JRM, Lennard-Jones JE (1992) Observations on the characteristics of stimulated defaecation in severe idiopathic constipation. Int J Colorect Dis 7:197–201CrossRef Kamm MA, van der Sijp JRM, Lennard-Jones JE (1992) Observations on the characteristics of stimulated defaecation in severe idiopathic constipation. Int J Colorect Dis 7:197–201CrossRef
61.
go back to reference King S, Catto-Smith AG, Stanton MP, Sutcliffe J, Simpson D, Cook IJ, Dinning PG, Hutson JM, Southwell BR (2008) 24-Hour colonic manometry in pediatric slow transit constipation shows significant reductions in antegrade propagation. Am J Gastroenterol 103(8):2083–2091PubMedCrossRef King S, Catto-Smith AG, Stanton MP, Sutcliffe J, Simpson D, Cook IJ, Dinning PG, Hutson JM, Southwell BR (2008) 24-Hour colonic manometry in pediatric slow transit constipation shows significant reductions in antegrade propagation. Am J Gastroenterol 103(8):2083–2091PubMedCrossRef
62.
go back to reference Knowles CH, Dinning PG, Pescatori M, Rintala R, Rosen H (2009) Surgical management of constipation. Neurgastroenterol Motil 21(s2):62–71 Knowles CH, Dinning PG, Pescatori M, Rintala R, Rosen H (2009) Surgical management of constipation. Neurgastroenterol Motil 21(s2):62–71
63.
go back to reference Knowles CH, Scott M, Lunniss PJ (1999) Outcome of colectomy for slow transit constipation. Ann Surg 230(5):627–638PubMedCrossRef Knowles CH, Scott M, Lunniss PJ (1999) Outcome of colectomy for slow transit constipation. Ann Surg 230(5):627–638PubMedCrossRef
64.
go back to reference Kruse FH (1933) Functional disorders of the colon: the spastic colon, the irritable colon, and mucous colitis. Cal West Med 39(2):97–103PubMed Kruse FH (1933) Functional disorders of the colon: the spastic colon, the irritable colon, and mucous colitis. Cal West Med 39(2):97–103PubMed
65.
go back to reference Kuijpers HC (1990) Application of the colorectal laboratory in diagnosis and treatment of functional constipation. Dis Colon Rectum 33(1):35–39PubMedCrossRef Kuijpers HC (1990) Application of the colorectal laboratory in diagnosis and treatment of functional constipation. Dis Colon Rectum 33(1):35–39PubMedCrossRef
66.
go back to reference Legros C, Onimus ENJ (1869) Mouvements de l’intestin. J Anat Physiol (Paris) 6:37–65 Legros C, Onimus ENJ (1869) Mouvements de l’intestin. J Anat Physiol (Paris) 6:37–65
67.
go back to reference Lentle RG, Janssen PW, Hume ID (2009) The roles of filtration and expression in the processing of digesta with high solid phase content. Comp Biochem Physiol A Mol Integr Physiol 154(1):1–9PubMedCrossRef Lentle RG, Janssen PW, Hume ID (2009) The roles of filtration and expression in the processing of digesta with high solid phase content. Comp Biochem Physiol A Mol Integr Physiol 154(1):1–9PubMedCrossRef
68.
go back to reference Leroi AM, Lalaude O, Antonietti M, Touchais JY, Ducrotte P, Menard JF, Denis P (2000) Prolonged stationary colonic motility recording in seven patients with severe constipation secondary to antidepressants. Neurogastroenterol Motil 12(2):149–154PubMedCrossRef Leroi AM, Lalaude O, Antonietti M, Touchais JY, Ducrotte P, Menard JF, Denis P (2000) Prolonged stationary colonic motility recording in seven patients with severe constipation secondary to antidepressants. Neurogastroenterol Motil 12(2):149–154PubMedCrossRef
69.
go back to reference Liem O, Harman J, Benninga M, Kelleher K, Mousa H, Di C (2009) Lorenzo health utilization and cost impact of childhood constipation in the United States. J Pediatr 154(2):258–262PubMedCrossRef Liem O, Harman J, Benninga M, Kelleher K, Mousa H, Di C (2009) Lorenzo health utilization and cost impact of childhood constipation in the United States. J Pediatr 154(2):258–262PubMedCrossRef
70.
go back to reference Lubowski DZ, Meagher AP, Smart RC, Butler SP (1995) Scintigraphic assessment of colonic function during defaecation. Int J Colorect Dis 10:91–93CrossRef Lubowski DZ, Meagher AP, Smart RC, Butler SP (1995) Scintigraphic assessment of colonic function during defaecation. Int J Colorect Dis 10:91–93CrossRef
71.
go back to reference Lyford GL, He CL, Soffer E, Hull TL, Strong SA, Senagore AJ, Burgart LJ, Young-Fadok T, Szurszewski JH, Farrugia G (2002) Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation. Gut 51(4):496–501PubMedCrossRef Lyford GL, He CL, Soffer E, Hull TL, Strong SA, Senagore AJ, Burgart LJ, Young-Fadok T, Szurszewski JH, Farrugia G (2002) Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation. Gut 51(4):496–501PubMedCrossRef
72.
go back to reference Moreno-Osset E, Bazzocchi G, Lo S, Trombley E, Ristow E, Reddy SN, Villanueva-Meyer J, Fain J, Jing J, Mena I, Snape WJ (1989) Association between postprandial changes in colonic intraluminal pressure and transit. Gastroenterology 96:1265–1273PubMed Moreno-Osset E, Bazzocchi G, Lo S, Trombley E, Ristow E, Reddy SN, Villanueva-Meyer J, Fain J, Jing J, Mena I, Snape WJ (1989) Association between postprandial changes in colonic intraluminal pressure and transit. Gastroenterology 96:1265–1273PubMed
73.
go back to reference Narducci F, Bassotti G, Gaburri M, Morelli A (1987) Twenty four hour manometric recording of colonic motor activity in healthy man. Gut 28:17–25PubMedCrossRef Narducci F, Bassotti G, Gaburri M, Morelli A (1987) Twenty four hour manometric recording of colonic motor activity in healthy man. Gut 28:17–25PubMedCrossRef
74.
go back to reference O’Brien M, Camilleri M, vonderOhe M, Phillips S, Pemberton J, Prather C, Wiste J, Hanson R (1996) Motility and tone of the left colon in constipation: a role in clinical practice? Am J Gastroenterol 91(12):2532–2538PubMed O’Brien M, Camilleri M, vonderOhe M, Phillips S, Pemberton J, Prather C, Wiste J, Hanson R (1996) Motility and tone of the left colon in constipation: a role in clinical practice? Am J Gastroenterol 91(12):2532–2538PubMed
75.
go back to reference Omari T, Dejaeger E, Van Beckevoort D, Goeleven A, Davidson GP, Dent J, Tack J, Rommel N (2011) A method to objectively assess swallow function in adults with suspected aspiration. Gastroenterology 140(5):1454–1463PubMedCrossRef Omari T, Dejaeger E, Van Beckevoort D, Goeleven A, Davidson GP, Dent J, Tack J, Rommel N (2011) A method to objectively assess swallow function in adults with suspected aspiration. Gastroenterology 140(5):1454–1463PubMedCrossRef
76.
go back to reference Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ (2008) Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol 103(1):27–37PubMedCrossRef Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ (2008) Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol 103(1):27–37PubMedCrossRef
77.
go back to reference Patton V, Arkwright JW, Lubowski DZ, Dinning PG (2013) Sacral nerve stimulation alters distal colonic motility in patients with faecal incontinence. Br J Surg. doi:10.1002/bjs.9114. [Epub ahead of print] Patton V, Arkwright JW, Lubowski DZ, Dinning PG (2013) Sacral nerve stimulation alters distal colonic motility in patients with faecal incontinence. Br J Surg. doi:10.​1002/​bjs.​9114. [Epub ahead of print]
78.
go back to reference Rantis PC Jr, Vernava AM 3rd, Daniel GL, Longo WE (1997) Chronic constipation-is the work-up worth the cost? Dis Colon Rectum 40(3):280–286PubMedCrossRef Rantis PC Jr, Vernava AM 3rd, Daniel GL, Longo WE (1997) Chronic constipation-is the work-up worth the cost? Dis Colon Rectum 40(3):280–286PubMedCrossRef
79.
go back to reference Rao SS, Sadeghi P, Beaty J, Kavlock R (2004) Ambulatory 24-hour colonic manometry in slow-transit constipation. Am J Gastroenterol 99(12):2405–2416PubMedCrossRef Rao SS, Sadeghi P, Beaty J, Kavlock R (2004) Ambulatory 24-hour colonic manometry in slow-transit constipation. Am J Gastroenterol 99(12):2405–2416PubMedCrossRef
80.
go back to reference Rao SSC, Seaton K, Miller M, Brown K, Nygaard I, Stumbo P, Zimmerman B, Schulze K (2007) Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation. Clin Gastroenterol Hepatol 5(3):331–338PubMedCrossRef Rao SSC, Seaton K, Miller M, Brown K, Nygaard I, Stumbo P, Zimmerman B, Schulze K (2007) Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation. Clin Gastroenterol Hepatol 5(3):331–338PubMedCrossRef
81.
go back to reference Ravi K, Bharucha AE, Camilleri M, Rhoten D, Bakken T, Zinsmeister AR (2010) Phenotypic variation of colonic motor functions in chronic constipation. Gastroenterology 138(1):89–97PubMedCrossRef Ravi K, Bharucha AE, Camilleri M, Rhoten D, Bakken T, Zinsmeister AR (2010) Phenotypic variation of colonic motor functions in chronic constipation. Gastroenterology 138(1):89–97PubMedCrossRef
82.
go back to reference Ritchie JA (1968) Colonic motor activity and bowel function. I. Normal movement of contents. Gut 9(4):442–456PubMedCrossRef Ritchie JA (1968) Colonic motor activity and bowel function. I. Normal movement of contents. Gut 9(4):442–456PubMedCrossRef
83.
go back to reference Ritchie JA, Ardran GM, Truelove SC (1962) Motor activity of the sigmoid colon of humans. A combined study by intraluminal pressure recording and cineradiography. Gastroenterology 43:642–668PubMed Ritchie JA, Ardran GM, Truelove SC (1962) Motor activity of the sigmoid colon of humans. A combined study by intraluminal pressure recording and cineradiography. Gastroenterology 43:642–668PubMed
84.
go back to reference Ritchie JA, Truelove SC, Ardan GM, Tuckey MS (1971) Propulsion and retropulsion of normal colonic contents. Am J Dig Dis 16(8):697–704PubMedCrossRef Ritchie JA, Truelove SC, Ardan GM, Tuckey MS (1971) Propulsion and retropulsion of normal colonic contents. Am J Dig Dis 16(8):697–704PubMedCrossRef
85.
go back to reference Sarna SK (2010) Colonic motility: from bench side to bedside. colloquium series on integrated systems physiology: from molecule to function to disease, 2011/04/01 edn. Morgan and Claypool Life Sciences, New York Sarna SK (2010) Colonic motility: from bench side to bedside. colloquium series on integrated systems physiology: from molecule to function to disease, 2011/04/01 edn. Morgan and Claypool Life Sciences, New York
86.
go back to reference Scharz G (1911) Zur Physiologie und Pathologie der menschlichen Dickdarmbewegungen. Muench Med Wochenschr 58:1489–1494 Scharz G (1911) Zur Physiologie und Pathologie der menschlichen Dickdarmbewegungen. Muench Med Wochenschr 58:1489–1494
87.
go back to reference Singh S, Heady S, Valestin J, Rao SS (2011) Clinical utility of ambulatory colonic manometry in adults with slow transit constipation: can underlying pathophysiology guide therapy? Gastroenterology 140 5(Suppl 1):S-52 Singh S, Heady S, Valestin J, Rao SS (2011) Clinical utility of ambulatory colonic manometry in adults with slow transit constipation: can underlying pathophysiology guide therapy? Gastroenterology 140 5(Suppl 1):S-52
88.
go back to reference Smout AJPM (2006) Recent developments in gastrointestinal motility. Scand J Gastroenterol Suppl 41(5):25–31CrossRef Smout AJPM (2006) Recent developments in gastrointestinal motility. Scand J Gastroenterol Suppl 41(5):25–31CrossRef
89.
go back to reference Torsoli A, Ramorino ML, Ammaturo MV, Capurso L, Paoluzi P, Anzini F (1971) Mass movements and intracolonic pressures. Am J Dig Dis 16(8):693–696PubMedCrossRef Torsoli A, Ramorino ML, Ammaturo MV, Capurso L, Paoluzi P, Anzini F (1971) Mass movements and intracolonic pressures. Am J Dig Dis 16(8):693–696PubMedCrossRef
90.
go back to reference Underwood EA (1946) Wilhelm Conrad Rontgen (1845-1923) and the early development of radiology. Can Med Assoc J 54:61–67 Underwood EA (1946) Wilhelm Conrad Rontgen (1845-1923) and the early development of radiology. Can Med Assoc J 54:61–67
91.
go back to reference van den Berg MM, Di Lorenzo C, Mousa HM, Benninga MA, Boeckxstaens GE, Luquette M (2009) Morphological changes of the enteric nervous system, interstitial cells of cajal, and smooth muscle in children with colonic motility disorders. J Pediatr Gastroenterol Nutr 48(1):22–29PubMedCrossRef van den Berg MM, Di Lorenzo C, Mousa HM, Benninga MA, Boeckxstaens GE, Luquette M (2009) Morphological changes of the enteric nervous system, interstitial cells of cajal, and smooth muscle in children with colonic motility disorders. J Pediatr Gastroenterol Nutr 48(1):22–29PubMedCrossRef
92.
go back to reference von der Ohe MR, Hanson RB, Camilleri M (1994) Comparison of simultaneous recordings of human colonic contractions by manometry and a barostat. Neurogastroenterol Motil 6:213–222CrossRef von der Ohe MR, Hanson RB, Camilleri M (1994) Comparison of simultaneous recordings of human colonic contractions by manometry and a barostat. Neurogastroenterol Motil 6:213–222CrossRef
93.
go back to reference Wedel T, Spiegler J, Soellner S, Roblick UJ, Schiedeck TH, Bruch HP, Krammer HJ (2002) Enteric nerves and interstitial cells of Cajal are altered in patients with slow-transit constipation and megacolon. Gastroenterology 123(5):1459–1467PubMedCrossRef Wedel T, Spiegler J, Soellner S, Roblick UJ, Schiedeck TH, Bruch HP, Krammer HJ (2002) Enteric nerves and interstitial cells of Cajal are altered in patients with slow-transit constipation and megacolon. Gastroenterology 123(5):1459–1467PubMedCrossRef
Metadata
Title
Colonic Manometry: What Do the Squiggly Lines Really Tell Us?
Author
Phil G. Dinning
Copyright Year
2013
Publisher
Springer Netherlands
DOI
https://doi.org/10.1007/978-94-007-6561-0_11