围体收缩性:影响IPAA功能的另一个因素?
Jonathan Stem1, Charles Heise2, Bruce Harms2,3
1Division of GI Surgery, CB #7081, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, 27599-7081, USA. Jonathan_stem@med.unc.edu.
International journal of colorectal disease
|May 2, 2025
概括
大幅度的囊收缩在结节切开后的早期与夜间斑点和增加肠道排便相关. 随着时间的推移,囊囊收缩性会降低,对生活质量没有长期影响.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 炎症性肠道疾病研究研究
背景情况:
- 性结肠炎 (UC) 的治疗往往涉及到全方位分泌切除术与阴道囊-门解剖 (IPAA).
- 手术后囊功能和患者报告的结果对于成功的UC管理至关重要.
- 了解囊收缩的动态对于优化功能结果至关重要.
研究的目的:
- 为了研究IPAA之后的高振幅袋收缩波.
- 确定这些收缩对UC患者功能结果和生活质量的影响.
主要方法:
- 在早期 (<6个月) 和延迟 (>11个月) 时间点封闭后的袋子计量数据的观察队列研究.
- 高幅度的收缩,定义为高峰≥20 mmHg以上基线.
- 囊功能和生活质量与收缩幅度和频率的相关性.
主要成果:
- 随着时间的推移,收缩频率显著下降.
- 大多数患者在以后的时间点上没有围静收缩性.
- 早期高幅度的收缩与夜间斑点和排便增加有关.
- 没有观察到对生活质量的显著影响.
结论:
- 提升囊收缩性早在伊莱奥斯托米取下后,与功能问题,如夜间斑点相关.
- 随着时间的推移,囊囊收缩性会减弱,大多数患者在一年后都不会出现波纹.
- 高幅度收缩性是影响IPAA后早期功能结果的一个因素.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
65
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
65
Gastric Motility
244
Gastric motility is the coordinated contraction and relaxation of stomach muscles that convert ingested food into chyme, a semi-liquid substance ready for further digestion in the intestines. The process begins with the vagus nerve inducing the relaxation of the smooth muscles in the fundus and body of the stomach, allowing these regions to expand and accommodate up to approximately 1.5 liters of food and liquid.
Peristaltic Waves and Chyme Formation
Upon food entry, the stomach initiates...
Peristaltic Waves and Chyme Formation
Upon food entry, the stomach initiates...
244
Smooth Muscle Contraction
2.1K
Smooth muscle contraction is a complex process vital for various bodily functions, from maintaining blood vessel tension to facilitating the movement of food through the digestive tract. Unlike striated muscles, smooth muscle contraction begins more slowly and lasts longer.
The onset of contraction is triggered by an increase in calcium ions within the sarcoplasm, similar to the process in striated muscle. However, smooth muscles have a relatively smaller reservoir of the sarcoplasmic...
The onset of contraction is triggered by an increase in calcium ions within the sarcoplasm, similar to the process in striated muscle. However, smooth muscles have a relatively smaller reservoir of the sarcoplasmic...
2.1K
Drugs for Treatment of Constipation-Predominant IBS
109
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
109
Phosphoinositides and PIPs
7.2K
Phosphoinositides are a group of phospholipids containing a glycerol backbone with two fatty acid chains and a phosphate attached to a myoinositol sugar ring. The inositol head group extends into the cytoplasm, where it is modified by adding phosphate groups to form phosphatidylinositol phosphates or PIPs.
Different phosphoinositides are synthesized and recruited on the cytosolic face of the plasma membrane. The localization of specific phosphoinositides concentrated in separate membrane...
Different phosphoinositides are synthesized and recruited on the cytosolic face of the plasma membrane. The localization of specific phosphoinositides concentrated in separate membrane...
7.2K
Pathophysiology of Peptic Ulcer Disease: Injurious Factors
479
Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds...
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds...
479


