Advertisement

Diseases of the Colon & Rectum

, Volume 33, Issue 9, pp 753–757 | Cite as

Clinical application of spectral analysis of bowel sounds in intestinal obstruction

  • Hajime Yoshino
  • Yuji Abe
  • Toshiaki Yoshino
  • Keiichi Ohsato
Original Contributions

Abstract

The bowel sounds of 21 patients with mechanical obstruction of the intestine were studied. A computer analysis of bowel sounds was performed using a signal processor. Bowel sounds of patients were classified into 3 types (Types I, II, and III) based on the histograms, although these were not distinguishable on auscultation. The lower, peak, and upper frequencies were 173 ± 25 Hz, 273 ± 64 Hz, and 667 ± 58 Hz, respectively, in Type I; 309 ±121 Hz, 632 ± 94 Hz, and 878 ± 116 Hz, respectively, in Type II; and 330 ± 120 Hz, 612 ± 86 Hz, and 766 ± 82 Hz, respectively, in Type III. High frequency sounds above 900 Hz were recorded in Types I and II but not in Type III. The ratio of the operated patients was 0, 23, and 100 percent in Types I, II, and III, respectively. The intervals between the times of admission and operation were 4.3 days and 1.2 days in Types II and III, respectively. Thus, it appears that the methods described by the authors could provide a very objective assessment of the severity and help determine the treatment (conservative or operative) of each patient.

Key words

Bowel sounds Computer analysis Signal processor Intestinal obstruction Indication Treatment 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Shatila AH, Chamberiain BE, Webb WR. Current status of diagnosis and management of strangulation obstruction of the small bowel. Am J Surg 1976;132:299–303.PubMedGoogle Scholar
  2. 2.
    Sarr MG, Bulkley GB, Zuidema GD. Preoperative recognition of intestinal strangulation obstruction. Am J Surg 1983;145:176–81.PubMedGoogle Scholar
  3. 3.
    Horn GE, Mynors JM. Technical note: recording the bowel sounds. Med Biol Eng Comput 1966;4:205–8.Google Scholar
  4. 4.
    Chowdhury SK, Majumder AK. Digital spectrum analysis of respiratory sound. IEEE Trans Biomed Eng 1981;28:784–8.PubMedGoogle Scholar
  5. 5.
    Cannon WB. Auscultation of the rhythmic sounds produced by the stomach and intestines. Am J Physiol 1905;13:339–53.Google Scholar
  6. 6.
    Farrar JT, Ingelfinger FJ. Gastrointestinal motility as revealed by study of abdominal sounds. Gastroenterology 1955;29:789–800.PubMedGoogle Scholar
  7. 7.
    Vasseur C, Devroede G, Dalle D, Vanhoutte N, Bastin E, Thibault R. Postprandial bowel sounds. IEEE Trans Biomed Eng 1975;22:443–8.PubMedGoogle Scholar
  8. 8.
    Dalle D, Devroede G, Thibault R, Perrault J. Computer analysis of bowel sounds. Comput Biol Med 1975;4:247–56.PubMedGoogle Scholar
  9. 9.
    Politzer JP, Devroede G, Vasseru C, Gerard J, Thibault R. The genesis of bowel sounds: influence of viscus and gastrointestinal content. Gastroenterology 1976;71:282–5.PubMedGoogle Scholar
  10. 10.
    Watoson WC, Knox EC. Phonoenterography;the recording a analysis of bowel sounds. Gut 1967;8:88–94.PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1990

Authors and Affiliations

  • Hajime Yoshino
    • 1
    • 2
  • Yuji Abe
    • 1
    • 2
  • Toshiaki Yoshino
    • 1
    • 2
  • Keiichi Ohsato
    • 1
    • 2
  1. 1.First Department of Surgery, School of MedicineUniversity of Occupational and Environmental HealthKitakyushuJapan
  2. 2.Yoshino HospitalKitakyushuJapan

Personalised recommendations