Skip to main content
SpringerLink
Log in

Perzeption bei gastrointestinalen Funktionsstörungen

  • Conference paper
Ökosystem Darm V

Zusammenfassung

Daß die wichtigsten intestinalen Motilitätsstörungen - der nichtkardiale Thoraxschmerz, der Reizmagen (funktionelle Dyspepsie) und der Reizdarm (irritables Darmsyndrom) - mit gestörter Wahrnehmung von intestinalen Sensationen vergesellschaftet sind, ergibt sich zunächst aus den Krankheitsdefinitionen selbst: In allen 3 Fällen sind Schmerzen essentieller Bestandteil der klinischen Symptomatik. Nach internationalen Konsenskonferenzen zu den funktioneilen gastrointestinalen Erkrankungen müssen die nachfolgend zitierten Kriterien für die Diagnose erfüllt sein [16].

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Accarino AM, Azpiroz F, Malagelada JR (1992) Symptomatic responses to Stimulation of sensory pathays in the jejunum. Am J Physiol 263: G673–677

    PubMed  CAS  Google Scholar 

  2. Accarino AM, Azpiroz F, Malagelada JR (1992) Receptor vs. suprareceptor level of gut sensory function in the irritable bowel syndrome. Gastroeneterology 102: A413 (Abstract)

    Google Scholar 

  3. Accarino AM, Azpiroz J, Malagelada JR (1992) Gut sensitivity testing: Factors that determine the response to transmucosal electrical nerve stimulation. Gastroeneterology 102: A413 (Abstract)

    Google Scholar 

  4. Azpiroz F, Malagelada JR (1990) Isobaric intestinal distension in humans: sensorial relay and reflex gastric relaxation. Am J Physiol 258: G202–207

    PubMed  CAS  Google Scholar 

  5. Bates S, Sjöen PO, Fellenius J, Nyren O (1989) Blocked and nonblocked acid secretion and reported pain in ulcer, nonulcer dyspepsia, and normal subjects. Gastroenterology 97: 376–383

    PubMed  CAS  Google Scholar 

  6. Ballegaard S, Christophersen SJ, Dawids SG et al. (1985) Acupuncture and transcutaneous electric nerve stimulation in the treatment of pain associated with chronic pancreatitis. Scand J Gastroenterol 20: 1249–1254

    Article  PubMed  CAS  Google Scholar 

  7. Bielefeldt K, Enck P, Erckenbrecht JF (1990) Sensory and motor function in the maintenance of anal continence. Dis Colon Rectum 33: 674–678

    Article  PubMed  CAS  Google Scholar 

  8. Bradette M, Pare P, Douville P, Morin A (1991) Visveral perception in health and functional dyspepsia. Dig Dis Sci 36: 52–58

    Article  PubMed  CAS  Google Scholar 

  9. Cahn AM, Carayon P, Hill C, Flamant R (1978) Acupuncture in gastroscopy. Lancet I: 182–183

    Article  Google Scholar 

  10. Camilleri M, Malagelada JR, Kao PC, Zinsmeister AR (1986) Gatric and autonomic responses to stress in functional dyspepsia. Dig Dis Sci 31: 1169–1177

    Article  PubMed  CAS  Google Scholar 

  11. Castell DO, Wood JD, Frieling T et al. (1990) Cerebral electrical potentials evoked by balloon distention of the human esophagus. Gastroenterology 98: 662–666

    Article  PubMed  CAS  Google Scholar 

  12. Cevero F, Jänig W (1992) Visceral nociceptors: A new world order? TINS 15: 374–378

    Google Scholar 

  13. Collet L, Meunier P, Duclaux R et al. (1988) Cerebral evoked potentials after endorectal mechanical stimulation in humans. Am J Physiol 254: G577

    Google Scholar 

  14. Cook IJ, Eeden AV, Collins SM (1987) Patients with irritable bowel syndrome have greater pain tolerance than normal subjects. Gastroenterology 93: 727–733

    PubMed  CAS  Google Scholar 

  15. Dobrilla G, Comberlato M, Stelle A, Vallaperta P (1989) Drug treatment of dunctional dyspepsia. Am meta analysis of randomized controlled clinical trials. J Clin Gastroenterol 11: 169–177

    Article  PubMed  CAS  Google Scholar 

  16. Drossman DA, Thonmpson WG, Talley NJ et al. (1990) Identification of subgroups of functional gastrontestinal disorders. Gastroenterol Int 3: 159172

    Google Scholar 

  17. Enck P, Whitehead WE, Schuster MM, Wienbeck M (1989) Klinische Symptomatik, Psychopathologie und Darmmotilität bei Patienten mit „irritablem Darm“. Z Gastroenterol 27: 357–361

    PubMed  CAS  Google Scholar 

  18. Enck P, Lübke HJ (1990) Medikamente, Diät und Psychotherapie bei funktionellen Störungen des Magen-Darm-Traktes. Verdauungskrankheiten 8: 217–222

    Google Scholar 

  19. Enck P, Musial F, Wallstein U et al. (1990) Perception of rectal distension: Influence of stimulus location and local and systemic anesthesia. Gastroenterology 98: A348 (Abstract)

    Google Scholar 

  20. Enck P, Holtmann G (1992) Stress and gastrointestinal motility in animals - A review of the literature. J Gastrointestinal Motility 4: 83–90

    Article  Google Scholar 

  21. Enck P, Herdmann J, Börgermann K et al. (1992) Up and down the spinal cord: Afferent and efferent innervation of the external anal sphincter in humans. J Gastrointest Mot 4: 271–277

    Article  Google Scholar 

  22. Enck P, Frieling T (1993) Human gut-brain interactions. J Gastrointestinal Motility 5:77–87

    Article  Google Scholar 

  23. Erckenbrecht JF, Hoerem C, Skoda G, Enck P (1988) Differential effects of mental and physical stress on perception of gastrointestinal distension. Hepato-Gastroenterology 35: 179f (Abstract)

    Google Scholar 

  24. Erckenbrecht JF, Lefhalm C, Wallstein U, Enck P (1989) The gastroocolonic response to eating is not only a motor but also a sensory event. Gastroenterology 96: A141 (Abstract)

    Google Scholar 

  25. Flesch S, Schumacher B, Enck P et al. (im Druck) Acupuncture for visceral pain? Gastroenterology (Abstract)

    Google Scholar 

  26. Frieling T, Enck P, Wienbeck M (1989) Cerebral responses evoked by electrical stimulation of rectosigmoid in normal subjects. Dig Dis Sci 34: 202–205

    Article  PubMed  CAS  Google Scholar 

  27. Frieling T, Enck P, Wienbeck M (1989) Cerebral responses evoked by electrical stimulation of the esophagus in normal subjects. Gastroenterology 97: 475–478

    PubMed  CAS  Google Scholar 

  28. Frieling T, Enck P (1990) Viszerale Afferenzen im Verdauungstrakt. Verdauungskrankheiten 8: 193–196

    Google Scholar 

  29. Frieling T, Zacchi P, Kuhlbusch R et al. (1992) Elektrische und mechanische Stimulation der Speiseröhre bei Gesunden und Patienten mit nicht-kardialem Thoraxschmerz. Kontinenz 1: 44 (Abstract)

    Google Scholar 

  30. Frieling T, Enck P, Dohmann R et al. (1993) The effects of trospiumchloride on esophageal motility. Aliment Pharmacol Therapeut 7: 75–80

    Article  CAS  Google Scholar 

  31. George A A, Tsuchiyose M, Dooley CP (1991) Sensitivity of the gastric mucosa to acid and duodenal content in patients with nonulcer dyspepsia. Gastroenterology 101: 3–6

    PubMed  CAS  Google Scholar 

  32. Guelrud M, Rossiter A, Soundey PF, Sulbaran M (1991) Transcutraneous electrical nerve stimulation decreases lower esophageal sphincter pressure in patients with achalasia. Dig Dis Sci 36: 1029–1033

    Article  PubMed  CAS  Google Scholar 

  33. Guthrie E, Creed F, Dawson DD, Tomenson B (1991) A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology 100: 450–457

    PubMed  CAS  Google Scholar 

  34. Holtmann G, Enck P (1991) Stress and gastrointestinal motility in humans - A review of the literature. J Gastrointestinal Motility 3: 245–254

    Article  Google Scholar 

  35. Iovino P, Azpiroz F, Domingo E, Malagelada JR (1992) The sympathetic nervous system- regulates sensory and reflex responses to gut stimuli in humans, Gastroenterology 102: A461 (Abstract)

    Google Scholar 

  36. Jorgensen LS, Fossgreen J (1990) Back pain and spinal pathology in patients with functional upper abdominal pain. Scand J Gastroenterol 25: 1235–1241

    Article  PubMed  CAS  Google Scholar 

  37. Klein KB (1988) Controlled treatment trials in the irritable bowel syndrome: A critique. Gastroenterology 95: 232–241

    PubMed  CAS  Google Scholar 

  38. Kuhlbusch R, Zacchi R Gantke B et al. (im Druck) Noncardiac chest pain: is the intrinsic innervation of esophageal motility different? J Gastrointestinal Motility (Abstract)

    Google Scholar 

  39. Kunze M, Seidel HJ, Stübe G (1990) Vergleichende Untersuchung zur Effektivität der kleinen Psychotherapie, der Akupunktur und der Papaverintherapie bei Patienten mit Colon irritabile. Z Gesamte Inn Med 45: 625–627

    PubMed  CAS  Google Scholar 

  40. Lam HGT, Fone D, Akkermans KMA et al. (1991) Effects of local anesthesia of the esophagus on perception of balloon distention and cerebral evoked potentials. J Gastrointestinal Motility 3: 188 (Abstract)

    Google Scholar 

  41. Lémann M, Dederding JP, Flourie B et al. (1991) Abnormal perception of vosceral pain in response to gastric distension in chronic idiopathic dyspepsia. The irritable stmach syndrome. Dig Dis Sci 36: 1249–1254

    Article  PubMed  Google Scholar 

  42. Li CK, Nauck M, Löser C et al. (1991) Akupunktur zur Schmerzlinderung bei Koloskopie. Dtsch Med Wochenschr 115: 367–370

    Article  Google Scholar 

  43. Loening-Baucke V, Read NW, Yamaha T (1990) Cerebral evoked potentials after rectal Stimulation. Electroenceph Clin Neurophysiol 80: 490–495

    Google Scholar 

  44. Leoning-Baucke V, Read NW, Yamaha T (1992) Further evaluation of the afferent neural pathways from the rectum. Am J Physiol 262: G927–933

    Google Scholar 

  45. Loening-Baucke V, Peters T, Yamaha T (1992) Cerebral potentials and visveral perceptions evoked by rectal stimulation in children with chronic constipation and encopresis. Gastroenterology 102: A476 (Abstract)

    Google Scholar 

  46. Lux G, Hagel J, Bäcker P et al. (in Vorbereitung) Acupuncture inhibits vagal acid secretion stimulated by sham feeding in healthy subjects. Gut

    Google Scholar 

  47. Mayer E, Raybould HE (1990) Role of visceral afferent mechanisms in functional bowel disorders. Gastroenterology 99: 1688–1704

    PubMed  CAS  Google Scholar 

  48. Mearin F, Zacchi P, Armengol JR et al. (1990) Effect of transcutaneous nerve stimulation on esophageal motility in patients with achalasia and scleroderma. Scand J Gastroenterol 25: 1018–1023

    Article  PubMed  CAS  Google Scholar 

  49. Mearin F, Mercedes C, Azpiroz F, Malagelada JR (1991) The origin of symptoms on the gut-brain axis in functional dyspepsia. Gastroenterology 101: 999–1006

    PubMed  CAS  Google Scholar 

  50. Meunier P, Collet L, Duclaux R, Chery-Croze S (1987) Endorectal cerebral evoked potentials in humans. Intern J Neuroscience 37: 793–796

    Article  Google Scholar 

  51. Misra SP, Broor SL (1990) Is gastric acid responsible for the pain in patients with essential dyspepsia? J Clin Gastroenterol 12: 624–627

    Article  PubMed  CAS  Google Scholar 

  52. Musial F, Enck P, Kalveram KT, Erckenbrecht JF (1992) Effects of loperamide on anorectal function in healthy male subjects. J Clin Gastroenterol 15: 321–324

    Article  PubMed  CAS  Google Scholar 

  53. Musial F, Freiss M, Enck P et al. (1992) Eating induced increase in peripheral heat-pain threshold. J Gastrointest Motility 4: 234 (Abstract)

    Google Scholar 

  54. Musial F, Crowell MD, Kalveram KT, Enck P (1992) Eating alters rectal perception but rectal distension does not. J Gastrointest Motility 4: 234 (Abstract)

    Google Scholar 

  55. Musial F, Enck P (im Druck) Stress and gastrointestinal motility. In: Kumar D, Wingate DL (eds) An illustrated guide to gastrointestinal motility. Churchill Livingstone, Edinburgh

    Google Scholar 

  56. Musial F, Enck P, Crowell MD et al. (1993) The postprandial increase in cutaneous heat pain threhold is mediated by the caloric load of the meal. Gastroenterology 104: A556 (Abstract)

    Google Scholar 

  57. Prior A, Colgan SM, Whorwell PJ (1990) Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome. Gut 31: 896–898

    Article  PubMed  CAS  Google Scholar 

  58. Rathmann W, Enck P, Frieling T, Gries FA (1991) Visceral afferent neuropathy in diabetic gastroparesis. Diabetes Care 14: 1086–1089

    Article  PubMed  CAS  Google Scholar 

  59. Rapkin AJ, Kames LD (1987) The pain management approach to chronic pelvic pain. J Reproduc Med 32: 323–327

    CAS  Google Scholar 

  60. Richter JE, Barish CF, Castell DO (1986) Abnormal sensorty perception in patients with esophageal chest pain. Gastroenterology 91: 845–852

    PubMed  CAS  Google Scholar 

  61. Ritchie J (1983) Pain from distension of the pelvic colon by inflating a balloon in the irritable bowel syndrome. Gut 14: 125–132

    Article  Google Scholar 

  62. Sloth H, Jorgenson LS (1989) predictors of the course of chronic non-organic upper abdominal pain. Scand J Gastroenterol 24: 440–444

    Article  PubMed  CAS  Google Scholar 

  63. Smout A, DeVore MS, Castell DO (1990) Cerebral potentials evoked by esophageal distension in humans. Am J Physiol 259: G955–959

    PubMed  CAS  Google Scholar 

  64. Smout A, DeVore MS, Dalton CB, Castell DO (1992) Cerebral potentials evoked by oesophageal distensions in patients with non-cardiac chest pain. Gut 33: 298–302

    Article  PubMed  CAS  Google Scholar 

  65. Söllenböhmer C, Kuhlbusch R, Enck P et al. (1993) Zerebrale evozierte Potentiale: elektrische Stimulation des Ösophagus an der Perzeptions- und Schmerzschwelle. Z Gastroenterologie 5: 220 (Abstract)

    Google Scholar 

  66. Speakman CTM, Kamm MA, Swash M (1993) Rectal sensory evoked potentials: an assessment of their clinical value. Int J Colorect Dis 8: 23–28

    Article  CAS  Google Scholar 

  67. Stacher G, Berner P, Naske R et al. (1975) Effect of hypnotic suggestion of relaxation on basal and betazole-stimulated gastric acid secretion. Gastroenterology 68: 656–661

    PubMed  CAS  Google Scholar 

  68. Steadman CJ, Taley NJ, Philipps SF, Zinsmeister AR (1992) Selective 5-Hydroxytryptamine type 3 receptor antagonism with Ondansetron as treatment for diarrhea-predominant irritable bowel syndrome. Mayo Clin Proc 67: 732–738

    PubMed  CAS  Google Scholar 

  69. Svedlund J, Sjödin I, Ottoson JO, Doteval G 81983) Controlled trial of psychotherapy in irritable bowel syndrome. Lancet I: 589–592

    Google Scholar 

  70. Talley NJ (1992) 5-Hydroxytryptamine agonists and antagonists in the modulation of gastrointestinal motility and sensation: clinical implications. Aliment Pharmacol Ther 6: 273–289

    Article  PubMed  CAS  Google Scholar 

  71. Tougas G, Yuan JY, Radamaker JW et al. (1992) Effect of acupuncture on gastric acid secretion in healthy male volunteers. Dig Dis Sci 37: 1576–1582

    Article  PubMed  CAS  Google Scholar 

  72. Tougas G, Hoduba P, Fitzpatrick D et al. (in press) Cerebral evoked potential responses following direct vagal and esophageal electrical stimulation in humans. Gastroenterology

    Google Scholar 

  73. Whitehead WE, Engel BT, Schuster MM (1980) Irritable bowel syndrome: Physiological and psychological differences between diarrhea predominant and constipation-predominant patients. Dig Dis Sci 25: 404–413

    Article  PubMed  CAS  Google Scholar 

  74. Whitehead WE, Holtkoetter B, Enck P et al. (1990) Tolerance for rectosigmoid distention in irritable bowel syndrome. Gastroenterology 98: 1187–1192

    PubMed  CAS  Google Scholar 

  75. Zacchi P, Frieling T, Kuhlbusch et al. (1992) What is more physilogical: Electrical or mechanical of the human esophagus? Gastroenterology 102: A538 (Abstract)

    Google Scholar 

Download references

Authors
  1. P. Enck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Frieling
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Innere Medizin II, Medizinische Klinik und Poliklinik, Universitätskliniken des Saarlandes, 66421, Homburg/Saar, Deutschland

    Martin Zeitz

  2. Zentrum der Inneren Medizin, Universitätsklinikum, Theodor-Stem-Kai 7, 60596, Frankfurt, Deutschland

    W. F. Caspary

  3. Nationales Referenzzentrum für Enteritiserreger, Hygienisches Institut, Marckmannstraße 129a, 20539, Hamburg, Deutschland

    Jochen Bockemühl

  4. Medizinsche Klinik, Städtisches Krankenhaus Solingen, Postfach, 42719, Solingen, Deutschland

    Gerd Lux

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Enck, P., Frieling, T. (1993). Perzeption bei gastrointestinalen Funktionsstörungen. In: Zeitz, M., Caspary, W.F., Bockemühl, J., Lux, G. (eds) Ökosystem Darm V. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78733-1_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78733-1_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57591-7

  • Online ISBN: 978-3-642-78733-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation