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Recovery from disturbed colonic transit time after alcohol withdrawal

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Diseases of the Colon & Rectum

Abstract

The effects of alcohol withdrawal on total and segmental transit time were evaluated in 20 chronic alcoholic subjects. After withdrawal, colorectal transit time significantly increased from 24.9±3.6 to 33.3±4.5 hours mean ±SE(P<0.01). This was the result of an exclusive increase in rectosigmoid transit time from 2.8±0.7 to 9.8±2.1 hours (P<0.001). No variations were found in right or left colon transit time. Distal colonic motility is thus a crucial factor in the genesis of diarrhea in chronic alcoholic subjects.

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References

  1. Green PH. Alcohol, nutrition, and malabsorption. Clin Gastroenterol 1983;12:563–74.

    PubMed  CAS  Google Scholar 

  2. Jian R, Modigliani R. Absorption intestinale et alcoolisme chez l'homme. Gastroenterol Clin Biol 1980;4:577–87.

    PubMed  CAS  Google Scholar 

  3. Nazer H, Wright RA. The effects of alcohol on the human alimentary tract: a review. J Clin Gastroenterol 1983;5:361–5.

    PubMed  CAS  Google Scholar 

  4. Pirola RC, Davis AE. Effects of intravenous alcohol on motility of the duodenum and sphincter of Oddi. Aust Ann Med 1970;1:24–9.

    Google Scholar 

  5. Robles EA, Mezey E, Halsted CH. Effect of ethanol on motility of the small intestine. Johns Hopkins Med J 1974;135:17–24.

    PubMed  CAS  Google Scholar 

  6. Duncan G, Johnson RH, Lambie DG, Whiteside EA. Evidence of vagal neuropathy in chronic alcoholics. Lancet 1980;2:1053–7.

    Article  PubMed  CAS  Google Scholar 

  7. MacDermid RG, Green RS, Scheig RL, Hajjar JJ. Effects of acute and chronic ethanol administration on water Na+ and K+ transport across the rat colon. Gastroenterology 1979;76:1190 A.

    Google Scholar 

  8. Adler HF, Beazell JM, Atkinson AJ, Ivy AC. The motor response of the colon to alcohol. Quart J Stud Alc 1941;10:638–44.

    Google Scholar 

  9. Cummings JH, Wiggins HS. Transit through the gut measured by analysis of single stool. Gut 1976;17:219–23.

    PubMed  CAS  Google Scholar 

  10. Martelli H, Devroede G, Arhan P, Duguay C, Dornic C, Faverdin CL. Some parameters of large bowel motility in normal man. Gastroenterology 1978;75:612–8.

    PubMed  CAS  Google Scholar 

  11. Arhan P, Devroede G, Jehannin B,et al. Segmental colonic transit time. Dis Colon Rectum 1981;24:625–29.

    PubMed  CAS  Google Scholar 

  12. Keshavarzian A, Iber KL, Ferguson Y. Esophageal manometry and radionuclide emptying in chronic alcoholics. Gastroenterology 1987;92:651–7.

    PubMed  CAS  Google Scholar 

  13. Patel PH, Eapen T, Woolley T. Esophageal motility disturbances in alcoholics. Gastroenterology 1987;93:1150–1.

    PubMed  CAS  Google Scholar 

  14. Bouchoucha M, Arhan P, Boboc B, Cugnenc P-H, Barbier J-Ph. Measure of total and segmental transit time by a single abdominal x-ray film and one set to markers. Gastroenterol Int 1988;1:69 A.

    Google Scholar 

  15. Devroede G. Constipation. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal diseases: pathophysiology, diagnosis, treatment. 4th ed. WB Saunders, Philadelphia: 1988:331–68.

    Google Scholar 

  16. Metcalf AM, Phillips SF, Zinsmeister AR, MacCarty RL, Beart RW, Wolff BG. Simplified assessment of segmental colonic transit. Gastroenterology 1987;92:40–7.

    PubMed  CAS  Google Scholar 

  17. Chaussade S, Roche H, Khyari A, Couturier D, Guerre J. Mesure du temps de transit colique: description et validation d'une nouvelle technique. Gastroenterol Clin Biol 1986;10:385–9.

    PubMed  CAS  Google Scholar 

  18. Fotherby KJ, Hunter JO. Idiopathic slow-transit constipation: whole gut transit time, measured by a new simplified method, are not shortened by opioid antagonists. Aliment Pharmacol Therap 1987;1:331–8.

    Article  CAS  Google Scholar 

  19. Baraona E, Pirola RC, Lieber CS. Small intestinal damage and changes in cell population produced by ethanol ingestion in the rat. Gastroenterology 1974;66:226–34.

    PubMed  CAS  Google Scholar 

  20. Perlow W, Baraona E, Lieber CS. Symptomatic intestinal disaccharidase deficiency in alcoholics. Gastroenterology 1977;72:680–4.

    PubMed  CAS  Google Scholar 

  21. Brozinsky S, Fani K, Grosberg SJ, Wapnick S. Alcohol ingestion-induced changes in the human rectal mucosa: light and electron microscopic studies. Dis Colon Rectum 1978;21:329–35.

    PubMed  CAS  Google Scholar 

  22. Hogan WJ, Viegas de Andreade SR, Winship DH. Ethanol induced acute esophageal motor dysfunction. J Appl Physiol 1972;32:755–60.

    PubMed  CAS  Google Scholar 

  23. Tønnesen H, Andersen JR, Christoffersen P, Kaas-Claesson N. Reflux oesophagitis in heavy drinkers: effect of ranitidine and alginate/metoclopramide. Digestion 1987;38:69–73.

    Article  PubMed  Google Scholar 

  24. Winship DH, Caflish CR, Zboralske FF, Hogan WJ. Deterioration of esophageal peristalsis in patients with alcoholic neuropathy. Gastroenterology 1968;55:173–8.

    PubMed  CAS  Google Scholar 

  25. Berenson MM, Avner DL. Alcohol inhibition of rectosigmoid motility in humans. Digestion 1981;22:210–5.

    PubMed  CAS  Google Scholar 

  26. Preedy VR, Duane P, Peters TJ. Acute ethanol dosage reduces the synthesis of smooth muscle contractile proteins in the small intestine of the rat. Gut 1988;29:1244–8.

    PubMed  CAS  Google Scholar 

  27. Halsted CH, Robles EA, Mezey E. Distribution of ethanol in the human gastrointestinal tract. Am J Clin Nutr 1973;26:831–4.

    PubMed  CAS  Google Scholar 

  28. Millan MS, Morris GP, Beck IT, Henson JT. Villous damage induced by suction biopsy and by acute ethanol intake in the normal human small intestine. Dig Dis Sci 1980;25:513–25.

    Article  PubMed  CAS  Google Scholar 

  29. Dinda PK, Leddin DJ, Beck IT. Histamine is involved in ethanol-induced jejunal microvascular injury in rabbits. Gastroenterology 1988;95:1227–33.

    PubMed  CAS  Google Scholar 

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Bouchoucha, M., Nalpas, B., Berger, M. et al. Recovery from disturbed colonic transit time after alcohol withdrawal. Dis Colon Rectum 34, 111–114 (1991). https://doi.org/10.1007/BF02049982

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