Skip to main content

Recording In Vivo Human Colonic Motility: What Have We Learnt Over the Past 100 Years?

  • Chapter
  • First Online:

Part of the book series: Advances in Experimental Medicine and Biology ((ANS,volume 891))

Abstract

To understand the abnormalities that underpin functional gut disorders we must first gain insight into the normal patterns of gut motility. While detailed information continually builds on the motor patterns (and mechanisms that control them) of the human esophagus and anorectum, our knowledge of normal and abnormal motility in the more inaccessible regions of the gut remains poor. This particularly true of the human colon. Investigation of in vivo colonic motor patterns is achieved through measures of transit (radiology, scintigraphy and, more recently, “smart pills”) or by direct real-time recording of colonic contractility (intraluminal manometry). This short review will provide an overview of findings from the past and present and attempt to piece together the complex nature of colonic motor patterns. In doing so it will build a profile of human colonic motility and determine the likely mechanisms that control this motility.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Almy TP, Abbot FK, Hinkle L Jr (1950) Alterations in colonic function in man under stress; hypomotility of the sigmoid colon, and its relationship to the mechanism of functional diarrhea. Gastroenterology 15:95

    CAS  PubMed  Google Scholar 

  • Alvarez W (1967) Reverse peristalsis in bowel and stomach. Mod Med GB 12:735–738

    Google Scholar 

  • Arkwright JW, Underhill ID, Maunder SA, Blenman N, Szczesniak MM, Wiklendt L, Cook IJ, Lubowski DZ et al (2009) Design of a high-sensor count fibre optic manometry catheter for in-vivo colonic diagnostics. Opt Express 17:22423–22431

    Article  PubMed  Google Scholar 

  • Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, deCarle D, Cook IJ (2000) Spatial and temporal organization of pressure patterns throughout the unprepared colon during spontaneous defecation. Am J Gastroenterol 95:1027–1035

    Article  CAS  PubMed  Google Scholar 

  • Bampton PA, Dinning PG, Kennedy ML, Lubowski DZ, Cook IJ (2001) Prolonged multi-point recording of colonic manometry in the unprepared human colon: providing insight into potentially relevant pressure wave parameters. Am J Gastroenterol 96:1838–1848

    Article  CAS  PubMed  Google Scholar 

  • Bassotti G, Gaburri M (1988) Manometric investigation of high-amplitude propagated contractile activity of the human colon. Am J Physiol 255:G660–G664

    CAS  PubMed  Google Scholar 

  • Bassotti G, de Roberto G, Castellani D, Sediari L, Morelli A (2005) Normal aspects of colorectal motility and abnormalities in slow transit constipation. World J Gastroenterol 11:2691–2696

    Article  PubMed  PubMed Central  Google Scholar 

  • Bazzocchi G, Ellis J, Villanueva-Meyer J, Narasimha Reddy S, Mena I, Snape W Jr (1991) Effect of eating on colonic motility and transit in patients with functional diarrhea: simultaneous scintigraphic and manometric evaluations. Gastroenterology 101:1298–1306

    Article  CAS  PubMed  Google Scholar 

  • Bharucha AE (2012) High amplitude propagated contractions. Neurogastroenterol Motil 24:977–982

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bredenoord AJ, Fox M, Kahrilas PJ, Pandolfino JE, Schwizer W, Smout AJ, International High Resolution Manometry Working Group (2012) Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil 24(Suppl 1):57–65

    Article  PubMed  PubMed Central  Google Scholar 

  • Clouse RE, Alrakawi A, Staiano A (1998) Intersubject and interswallow variability in topography of esophageal motility. Dig Dis Sci 43:1978–1985

    Article  CAS  PubMed  Google Scholar 

  • Cook IJ, Furukawa Y, Panagopoulos V, Collins PJ, Dent J (2000) Relationships between spatial patterns of colonic pressure and individual movements of content. Am J Physiol Gastrointest Liver Physiol 278:G329–G341

    CAS  PubMed  Google Scholar 

  • Dinning PG, Di Lorenzo C (2011) Colonic dysmotility in constipation. Best Pract Res Clin Gastroenterol 25:89–101

    Article  PubMed  Google Scholar 

  • Dinning PG, Szczesniak MM, Cook IJ (2008) Proximal colonic propagating pressure waves sequences and their relationship with movements of content in the proximal human colon. Neurogastroenterol Motil 20:512–520

    Article  CAS  PubMed  Google Scholar 

  • Dinning PG, Benninga MA, Southwell BR, Scott SM (2010a) Paediatric and adult colonic manometry: a tool to help unravel the pathophysiology of constipation. World J Gastroenterol 16:5162–5172

    Article  PubMed  PubMed Central  Google Scholar 

  • Dinning PG, Zarate N, Hunt LM, Fuentealba SE, Mohammed SD, Szczesniak MM, Lubowski DZ, Preston SL et al (2010b) Pancolonic spatiotemporal mapping reveals regional deficiencies in, and disorganization of colonic propagating pressure waves in severe constipation. Neurogastroenterol Motil 22:e340–e349

    Article  CAS  PubMed  Google Scholar 

  • Dinning PG, Wiklendt L, Maslen L, Patton V, Lewis H, Arkwright JW, Wattchow DA, Lubowski DZ, Costa M, Bampton PA (2015) Colonic motor abnormalities in slow transit constipation defined by high resolution, fibre-optic manometry. Neurogastroenterol Motil 27:379–388.

    Google Scholar 

  • Dinning PG, Wiklendt L, Gibbins I, Patton V, Bampton PA, Lubowski DZ, Cook IJ, Arkwright JW (2013b) Low-resolution colonic manometry leads to a gross misinterpretation of the frequency and polarity of propagating sequences: initial results from fiber-optic high-resolution manometry studies. Neurogastroenterol Motil 25:e640–e649

    CAS  PubMed  Google Scholar 

  • Dinning PG, Wiklendt L, Maslen L, Gibbins I, Patton V, Arkwright JW, Lubowski DZ, O’Grady G et al (2014) Quantification of in vivo colonic motor patterns in healthy humans before and after a meal revealed by high-resolution fiber-optic manometry. Neurgastroenterol Motil 26:1443–1457

    Article  CAS  Google Scholar 

  • El-Chammas KI, Tipnis NA, Simpson PM, Sood MR (2014) Colon high-resolution manometry: using pressure topography plots to evaluate pediatric colon motility. J Pediatr Gastroenterol Nutr 59:500–504

    Article  PubMed  Google Scholar 

  • Galapeaun EA, Templeton RD (1938) The influence of filling the stomach on the colon motility and defecation in the dog. Am J Med Sci 195:230–233

    Article  Google Scholar 

  • Giorgio V, Borrelli O, Smith VV, Rampling D, Koglmeier J, Shah N, Thapar N, Curry J et al (2013) High-resolution colonic manometry accurately predicts colonic neuromuscular pathological phenotype in pediatric slow transit constipation. Neurogastroenterol Motil 25:70–78.e8–9

    Article  CAS  PubMed  Google Scholar 

  • Halls J (1965) Bowel content shift during normal defaecation [summary]. Proc R Soc Med 58:859–860

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hardcastle JD, Mann CV (1968) Study of large bowel peristalsis. Gut 9:512–520

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hertz AF (1907) The passage of food along the human alimentary canal. Guy Hosp Rep 61:389–427

    Google Scholar 

  • Hertz AF, Newton A (1913) The normal movements of the colon in man. J Physiol 47:57–65

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hiroz P, Schlageter V, Givel JC, Kucera P (2009) Colonic movements in healthy subjects as monitored by a Magnet Tracking System. Neurogastroenterol Motil 21:838–e857

    Article  CAS  PubMed  Google Scholar 

  • Holzknechtg G (1909) Die normale Persistatlik des Kolon. Muench Med Wochenschr 47:2401–2403

    Google Scholar 

  • Kamm MA, van der Sijp JR, Lennard-Jones JE (1992) Observations on the characteristics of stimulated defaecation in severe idiopathic constipation. Int J Colorectal Dis 7:197–201

    Article  CAS  PubMed  Google Scholar 

  • Kern F Jr, Abbot FK, Almy TP (1949) Action of acetyl-beta-methylcholine chloride (mecholyl) on the human colon. Am J Med 7:418

    Article  Google Scholar 

  • Kern F Jr, Almy TP, Abbot FK, Bogdonoff MD (1951) The motility of the distal colon in nonspecific ulcerative colitis. Gastroenterology 19:492–503

    PubMed  Google Scholar 

  • Kruse FH (1933) Functional disorders of the colon: the spastic colon, the irritable colon, and mucous colitis. Cal West Med 39:97–103

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kumar D, Williams NS, Waldron D, Wingate DL (1989) Prolonged manometric recording of anorectal motor activity in ambulant human subjects: evidence of periodic activity. Gut 30:1007–1011

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lubowski DZ, Meagher AP, Smart RC, Butler SP (1995) Scintigraphic assessment of colonic function during defaecation. Int J Colorectal Dis 10:91–93

    Article  CAS  PubMed  Google Scholar 

  • Moreno-Osset E, Bazzocchi G, Lo S, Trombley E, Ristow E, Reddy SN, Villanueva-Meyer J, Fain J et al (1989) Association between postprandial changes in colonic intraluminal pressure and transit. Gastroenterology 96:1265–1273

    CAS  PubMed  Google Scholar 

  • Narducci F, Bassotti G, Gaburri M, Morelli A (1987) Twenty four hour manometric recording of colonic motor activity in healthy man. Gut 28:17–25

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rao SS, Welcher K (1996) Periodic rectal motor activity: the intrinsic colonic gatekeeper? Am J Gastroenterol 91:890–897

    CAS  PubMed  Google Scholar 

  • Rao SS, Sadeghi P, Beaty J, Kavlock R, Ackerson K (2001) Ambulatory 24-h colonic manometry in healthy humans. Am J Physiol Gastrointest Liver Physiol 280:G629–G639

    CAS  PubMed  Google Scholar 

  • Rao SS, Sadeghi P, Beaty J, Kavlock R (2004) Ambulatory 24-hour colonic manometry in slow-transit constipation. Am J Gastroenterol 99:2405–2416

    Article  PubMed  Google Scholar 

  • Ritchie JA (1968) Colonic motor activity and bowel function. I. Normal movement of contents. Gut 9:442–456

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ritchie JA, Ardran GM, Truelove SC (1962) Motor activity of the sigmoid colon of humans. A combined study by intraluminal pressure recording and cineradiography. Gastroenterology 43:642–668

    CAS  PubMed  Google Scholar 

  • Ritchie JA, Truelove SC, Ardan GM, Tuckey MS (1971) Propulsion and retropulsion of normal colonic contents. Am J Dig Dis 16:697–704

    Article  CAS  PubMed  Google Scholar 

  • Scott M (2003) Manometric techniques for the evaluation of colonic motor activity: current status. Neurogastroenterol Motil 15:483–513

    Article  CAS  PubMed  Google Scholar 

  • Singh S, Heady S, Coss-Adame E, Rao SS (2013) Clinical utility of colonic manometry in slow transit constipation. Neurogastroenterol Motil 25:487–495

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Snape WJ, Wright SH, Battle WM, Cohen S (1979) The gastrocolic response: evidence for a neural mechanism. Gastroenterology 77:1235–1240

    PubMed  Google Scholar 

  • Torsoli A, Ramorino ML, Ammaturo MV, Capurso L, Paoluzi P, Anzini F (1971) Mass movements and intracolonic pressures. Am J Dig Dis 16:693–696

    Article  CAS  PubMed  Google Scholar 

  • Underwood EA (1946) Wilhelm Conrad Röntgen (1845–1923) and the early development of radiology. Can Med Assoc J 54:61–67

    CAS  PubMed  PubMed Central  Google Scholar 

  • Welch PB, Plant OH (1926) A graphic study of the muscular activity of the colon, with special reference to its response to feeding. Am J Med Sci 172:261–268

    Article  Google Scholar 

  • Williams RB, Pal A, Brasseur JG, Cook IJ (2001) Space-time pressure structure of pharyngo-esophageal segment during swallowing. Am J Physiol Gastrointest Liver Physiol 281:G1290–G1300

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Phil G. Dinning .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Dinning, P.G. (2016). Recording In Vivo Human Colonic Motility: What Have We Learnt Over the Past 100 Years?. In: Brierley, S., Costa, M. (eds) The Enteric Nervous System. Advances in Experimental Medicine and Biology(), vol 891. Springer, Cham. https://doi.org/10.1007/978-3-319-27592-5_20

Download citation

Publish with us

Policies and ethics