Abstract
Distortion-product otoacoustic emissions (DPOAEs) were measured as level/phase (L/P) maps in humans, rabbits, chinchillas, and rats with and without an interference tone (IT) placed either near the 2f(1)-f(2) DPOAE frequency place (f(dp)) or at one-third of an octave above the f(2) primary tone (1/3-...
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PMID: 21568412
PDF is available here.
Abstract
To evaluate the esophageal motility and abnormal acid and bile reflux incidence in cirrhotic patients without esophageal varices (EV).
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PMID: 21483637
PDF is available here.
Abstract
Spinal cord injury (SCI) causes anorectal problems, whose pathophysiology remains poorly characterized. A comprehensive method of evaluating spino-anorectal function is lacking. The aim of this study was to investigate the neuropathophysiology of bowel dysfunction in SCI by evaluating motor-evoked po...
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PMID: 21266960
PDF is available here.
Abstract
Arterial stiffness is considered as an independent predictor of cardiovascular mortality, and is increasingly used in clinical practice. This study aimed at evaluating the consistency of the automated estimation of regional and local aortic stiffness indices from cardiovascular magnetic resonance (CM...
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PMID: 21272312
PDF is available here.
Abstract
Constipation is often associated with some clinical signs as hard stool, incomplete defecation, chronic straining, and abdominal pain and long stays in bathroom. Some diagnostic uncertainties came from functional and structural variations of the anorectum and the assessment from few imaging procedure...
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PMID: 21452777
PDF is available here.
Abstract
Solitary rectal ulcer syndrome (SRUS) is a rare condition with various causes that results in ischemic injury. The aim of this study was to assess the clinical findings, diagnosis, and outcomes of treatment in patients with SRUS. Between 1992 and 2006, a retrospective review was undertaken for all pa...
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PMID: 21675619
PDF is available here.
Abstract
We aimed to describe this relationship and create a predictive model for pelvic floor dyssynergia on defecography.
From March 2008 to April 2010 consecutive patients with symptoms suggestive of functional constipation were evaluated at our Pelvic Floor Disorders Center 125 and the results of their w...
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PMID: 21160315
PDF is available here.
Abstract
A randomized study was conducted to compare the clinical and functional outcomes of the stapled transanal rectal resection, using the traditional 2 circular staplers and a new, curved stapler device in patients with obstructed defecation caused by rectal intussusception and rectocele. Stapled transa...
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PMID: 21160317
PDF is available here.
Abstract
We developed a novel scoring system for anal sphincter tone using a scale of 0 to 5 for both resting pressure and squeeze pressure. The score ranges from 0 = no discernable pressure to 5 = extremely tight and 3 = normal. We hypothesized that the digital rectal examination scoring system (DRESS) scor...
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PMID: 21178861
PDF is available here.
Abstract
Foot compartment syndrome is diagnosed with intracompartmental pressure measurements. The purpose of this study was to determine the ability of two techniques to accurately place a needle tip within the medial foot compartment and to compare the proximity of the needle tip to the medial foot compart...
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PMID: 21189194
PDF is available here.
Abstract
We tested the hypothesis that AIx and CABP would be higher in patients with fast-progressing AAA.
We performed APT and peripheral blood pressure measurements in 114 patients with AAA (11 women) with a mean ± SD age of 67.4±6.1 years. Annual AAA progression rate was determined by ultrasound. Patien...
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PMID: 20724939
PDF is available here.
Abstract
We included 97 patients (age 63 ± 11 years) with treated essential hypertension who attended the outpatient hypertension clinic of a university hospital, had a significant blood pressure (BP) lowering under treatment before the first measurement of aortic stiffness, and had at least one additional...
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PMID: 20683338
PDF is available here.
Abstract
We determined the pressures achieved in the distal, middle, and proximal parts of the esophagus.
Statistical analysis revealed that the amplitude of pressure in the distal esophagus during sound emission was higher in speaking laryngectomees; in the middle esophagus, intraluminal pressure during emi...
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PMID: 21140631
PDF is available here.
Abstract
Our data indicate that tailoring antireflux surgery to the esophageal motility of the patient seems unnecessary. In summary, technical surgical aspects appear to be more important for clinical outcome....
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PMID: 20874483
PDF is available here.
Abstract
Data on intraocular pressure (IOP) during cardiac surgery with cardiopulmonary bypass (CPB) and anesthetic management are limited. This study was conducted to investigate changes in IOP during cardiac surgery with and without CPB.
IOP was intraoperatively measured in patients undergoing elective car...
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PMID: 20632041
PDF is available here.
Abstract
We obtained information concerning fecal incontinence from 101 (85%) patients. Methods. The obstetric team on call performed the repairs. Wexner score, endoanal ultrasound (EAUS), and manometry were used to evaluate anal sphincter function at 12 months post-surgery. Main outcome measures. Primary ou...
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PMID: 20846058
PDF is available here.
Abstract
We can legitimately speak of gut dysfunction, as opposed to others where symptoms are not associated with apparent or detectable gut disturbances and may truly represent somatization of an affective disorder. In this review, we describe available clinically applicable technology, albeit in specializ...
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PMID: 20582743
PDF is available here.
Abstract
BACKGROUND: Lung transplantation has become an effective therapeutic option for selected patients with end stage lung disease. Long-term survival is limited by chronic rejection manifest as bronchiolitis obliterans syndrome (BOS). The aspiration of gastric contents has been implicated as a causative...
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PMID: 20507544
PDF is available here.
Abstract
To identify associations between sleep-disordered breathing (SDB) and arterial stiffness.
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PMID: 20815190
PDF is available here.
Abstract
Hyperglycemia had no effect on duodenal pressure waves or flow events during the 60 min of intraduodenal glucose infusion, when compared to euglycemia. During hyperglycemia, there was an increase in plasma GIP (P<0.05) and 14C-3-OMG (P<0.05) but no effect on GLP-1 concentrations in response to the i...
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PMID: 20501683
PDF is available here.
Abstract
Among 114 intubated patients, mean altitude increase was 2,260 feet (95% confidence interval [CI] 2,040 to 2,481 feet; median 2,085 feet; interquartile range [IQR] 1,477.5 to 2,900 feet). Mean flight time was 14.8 minutes (95% CI 13.1 to 16.4 minutes; median 13.5 minutes; IQR 10 to 16.1 minutes). In...
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PMID: 20188442
PDF is available here.
Abstract
The aim of this study was to characterize differences in health-related quality of life among women presenting for treatment of fecal incontinence.
Among 155 women presenting for treatment of fecal incontinence in a specialty clinic, validated questionnaires measured impact on quality of life (Modif...
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PMID: 20628278
PDF is available here.
Abstract
This study reports on the preliminary results of external neuromyogenic electrostimulation (ENS) for the treatment of anorectal continence problems.
A total of seventeen patients with anorectal malformations (n=11), Hirschsprung's disease (n=5) or pelvi-perineal trauma (n=1) were included in the stu...
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PMID: 20503145
PDF is available here.
Abstract
Oesophageal manometry is the standard for diagnosis of oesophageal motor disorders. Minimal data exist assessing the effect of gender on normal oesophageal manometry values.
Evaluate the impact of gender on normal oesophageal manometry values.
Healthy volunteers were recruited from the Jacksonville...
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PMID: 20036202
PDF is available here.
Abstract
High-resolution manometry (HRM) coupled with high-resolution esophageal topography plots (HREPT) has dramatically changed the paradigm of manometric studies. The purpose of the current review is to discuss the salient advantages of HRM that are likely to change the clinical practice of manometry.
Re...
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PMID: 20502325
PDF is available here.
Abstract
Augmentation index (AIx), a marker of the number of aortic wave reflections (AWRs), is influenced not only by the magnitude of incident and reflected pressure waves but also by the time of return. A new triangulation method has been developed, enabling us to better quantify AWRs and to determine the...
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PMID: 20418478
PDF is available here.
Abstract
Upper esophageal sphincter pressure decreased during anesthesia induction in both groups. Lower esophageal sphincter pressure decreased in both groups during anesthesia induction, and it was significantly lower in obese patients than in non-obese patients. The BrP decreased in both groups and was si...
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PMID: 20522705
PDF is available here.
Abstract
In achalasia, esophageal emptying results from swallow-induced longitudinal muscle contraction of the distal esophagus, which increases esophageal pressure and allows flow across the nonrelaxed EGJ.
Copyright 2010 AGA Institute. Published by Elsevier Inc. All rights reserved....
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PMID: 20381493
PDF is available here.
Abstract
Constipated subjects with rectal hyposensitivity demonstrate higher thresholds for inducing rectoanal reflexes and abnormal characteristics of sensorimotor response. These findings suggest either disruption of afferent gut-brain pathways or rectal wall dysfunction. These altered features may play a...
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PMID: 20551758
PDF is available here.
Abstract
Methylene blue infusion did not significantly change the P(g-a)CO(2) gradient (P = .16). Post hoc analysis of the subgroup of patients with an elevated baseline P(g-a)CO(2) gradient, defined as >or=20 mm Hg, showed that the median P(g-a)CO(2) gradient (interquartile range [IQR]) decreased from 45 (4...
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PMID: 20381302
PDF is available here.
Abstract
The methods were similar but not completely reliable for measuring intracompartmental pressure in trauma patients. Although all methods appeared useful as aids in diagnosis of compartment syndrome, intracompartmental pressure data, especially single readings, must be interpreted in view of clinical...
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PMID: 20502219
PDF is available here.
Abstract
AP decreased reflux and associated symptoms with good tolerability in patients with GERD....
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PMID: 20040914
PDF is available here.
Abstract
Our aim was to study esophageal motility patterns in children with GERD, taking into account the presence of anatomical abnormalities and neurological impairment, the effect of age on esophageal motility in GERD, and the relation between esophageal manometry and GERD severity parameters (acid exposu...
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PMID: 20400913
PDF is available here.
Abstract
Significant esophageal morbidity associated with EA extends into adulthood. Surgical complications, increasing age, and impaired esophageal motility predict development of epithelial metaplasia after repair of EA....
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PMID: 20485152
PDF is available here.
Abstract
We quantified the effect of swallowing maneuvers on pharyngeal pressure events using high-resolution manometry.
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PMID: 20583734
PDF is available here.
Abstract
High-frequency percussive ventilation (HFPV) is an increasingly used mode of mechanical ventilation, for which there is no proven real-time means of measuring delivered tidal volume (V(T)).
To validate a pneumotachograph for HFPV and then exploit flow-sensor data to describe the behavior of both low...
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PMID: 20507657
PDF is available here.
Abstract
We show the feasibility of a single-beam gradient-trap system working with a force detection technique based on this same principle....
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PMID: 20589058
PDF is available here.
Abstract
The minimum volume required for a detectable SI impedance event was 2 mL. A direct linear relationship between the SI bolus volume and the occurrence of impedance events was noted until SI bolus volume reached 10 mL, a volume which always produced an impedance flow event. There was a moderate correl...
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PMID: 20440856
PDF is available here.
Abstract
Disorders affecting colorectal motility lead to significant morbidity in children with surgical conditions. Etiology is frequently unknown, which in turn makes treatment empiric and compromises outcome. A thorough understanding of the normal mechanisms of control and the ability to recognize and man...
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PMID: 20307844
PDF is available here.
Abstract
The AP and AIx-75 at t2-t4 were significantly lower compared with t1, with the greatest decrease in arterial stiffness at t3 (P<.05). CONCLUSION: In preeclampsia, MgSO4 improved central arterial compliance. This effect was most exaggerated after 4 hours of infusion and remained 24 hours following Mg...
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PMID: 20452485
PDF is available here.
Abstract
The endoanal ultrasonography detected occult organic lesions to proctologic examination, in half the patients with anal pain. Ultrasound abnormalities were found in 22% of patients with functional anal pain. However, there was no correlation between ultrasound findings and physiological studies, and...
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PMID: 20524758
PDF is available here.
Abstract
The arterial pulse has historically been an essential source of information in the clinical assessment of health. With current sphygmomanometric and oscillometric devices, only the peak and trough of the peripheral arterial pulse waveform are clinically used. Several limitations exist with periphera...
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PMID: 20435839
PDF is available here.
Abstract
Anorectal function was preserved well after TEM, although some anorectal manometric parameters changed over time. Thus TEM is safe, in terms of anorectal function, for the cure of benign and early malignant tumors of the rectum....
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PMID: 20225126
PDF is available here.
Abstract
Rectoanal angle did not decrease significantly in patients with fecal incontinence during SNM....
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PMID: 20162279
PDF is available here.
Abstract
A single SOM study may not represent the day-to-day physiology of the sphincter of Oddi; sphincter pathology may progress over time. One normal exam may not rule out SOD. A repeat ERCP with manometry may be warranted in a subset of patients with persistent debilitating symptoms and a high index of s...
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PMID: 19967632
PDF is available here.
Abstract
In untreated middle age hypertensives arterial stiffness assessed by PWV is less frequent than LVH or microalbuminuria. PWV is mainly related to age, LDL cholesterol, and pulse pressure values.
2009 Elsevier España, S.L. All rights reserved....
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PMID: 20022065
PDF is available here.
Abstract
Twenty-four hours multichannel intraesophageal impedance and pH monitoring in a patient who suffered from recurrent hiccups for more than a year revealed frequent supragastric belching and pathological oesophageal acid exposure. Furthermore, a temporal relationship between the start of a hiccup epis...
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PMID: 20380015
PDF is available here.
Abstract
The mechanisms associated with cardiac resynchronization therapy (CRT) benefits have been elucidated in part, however little is known about the effects of biventricular pacing (BVP) on regional myocardial contractility.
Twenty patients with conventional CRT criteria w...
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PMID: 20015848
PDF is available here.
Abstract
One hundred patients were randomized to LN (50) or LT (50). There were no differences between LN and LT with respect to postoperative symptoms and physiological variables except a higher wrap pressure in the LN group (15.2 vs. 12.0 mmHg). Dysmotility improved in 8/14 (57%) and 6/11 (54%) patients in...
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PMID: 19789920
PDF is available here.
Abstract
Eighty-nine patients composed the study sample (25 men, 38.3+/-11.1 years; BMI 45+/-6.9 kg/m). Sixty-two patients (70%) had pathological reflux, whereas 27 patients (30%) had physiological reflux. Pathological reflux was predicted either by inspiratory GOPG [prevalence ratio (PR) =1.05; 95% confiden...
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PMID: 20110819
PDF is available here.
Abstract
The study enrolled 26 patients with a mean age of 45 years. The patients included 16 women (62%) with a mean body mass index (BMI) of 28 and an American Society Anesthesiology (ASA) classification of 2. These patients included 11 with associated small hiatal hernias, 3 with Barrett's esophagus, and...
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PMID: 19730949
PDF is available here.
Abstract
Left ventricular (LV) strain and strain rate have been proposed as novel indices of systolic function; however, there are limited data about the effect of acute changes on these parameters.
Simultaneous Millar micromanometer LV pressure and echocardiographic assessmen...
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PMID: 20026455
PDF is available here.
Abstract
Administration of intravenous EL resulted in no changes in colonic MI in pediatric patients referred for colonic manometry. Further studies on potential colokinetic agents are warranted in this population of patients.
Copyright 2010 Elsevier Inc. All rights reserved....
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PMID: 20385286
PDF is available here.
Abstract
The pathophysiology of IIH remains unknown. TS stenoses have been observed in a high proportion of these patients. Stent placement to remove this potential obstruction to venous outflow has been proposed as a treatment option for patients with IIH refractory to medical treatment....
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PMID: 19942702
PDF is available here.
Abstract
Obese men have lower arterial distensibility and higher circulating PTX3 levels than non-obese men; therefore, higher PTX3 levels and decreased arterial distensibility coexist in obese men. The high PTX3 concentrations in obese men may be involved in the mechanism underlying the obesity-induced decr...
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PMID: 20134101
PDF is available here.
Abstract
Seventeen female and three male patients were included, with a mean age of 37.6 +/- 12.6 years. All patients reduced their body weight, from an initial BMI of 38.3 kg/m(2) to 28.2 kg/m(2) 6 months after surgery. No postoperative complications were observed in these patients. Preoperative mean LESP w...
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PMID: 20013071
PDF is available here.