European Journal of Nuclear Medicine

, Volume 26, Issue 4, pp 404–409

Altered gastric emptying in patients with irritable bowel syndrome

  • Antonio M. Caballero-Plasencia
  • Manuel Valenzuela-Barranco
  • Juan M. Herrerías-Gutiérrez
  • José M. Esteban-Carretero
Original article

DOI: 10.1007/s002590050404

Cite this article as:
Caballero-Plasencia, A., Valenzuela-Barranco, M., Herrerías-Gutiérrez, J. et al. Eur J Nucl Med (1999) 26: 404. doi:10.1007/s002590050404

Abstract.

Irritable bowel syndrome is the most frequent functional disorder of the digestive system. Patients with irritable bowel syndrome have motor disorders not only in the colon, but also in other parts of the digestive tract such as the oesophagus and small intestine; however, it is not known whether the stomach is also involved. We used a radiolabelled mixed solid-liquid meal (technetium-99m for the solid component, indium-111 for the liquid component) to study gastric emptying of solids (GES), liquids (GEL) and indigestible solids (GER) in 50 patients diagnosed as having irritable bowel syndrome (30 with predominant constipation and 20 with predominant diarrhoea). GER was measured by counting the number of indigestible solids remaining in the stomach 4 h after they were swallowed. In patients with irritable bowel syndrome, GES and GEL were slower than in control subjects (P<0.05). GER was normal in all patients except for two women. Thirty-two patients (64%) showed delayed GES, 29 (58%) delayed GEL, and 2 (4%) delayed GER. Among patients with irritable bowel syndrome, GES was slower in those with predominant constipation than in those with predominant diarrhoea (P<0.05); GEL and GER were similar in both groups. Gastroparesis was found in a large proportion of patients with irritable bowel syndrome, suggesting the presence of a more generalised motor disorder of the gut.

Key words: Gastric emptying Gastroparesis Irritable bowel syndrome 

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • Antonio M. Caballero-Plasencia
    • 1
  • Manuel Valenzuela-Barranco
    • 1
  • Juan M. Herrerías-Gutiérrez
    • 2
  • José M. Esteban-Carretero
    • 3
  1. 1.Department of Medicine, School of Medicine, University of Granada, SpainES
  2. 2.Division of Gastroenterology, University Hospital ”Virgen de la Macarena”, Sevilla, SpainES
  3. 3.Central Service of Investigation in Health Sciences, University of Cádiz, Cádiz, SpainES

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