Abstract
Computerized auscultation of the abdomen provides a noninvasive and quantitative method to investigate gastrointestinal function. Two-dimensional mapping of bowel sound sites of origin, to the surface of the abdomen, was accomplished through simultaneous recording with three electronic stethoscopes. Control, irritable bowel syndrome, and nonulcer dyspepsia groups were studied. The predominant site of fasting sound production was the right lower quadrant in all except a subgroup of nonucler dyspepsia patients. The second most common site mapped to the area of the stomach. The region mapping to the small intestine was largely devoid of sound. The control group had a higher percentage of sounds in the 184- to 248-Hz range than the functional bowel patients (P < 0.001) for sounds mapping to the stomach region. We conclude that two-dimensional mapping may have the potential to allow for the meaningful and objective categorization of groups of functional bowel patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
REFERENCES
Gade J, Kruse P, Andersen OT, Pedersen SB, Boesby S: Physicians’ abdominal auscultation. A multi-rater agreement study. Scand J of Gastroenterol 33(7):773–777, 1998
Politzer J-P, Devroede G, Vasseur C, Gerard J, Thibault R: The genesis of bowel sounds: Influence of viscus and gastrointestinal content. Gastroenterology 71(2):282–285, 1976
Watson WC, Knox EC: Phonoenterography: The recording and analysis of bowel sounds. Gut 8(1):88–94, 1967
Tomomasa T, Morikawa A, Sandler RH, Mansy HA, Koneko H, Masahiko T, Hyman PE, Itoh Z: Gastrointestinal sounds and migrating motor complex in fasted humans. Am J Gastroenterol. 94:374–381, 1999
Sugrue M, Redfern M: Computerized phonoenterography: The clinical evaluation of a new system. J Clin Gastroenterol 18(2):139–144, 1994
Craine BL, Silpa M, O'Toole CJ: Enterotachogram analysis to distinguish irritable bowel syndrome from Crohn's disease. Dig Dis Sci 46(9):1974–1979, 2001
Craine BL, Silpa M, O'Toole CJ: Computerized auscultation applied to irritable bowel syndrome. Dig Dis Sci 44(9):1887–1892, 1999
Drossman DA: The functional gastrointestinal disorders and the Rome II process. Gut 45Suppl 2:II1–II5, 1999
Yoshino H; Abe Y; Yoshino T; Ohsato K: Clinical application of spectral analysis of bowel sounds in intestinal obstruction. Dis Colon Rectum 33(9):753–757, 1990
Drossman DA; Whitehead WE; Camilleri M: Irritable bowel syndrome: A technical review for practice guideline development. Gastroenterology 112(6):2120–2137, 1997
Gorard DA, Farthing MJG: Intestinal motor function in irritable bowel syndrome. Dig Dis 12:72–84, 1994
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Craine, B.L., Silpa, M.L. & O'Toole, C.J. Two-Dimensional Positional Mapping of Gastrointestinal Sounds in Control and Functional Bowel Syndrome Patients. Dig Dis Sci 47, 1290–1296 (2002). https://doi.org/10.1023/A:1015318413638
Issue Date:
DOI: https://doi.org/10.1023/A:1015318413638