Visible abdominal distension in functional gut disorders: Objective evaluation

Abdominal distension; Abdominothoracic imaging; Intestinal gas

Detalles Bibliográficos
Autores: Barba Orozco, Elizabeth, Burri, Emannel, Quiroga Gómez, Sergi, Accarino, Anna, Azpiroz Vidaur, Fernando
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/9397
Acceso en línea:https://hdl.handle.net/11351/9397
Access Level:acceso abierto
Palabra clave:Paret abdominal - Imatgeria
Aparell digestiu - Malalties
DISEASES::Digestive System Diseases::Gastrointestinal Diseases
ANATOMY::Body Regions::Torso::Abdomen::Abdominal Wall
Other subheadings::Other subheadings::Other subheadings::/diagnostic imaging
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales
ANATOMÍA::regiones corporales::tronco::abdomen::pared abdominal
Otros calificadores::Otros calificadores::Otros calificadores::/diagnóstico por imagen
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oai_identifier_str oai:scientiasalut.gencat.cat:11351/9397
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Visible abdominal distension in functional gut disorders: Objective evaluation
title Visible abdominal distension in functional gut disorders: Objective evaluation
spellingShingle Visible abdominal distension in functional gut disorders: Objective evaluation
Barba Orozco, Elizabeth
Paret abdominal - Imatgeria
Aparell digestiu - Malalties
DISEASES::Digestive System Diseases::Gastrointestinal Diseases
ANATOMY::Body Regions::Torso::Abdomen::Abdominal Wall
Other subheadings::Other subheadings::Other subheadings::/diagnostic imaging
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales
ANATOMÍA::regiones corporales::tronco::abdomen::pared abdominal
Otros calificadores::Otros calificadores::Otros calificadores::/diagnóstico por imagen
title_short Visible abdominal distension in functional gut disorders: Objective evaluation
title_full Visible abdominal distension in functional gut disorders: Objective evaluation
title_fullStr Visible abdominal distension in functional gut disorders: Objective evaluation
title_full_unstemmed Visible abdominal distension in functional gut disorders: Objective evaluation
title_sort Visible abdominal distension in functional gut disorders: Objective evaluation
dc.creator.none.fl_str_mv Barba Orozco, Elizabeth
Burri, Emannel
Quiroga Gómez, Sergi
Accarino, Anna
Azpiroz Vidaur, Fernando
author Barba Orozco, Elizabeth
author_facet Barba Orozco, Elizabeth
Burri, Emannel
Quiroga Gómez, Sergi
Accarino, Anna
Azpiroz Vidaur, Fernando
author_role author
author2 Burri, Emannel
Quiroga Gómez, Sergi
Accarino, Anna
Azpiroz Vidaur, Fernando
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Barba E] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Gastroenterology Department, Hospital Clínic, Spain, Barcelona. [Burri E] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. University Medical Clinic, Cantonal Hospital, Liestal, Switzerland. [Quiroga S] Radiodiagnòstic (IDI), Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Accarino A, Azpiroz F] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Paret abdominal - Imatgeria
Aparell digestiu - Malalties
DISEASES::Digestive System Diseases::Gastrointestinal Diseases
ANATOMY::Body Regions::Torso::Abdomen::Abdominal Wall
Other subheadings::Other subheadings::Other subheadings::/diagnostic imaging
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales
ANATOMÍA::regiones corporales::tronco::abdomen::pared abdominal
Otros calificadores::Otros calificadores::Otros calificadores::/diagnóstico por imagen
topic Paret abdominal - Imatgeria
Aparell digestiu - Malalties
DISEASES::Digestive System Diseases::Gastrointestinal Diseases
ANATOMY::Body Regions::Torso::Abdomen::Abdominal Wall
Other subheadings::Other subheadings::Other subheadings::/diagnostic imaging
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales
ANATOMÍA::regiones corporales::tronco::abdomen::pared abdominal
Otros calificadores::Otros calificadores::Otros calificadores::/diagnóstico por imagen
description Abdominal distension; Abdominothoracic imaging; Intestinal gas
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/9397
url https://hdl.handle.net/11351/9397
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Neurogastroenterology & Motility;35(2)
https://doi.org/10.1111/nmo.14466
info:eu-repo/grantAgreement/ES/PEICTI2021-2023/PID2021-122295OB-I00
info:eu-repo/grantAgreement/ES/PE2013-2016/SAF2016-76648-R
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Visible abdominal distension in functional gut disorders: Objective evaluationBarba Orozco, ElizabethBurri, EmannelQuiroga Gómez, SergiAccarino, AnnaAzpiroz Vidaur, FernandoParet abdominal - ImatgeriaAparell digestiu - MalaltiesDISEASES::Digestive System Diseases::Gastrointestinal DiseasesANATOMY::Body Regions::Torso::Abdomen::Abdominal WallOther subheadings::Other subheadings::Other subheadings::/diagnostic imagingENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinalesANATOMÍA::regiones corporales::tronco::abdomen::pared abdominalOtros calificadores::Otros calificadores::Otros calificadores::/diagnóstico por imagenAbdominal distension; Abdominothoracic imaging; Intestinal gasDistensión abdominal; Imagen abdominotorácica; Gas intestinalDistensió abdominal; Imatge abdominotoràcica; Gas intestinalBackground Visible abdominal distension has been attributed to: (A) distorted perception, (B) intestinal gas accumulation, or (C) abdominophrenic dyssynergia (diaphragmatic push and anterior wall relaxation). Methods A pool of consecutive patients with functional gut disorders and visible abdominal distension included in previous studies (n = 139) was analyzed. Patients (61 functional bloating, 74 constipation-predominant irritable bowel syndrome and 4 with alternating bowel habit) were evaluated twice, under basal conditions and during a self-reported episode of visible abdominal distension; static abdominal CT images were taken in 104 patients, and dynamic EMG recordings of the abdominal walls in 76, with diaphragmatic activity valid for analysis in 35. Key Results (A) Objective evidence of abdominal distension was obtained by tape measure (increase in girth in 138 of 139 patients), by CT imaging (increased abdominal perimeter in 96 of 104 patients) and by abdominal EMG (reduced activity, i.e., relaxation, in 73 of 76 patients). (B) Intestinal gas volume was within ±300 ml from the basal value in 99 patients, and above in 5 patients, who nevertheless exhibited a diaphragmatic descent. (C) Diaphragmatic contraction was detected in 34 of 35 patients by EMG (increased activity) and in 82 of 103 patients by CT (diaphragmatic descent). Conclusions and Inferences In most patients complaining of episodes of visible abdominal distention: (A) the subjective claim is substantiated by objective evidence; (B) an increase in intestinal gas does not justify visible abdominal distention; (C) abdominophrenic dyssynergia is consistently evidenced by dynamic EMG recording, but static CT imaging has less sensitivity.The present study was supported in part by the Spanish Ministry of Science and Innovation (Dirección General de Investigación Científica y Técnica, PID2021-122295OB-I00); Ciberehd is funded by the Instituto de Salud Carlos III. Writing Assistance. American Journal Experts for English editing of the manuscript (Certificate Verification Code; 8696-2A19-A35A-3FAE-6987) funded by SAF 2016-76648-R.WileyInstitut Català de la Salut[Barba E] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Gastroenterology Department, Hospital Clínic, Spain, Barcelona. [Burri E] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. University Medical Clinic, Cantonal Hospital, Liestal, Switzerland. [Quiroga S] Radiodiagnòstic (IDI), Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Accarino A, Azpiroz F] Servei d’Aparell Digestiu, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, SpainVall d'Hebron Barcelona Hospital Campus202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/9397Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésNeurogastroenterology & Motility;35(2)https://doi.org/10.1111/nmo.14466info:eu-repo/grantAgreement/ES/PEICTI2021-2023/PID2021-122295OB-I00info:eu-repo/grantAgreement/ES/PE2013-2016/SAF2016-76648-RAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/93972026-06-12T09:38:37Z
score 15,811543

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