Ballonnement abdominal : la fin d’un mystère ?

Abdominal bloating: the end of a mystery?

Résumé

Le ballonnement abdominal est un symptôme trivial, invalidant pour le patient et dont l’origine est largement méconnue. Une production anormale de gaz est peu fréquente, en revanche, le transit digestif des gaz est souvent altéré chez ces patients. Plusieurs travaux récents ont suggéré qu’il existait une anomalie de certains réflexes viscérosomatiques qui pourraient aboutir à un relâchement de la paroi abdominale. Des techniques de rééducation ou de neurostimulation pourraient avoir un intérêt dans cette situation.

Abstract

Abdominal bloating is a common and disabling condition whose aetiology remains largely unknown. An abnormal production of wind is not very common, however its intestinal transit is often impaired in patients. A lot of recent research has suggested abnormal viscerosomatic reflexes, which may relax the abdominal wall. Physiotherapy or neurostimulation may represent interesting therapeutic options for this condition.

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Références

  1. 1.

    Chang L, Lee OY, Naliboff B, et al. (2001) Sensation of bloating and visible abdominal distension in patients with irritable bowel syndrome. Am J Gastroenterol 96(12): 3341–3347

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Talley N, Stanghellini V, Heading RC, et al. (2000) Functional gastroduodenal disorders. In: Drossman DA, Corazziari E, Talley N, Thompson WG, and Whitehead WE, Eds. The functional gastro-intestinal disorders. Rome II Second Ed. McLean, VA, USA: Degnon Associates 299–350

    Google Scholar 

  3. 3.

    Marcus SN, Heaton KW (1987) Irritable bowel-type symptoms in spontaneous and induced constipation. Gut 28: 156–159

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Maxton DG, Whorwell PJ (1992) Abdominal distension in irritable bowel syndrome: the patient’s perception. Eur J Gastroenterol Hepatol 4: 241–243

    Google Scholar 

  5. 5.

    Suarez FL, Dennis A, Savalano D, Levitt M (1995) A comparison of symptoms after the consumption of milk or lactose-hydrolyzed milk by people with self-reported severe lactose intolerance. N Engl J Med 333: 1–4

    PubMed  Article  CAS  Google Scholar 

  6. 6.

    Maxton DG, Martin DF, Whorwell P, Godfrey M (1991) Abdominal distension in female patients with irritable bowel syndrome: exploration of possible mechanisms. Gut 32: 662–664

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Houghton LA, Lea R, Agrawal A, et al. (2006) Relationship of abdominal bloating to distension in irritable bowel syndrome and effect of bowel habit. Gastroenterology 131: 1003–1010

    PubMed  Article  Google Scholar 

  8. 8.

    Caldarella MP, Serra J, Azpiroz F, Malagelada JR (2002) Prokinetic effects in patients with intestinal gas retention. Gastroenterology 122: 1748–1755

    PubMed  Article  Google Scholar 

  9. 9.

    Serra J, Salvioli B, Azpiroz F, Malagelada JR (2002) Lipid-induced intestinal gas retention in the irritable bowel syndrome. Gastroenterology 123: 700–706

    PubMed  Article  Google Scholar 

  10. 10.

    Poynard T, Hernandez M, Xu P, et al. (1992) Visible abdominal distension and gas surface: description of an automatic method of evaluation and application to patients with irritable bowel syndrome and dyspepsia. Eur J Gastroenterol Hepatol 4: 831–836

    Google Scholar 

  11. 11.

    Sullivan SN (1994) A prospective study of unexplained visible abdominal bloating. NZ Med J 1: 428–430

    Google Scholar 

  12. 12.

    Salvioli B, Serra J, Azpiroz F, et al. (2005) Origin of gas retention and symptoms in patients with bloating. Gastroenterology 128: 574–579

    PubMed  Article  Google Scholar 

  13. 13.

    Passos MC, Tremolaterra F, Serra J, et al. (2005) Impaired reflex control of intestinal gas transit in patients with abdominal bloating. Gut 54: 344–348

    PubMed  Article  CAS  Google Scholar 

  14. 14.

    Lasser RB, Bond JH, Levitt MD (1975) The role of intestinal gas in functional abdominal pain. N Engl J Med 293: 524–526

    PubMed  CAS  Article  Google Scholar 

  15. 15.

    Chami TN, Schuster MM, Bohlman ME, et al. (1991) A simple radiologic method to estimate the quantity of bowel gas. Am J Gastroenterol 86: 599–602

    PubMed  CAS  Google Scholar 

  16. 16.

    Koide A, Yamaguchi T, Odaka T, et al. (2000) Quantitative analysis of bowel gas using plain abdominal radiograph in patients with irritable bowel syndrome. Am J Gastroenterol 95: 1735–1741

    PubMed  Article  CAS  Google Scholar 

  17. 17.

    Levitt MD, Furne J, Olsson S (1996) The relation of passage of gas an abdominal bloating to colonic gas production. Ann Intern Med 124: 422–424

    PubMed  CAS  Google Scholar 

  18. 18.

    Villoria A, Azpiroz F, Malagelada JR (2006) Abdominophrenic dyssynergia, abdominal bloating and distension. Neurogastroenterol Mot 18: A229

    Google Scholar 

  19. 19.

    Perez F, Accarino A, Azpiroz F, Malagelada JR (2007) Gas distribution within the human gut: effect of meals. Am J Gastroenterol 102: 842–849

    PubMed  Article  Google Scholar 

  20. 20.

    Alvarez W (1949) Hysterical type of non-gaseous abdominal bloating. Arch Intern Med 84: 217–245

    CAS  Google Scholar 

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Correspondence to F. Azpiroz.

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Azpiroz, F. Ballonnement abdominal : la fin d’un mystère ?. Colon Rectum 1, 242–247 (2007). https://doi.org/10.1007/s11725-007-0060-x

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Mots clés

  • Syndrome de l’intestin irritable
  • Gaz intestinal
  • Ballonnement
  • Réflexe viscérosomatique

Keywords

  • Irritable bowel syndrome
  • Intestinal wind
  • Bloating
  • Viscerosomatic reflex