Symptoms in patients with ulcerative colitis in remission are associated with visceral hypersensitivity and mast cell activity
| العنوان: | Symptoms in patients with ulcerative colitis in remission are associated with visceral hypersensitivity and mast cell activity |
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| المؤلفون: | Hein W. Verspaget, Patrick P. J. van der Veek, Rob Verhaaren, Frans A. Prins, Annemieke Yvonne Thijssen, Ad A.M. Masclee, Eduard A. van Hoboken |
| المساهمون: | Interne Geneeskunde, RS: NUTRIM - R2 - Gut-liver homeostasis |
| المصدر: | Scandinavian Journal of Gastroenterology, 46(7-8), 981-987 Scandinavian Journal of Gastroenterology, 46(7-8), 981-987. Informa Healthcare |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, Diarrhea, Male, medicine.medical_specialty, visceral perception, IRRITABLE-BOWEL-SYNDROME, DISORDERS, IMPACT, Enteric nerves irritable bowel syndrome mast cells ulcerative colitis visceral perception irritable-bowel-syndrome quality-of-life ibs-like symptoms disease sensitivity severity inflammation disorders impact pain, Sensation, Inflammation, Cell Count, Gastroenterology, DISEASE, INFLAMMATION, QUALITY-OF-LIFE, Internal medicine, medicine, Hypersensitivity, Humans, In patient, Mast Cells, Colitis, Intestinal Mucosa, Irritable bowel syndrome, ulcerative colitis, irritable bowel syndrome, business.industry, Rectum, PAIN, Middle Aged, medicine.disease, Mast cell, Barostat, Ulcerative colitis, Abdominal Pain, medicine.anatomical_structure, SEVERITY, IBS-LIKE SYMPTOMS, Colitis, Ulcerative, Female, medicine.symptom, Enteric nerves, SENSITIVITY, business, Free nerve ending, Constipation, Mechanoreceptors |
| الوصف: | Objective. Patients with ulcerative colitis in remission (UCR) frequently report irritable bowel syndrome (IBS)-like symptoms. Recent studies have pointed to the role of mast cells in mediating visceral hypersensitivity in IBS. We hypothesized that visceral hypersensitivity is frequently present in patients with UCR and is related to the quantity and activity of mast cells in the sigmoid mucosa. Material and methods. A group of 17 controls and 19 patients with UCR were studied. Rectal compliance and perception were measured by electronic barostat. Sigmoid biopsies were taken to quantify the amount of mast cells, degranulating mast cells and mast cells in close proximity to mucosal nerve endings. Results. Visceroperception significantly increased in UCR (p < 0.05) versus controls. Rectal perception correlated positively with IBS-like symptoms in UCR (r = 0.969; p < 0.05). The amount of mucosal mast cells (per 100 crypts) was significantly increased in UCR versus controls: 228 +/- 20 versus 163 +/- 18 (p < 0.05). In the UCR patients a higher percentage of mucosal mast cells was in close proximity to nerve endings (58 +/- 4 vs. 38 +/- 3% in controls; p < 0.05) or was degranulating (40 +/- 7 vs. 16 +/- 4% in controls; p < 0.05). There was a significant but weak correlation between quantity of mucosal mast cells and pain perception (r = 0.32; p < 0.05). Conclusion. Rectal hypersensitivity is associated with mucosal presence and activation of mast cells and with IBS-like symptoms in patients with UCR. |
| اللغة: | English |
| تدمد: | 0036-5521 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::338012806a3ef95a4efe73cedba58e06 https://doi.org/10.3109/00365521.2011.579156 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....338012806a3ef95a4efe73cedba58e06 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 00365521 |
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