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Manometry of the upper intestinal tract in patients with systemic sclerosis: A prospective study
Objective To assess both the prevalence and the characteristics of motor disorders of the small bowel in patients with systemic sclerosis (SSc) and to investigate for an association between clinical manifestations in the upper intestinal tract, capillaroscopic features, esophageal motor impairment,...
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Published in: | Arthritis and rheumatism 1998-10, Vol.41 (10), p.1874-1883 |
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container_title | Arthritis and rheumatism |
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creator | Marie, Isabelle Levesque, Hervé Ducrotté, Philippe Denis, Philippe Benichou, Jacques Hellot, Marie‐France Cailleux, Nicole Le Loët, Xavier Joly, Pascal Lauret, Philippe Courtois, Hubert |
description | Objective
To assess both the prevalence and the characteristics of motor disorders of the small bowel in patients with systemic sclerosis (SSc) and to investigate for an association between clinical manifestations in the upper intestinal tract, capillaroscopic features, esophageal motor impairment, and manometric evidence of motor disturbances.
Methods
Fasting and postprandial motor activity of the upper intestinal tract was studied in 17 consecutive patients with SSc (6 with and 11 without clinical manifestations of small bowel involvement) and 17 age‐and sex‐matched healthy control subjects.
Results
The prevalence of manometric evidence of intestinal involvement was as high as 88% in the SSc patients; normal motor activity was present in only 2 patients. The median values for duodenal and jejunal interdigestive phase III migrating motor complex duration, amplitude, and velocity and the postprandial motility index were therefore lower in SSc patients compared with controls. Our manometric findings indicated that there are both neuropathic and myopathic stages of upper intestinal tract dysfunction in SSc. Furthermore, no association could be found between the severity of the intestinal manometric abnormalities and clinical presentation, SSc subsets, disease score, capillaroscopic findings, or esophageal manometric impairment.
Conclusion
We suggest that manometry of the upper intestinal tract may be useful in SSc patients with clinical manifestations in the small bowel (i.e., malabsorption syndrome or pseudoobstruction) in that it can be used to accurately evaluate both the nature and the severity of motor disturbances. Furthermore, this procedure can be used to assist in the selection of patients who may require octreotide therapy. |
doi_str_mv | 10.1002/1529-0131(199810)41:10<1874::AID-ART21>3.0.CO;2-T |
format | article |
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To assess both the prevalence and the characteristics of motor disorders of the small bowel in patients with systemic sclerosis (SSc) and to investigate for an association between clinical manifestations in the upper intestinal tract, capillaroscopic features, esophageal motor impairment, and manometric evidence of motor disturbances.
Methods
Fasting and postprandial motor activity of the upper intestinal tract was studied in 17 consecutive patients with SSc (6 with and 11 without clinical manifestations of small bowel involvement) and 17 age‐and sex‐matched healthy control subjects.
Results
The prevalence of manometric evidence of intestinal involvement was as high as 88% in the SSc patients; normal motor activity was present in only 2 patients. The median values for duodenal and jejunal interdigestive phase III migrating motor complex duration, amplitude, and velocity and the postprandial motility index were therefore lower in SSc patients compared with controls. Our manometric findings indicated that there are both neuropathic and myopathic stages of upper intestinal tract dysfunction in SSc. Furthermore, no association could be found between the severity of the intestinal manometric abnormalities and clinical presentation, SSc subsets, disease score, capillaroscopic findings, or esophageal manometric impairment.
Conclusion
We suggest that manometry of the upper intestinal tract may be useful in SSc patients with clinical manifestations in the small bowel (i.e., malabsorption syndrome or pseudoobstruction) in that it can be used to accurately evaluate both the nature and the severity of motor disturbances. Furthermore, this procedure can be used to assist in the selection of patients who may require octreotide therapy.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/1529-0131(199810)41:10<1874::AID-ART21>3.0.CO;2-T</identifier><identifier>PMID: 9778230</identifier><identifier>CODEN: ARHEAW</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Esophageal Motility Disorders - complications ; Female ; Humans ; Intestinal Diseases - complications ; Intestinal Diseases - epidemiology ; Intestine, Small ; Male ; Manometry ; Medical sciences ; Middle Aged ; Prevalence ; Prospective Studies ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Scleroderma, Systemic - complications</subject><ispartof>Arthritis and rheumatism, 1998-10, Vol.41 (10), p.1874-1883</ispartof><rights>Copyright © 1998 by the American College of Rheumatology</rights><rights>1998 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3851-f1de9ee8dd581ad8332568a88c8508f8c040e233fad8f07ab1c2cf25a251e8d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1529-0131%28199810%2941%3A10%3C1874%3A%3AAID-ART21%3E3.0.CO%3B2-T$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1529-0131%28199810%2941%3A10%3C1874%3A%3AAID-ART21%3E3.0.CO%3B2-T$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27924,27925,46049,46473</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2415294$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9778230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marie, Isabelle</creatorcontrib><creatorcontrib>Levesque, Hervé</creatorcontrib><creatorcontrib>Ducrotté, Philippe</creatorcontrib><creatorcontrib>Denis, Philippe</creatorcontrib><creatorcontrib>Benichou, Jacques</creatorcontrib><creatorcontrib>Hellot, Marie‐France</creatorcontrib><creatorcontrib>Cailleux, Nicole</creatorcontrib><creatorcontrib>Le Loët, Xavier</creatorcontrib><creatorcontrib>Joly, Pascal</creatorcontrib><creatorcontrib>Lauret, Philippe</creatorcontrib><creatorcontrib>Courtois, Hubert</creatorcontrib><title>Manometry of the upper intestinal tract in patients with systemic sclerosis: A prospective study</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objective
To assess both the prevalence and the characteristics of motor disorders of the small bowel in patients with systemic sclerosis (SSc) and to investigate for an association between clinical manifestations in the upper intestinal tract, capillaroscopic features, esophageal motor impairment, and manometric evidence of motor disturbances.
Methods
Fasting and postprandial motor activity of the upper intestinal tract was studied in 17 consecutive patients with SSc (6 with and 11 without clinical manifestations of small bowel involvement) and 17 age‐and sex‐matched healthy control subjects.
Results
The prevalence of manometric evidence of intestinal involvement was as high as 88% in the SSc patients; normal motor activity was present in only 2 patients. The median values for duodenal and jejunal interdigestive phase III migrating motor complex duration, amplitude, and velocity and the postprandial motility index were therefore lower in SSc patients compared with controls. Our manometric findings indicated that there are both neuropathic and myopathic stages of upper intestinal tract dysfunction in SSc. Furthermore, no association could be found between the severity of the intestinal manometric abnormalities and clinical presentation, SSc subsets, disease score, capillaroscopic findings, or esophageal manometric impairment.
Conclusion
We suggest that manometry of the upper intestinal tract may be useful in SSc patients with clinical manifestations in the small bowel (i.e., malabsorption syndrome or pseudoobstruction) in that it can be used to accurately evaluate both the nature and the severity of motor disturbances. Furthermore, this procedure can be used to assist in the selection of patients who may require octreotide therapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Esophageal Motility Disorders - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Diseases - complications</subject><subject>Intestinal Diseases - epidemiology</subject><subject>Intestine, Small</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Scleroderma, Systemic - complications</subject><issn>0004-3591</issn><issn>1529-0131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNqVkFFv0zAUhS0EGl3ZT0DyA0LsIcXXjhenQ0hVgW3SUMUoz8ZzrjWjJA2xw5R_j7tUfeKFJ9v3HJ979BFSAlsAY_w9SF5mDAS8g7JUwM5zWAL7AKrIl8vVzadsdbfl8FEs2GK9ueTZ9hmZHf88JzPGWJ4JWcJLchrCr_TkQooTclIWheKCzcjPr6bdNRj7ke4cjQ9Ih67Dnvo2Yoi-NTWNvbExDWhnosc2Bvro4wMNY4jYeEuDrbHfBR-WdEW7dOvQRv8HaYhDNb4iL5ypA54dzjn58eXzdn2d3W6ubtar28wKJSFzUGGJqKpKKjCVEoLLC2WUskoy5ZRlOUMuhEuaY4W5B8ut49JwCemXFHPydspNDX4PqbtufLBY16bF3RD0RVkWwFPCnHybjDZVDT063fW-Mf2ogek9db0nqPcE9URd5_CkJepaJ-r6iboWmun1RnO9TZmvD8uH-warY-IBc9LfHHQTrKldb1rrw9HG8_3KPNm-T7ZHX-P4X73-VWsaiL_jIqik</recordid><startdate>199810</startdate><enddate>199810</enddate><creator>Marie, Isabelle</creator><creator>Levesque, Hervé</creator><creator>Ducrotté, Philippe</creator><creator>Denis, Philippe</creator><creator>Benichou, Jacques</creator><creator>Hellot, Marie‐France</creator><creator>Cailleux, Nicole</creator><creator>Le Loët, Xavier</creator><creator>Joly, Pascal</creator><creator>Lauret, Philippe</creator><creator>Courtois, Hubert</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199810</creationdate><title>Manometry of the upper intestinal tract in patients with systemic sclerosis: A prospective study</title><author>Marie, Isabelle ; Levesque, Hervé ; Ducrotté, Philippe ; Denis, Philippe ; Benichou, Jacques ; Hellot, Marie‐France ; Cailleux, Nicole ; Le Loët, Xavier ; Joly, Pascal ; Lauret, Philippe ; Courtois, Hubert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3851-f1de9ee8dd581ad8332568a88c8508f8c040e233fad8f07ab1c2cf25a251e8d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Esophageal Motility Disorders - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Diseases - complications</topic><topic>Intestinal Diseases - epidemiology</topic><topic>Intestine, Small</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Scleroderma, Systemic - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>Marie, Isabelle</creatorcontrib><creatorcontrib>Levesque, Hervé</creatorcontrib><creatorcontrib>Ducrotté, Philippe</creatorcontrib><creatorcontrib>Denis, Philippe</creatorcontrib><creatorcontrib>Benichou, Jacques</creatorcontrib><creatorcontrib>Hellot, Marie‐France</creatorcontrib><creatorcontrib>Cailleux, Nicole</creatorcontrib><creatorcontrib>Le Loët, Xavier</creatorcontrib><creatorcontrib>Joly, Pascal</creatorcontrib><creatorcontrib>Lauret, Philippe</creatorcontrib><creatorcontrib>Courtois, Hubert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marie, Isabelle</au><au>Levesque, Hervé</au><au>Ducrotté, Philippe</au><au>Denis, Philippe</au><au>Benichou, Jacques</au><au>Hellot, Marie‐France</au><au>Cailleux, Nicole</au><au>Le Loët, Xavier</au><au>Joly, Pascal</au><au>Lauret, Philippe</au><au>Courtois, Hubert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Manometry of the upper intestinal tract in patients with systemic sclerosis: A prospective study</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>1998-10</date><risdate>1998</risdate><volume>41</volume><issue>10</issue><spage>1874</spage><epage>1883</epage><pages>1874-1883</pages><issn>0004-3591</issn><eissn>1529-0131</eissn><coden>ARHEAW</coden><abstract>Objective
To assess both the prevalence and the characteristics of motor disorders of the small bowel in patients with systemic sclerosis (SSc) and to investigate for an association between clinical manifestations in the upper intestinal tract, capillaroscopic features, esophageal motor impairment, and manometric evidence of motor disturbances.
Methods
Fasting and postprandial motor activity of the upper intestinal tract was studied in 17 consecutive patients with SSc (6 with and 11 without clinical manifestations of small bowel involvement) and 17 age‐and sex‐matched healthy control subjects.
Results
The prevalence of manometric evidence of intestinal involvement was as high as 88% in the SSc patients; normal motor activity was present in only 2 patients. The median values for duodenal and jejunal interdigestive phase III migrating motor complex duration, amplitude, and velocity and the postprandial motility index were therefore lower in SSc patients compared with controls. Our manometric findings indicated that there are both neuropathic and myopathic stages of upper intestinal tract dysfunction in SSc. Furthermore, no association could be found between the severity of the intestinal manometric abnormalities and clinical presentation, SSc subsets, disease score, capillaroscopic findings, or esophageal manometric impairment.
Conclusion
We suggest that manometry of the upper intestinal tract may be useful in SSc patients with clinical manifestations in the small bowel (i.e., malabsorption syndrome or pseudoobstruction) in that it can be used to accurately evaluate both the nature and the severity of motor disturbances. Furthermore, this procedure can be used to assist in the selection of patients who may require octreotide therapy.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>9778230</pmid><doi>10.1002/1529-0131(199810)41:10<1874::AID-ART21>3.0.CO;2-T</doi><tpages>10</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Esophageal Motility Disorders - complications Female Humans Intestinal Diseases - complications Intestinal Diseases - epidemiology Intestine, Small Male Manometry Medical sciences Middle Aged Prevalence Prospective Studies Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Scleroderma, Systemic - complications |
title | Manometry of the upper intestinal tract in patients with systemic sclerosis: A prospective study |
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