Visceral hypersensitivity

被引:41
作者
Delgado-Aros, S [1 ]
Camilleri, M [1 ]
机构
[1] Mayo Clin, Coll Med, CENTER Prog, Rochester, MN 55905 USA
关键词
sensation; afferents; visceral hypersensitivity; thresholds; compliance;
D O I
10.1097/01.mcg.0000156114.22598.1b
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Visceral hypersensitivity is considered one of the causes of functional gastrointestinal disorders. The objectives of this review are to provide a practical description of neuroanatomy and physiology of gut sensation, to describe the diverse tests of visceral sensation and the potential role of brain imaging to further our understanding of visceral sensitivity in health and disease. Changes in motor function in the gut may influence sensory levels, eg, during contractions or as a result of changes in viscus compliance. New insights on sensory end organs, such as intraganglionic laminar endings, and basic neurophysiologic studies showing afferent firing during changes in stretch rather than tension illustrate the importance of different types of stimuli, not just tension, to stimulate afferent sensation. These insights provide the basis for understanding visceral sensation in health and disease, which will be extensively discussed in subsequent articles.
引用
收藏
页码:S194 / S203
页数:10
相关论文
共 118 条
[1]   New probe for the measurement of dynamic changes in the rectum [J].
Andersen, IS ;
Gregersen, H ;
Buntzen, S ;
Djurhuus, JC ;
Laurberg, S .
NEUROGASTROENTEROLOGY AND MOTILITY, 2004, 16 (01) :99-105
[2]   Brain-gut axis in health and disease [J].
Aziz, Q ;
Thompson, DG .
GASTROENTEROLOGY, 1998, 114 (03) :559-578
[3]  
Bayliss W M, 1899, J Physiol, V24, P99
[4]   VAGAL AFFERENT INNERVATION OF THE RAT FUNDIC STOMACH - MORPHOLOGICAL CHARACTERIZATION OF THE GASTRIC TENSION RECEPTOR [J].
BERTHOUD, HR ;
POWLEY, TL .
JOURNAL OF COMPARATIVE NEUROLOGY, 1992, 319 (02) :261-276
[5]   Effects of a serotonin 5-HT4 receptor antagonist SE-207266 on gastrointestinal motor and sensory function in humans [J].
Bharucha, AE ;
Camilleri, M ;
Haydock, S ;
Ferber, I ;
Burton, D ;
Cooper, S ;
Tompson, D ;
Fitzpatrick, K ;
Higgins, R ;
Zinsmeister, AR .
GUT, 2000, 47 (05) :667-674
[6]   Adrenergic modulation of human colonic motor and sensory function [J].
Bharucha, AE ;
Camilleri, M ;
Zinsmeister, AR ;
Hanson, RB .
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 1997, 273 (05) :G997-G1006
[7]   Dissociable neural responses to facial expressions of sadness and anger [J].
Blair, RJR ;
Morris, JS ;
Frith, CD ;
Perrett, DI ;
Dolan, RJ .
BRAIN, 1999, 122 :883-893
[8]   Impaired drinking capacity in patients with functional dyspepsia: Relationship with proximal stomach function [J].
Boeckxstaens, GE ;
Hirsch, DP ;
Van den Elzen, BDJ ;
Heisterkamp, SH ;
Tytgat, GNJ .
GASTROENTEROLOGY, 2001, 121 (05) :1054-1063
[9]   Rectal distention testing in patients with irritable bowel syndrome:: Sensitivity, specificity, and predictive values of pain sensory thresholds [J].
Bouin, M ;
Plourde, V ;
Boivin, M ;
Riberdy, M ;
Lupien, F ;
Laganière, M ;
Verrier, P ;
Poitras, P .
GASTROENTEROLOGY, 2002, 122 (07) :1771-1777
[10]   SPECT imaging of the stomach: comparison with barostat, and effects of sex, age, body mass index, and fundoplication [J].
Bouras, EP ;
Delgado-Aros, S ;
Camilleri, M ;
Castillo, EJ ;
Burton, DD ;
Thomforde, GM ;
Chial, HJ .
GUT, 2002, 51 (06) :781-786