ABSTRACT
[Background] Elderly people often have disturbances of bowel habits, including irritable bowel syndrome (IBS). IBS is one of the most common gastrointestinal disorders, affecting more than 15% of the general population. It is characterized by a wide variety of persistent symptoms (abdominal pain or discomfort, bloating, transit disorders) without any clear organic causes. Because medical treatments are sometimes ineffective, some patients with IBS seek alternative therapies to manage the condition. There is very little research examining IBS in the elderly. We report two elderly patients with IBS successfully treated with acupuncture.<br>[Cases and Methods] A 72-year-old woman and an 88-year-old man with IBS were treated with acupuncture according to theory of traditional Chinese medicine. Gastrointestinal Symptoms Rating Scale (GSRS), frequency of defecation, softness of the stool, intensity of abdominal pain or abdominal fullness were recorded over the periods.<br>During the treatment period, both patients showed a remarkable improvement in lower abdominal pain, bloating and quality of life evaluated with GSRS.<br>[Result and Discussion] In both cases, acupuncture treatment was effective for alleviating abdominal symptoms with IBS. The result of these cases indicated that acupuncture might be useful for the management of the condition with elderly IBS.
ABSTRACT
[Objective] It is necessary to administer anti-cholinergic agents or glucagon during gastroscopy for inhibition of gastric peristalsis. However, application of these drugs are limited in patients with glaucoma, hypertension, benign prostate hyperplasia, heart disease, or diabetes mellitus because of possible adverse events.<BR>Based on the report that acupuncture stimulation at CV 12 (Zhonguan, Chukan) inhibited gastric activity, we studied whether the acupuncture at CV 12 could be applicable as an alternative to these drugs.<BR>[Method] Subjects in the present study were 60 patients who underwent gastroscopy at Meiji University of Oriental Medicine Hospital. They were allocated into two groups; acupuncture group (mean [SD] age, 66 [10]) and drug group (mean [SD] age, 64 [13])<BR>Patients in the acupuncture group were given manual stimulation at CV 12 with an acupuncture needle for 10 minutes before examination and during gastroscopy.<BR>After examination, a gastroscopist evaluated the magnitude of the peristalsis and disturbance during the examination using the visual analogue scale (VAS) and a 4-grade categorical scale.<BR>Patients in the drug group were pre-administered anti-cholinergic drug or glucagon, and evaluated with the same scale.<BR>[Results and Discussion] Inhibition score in the acupuncture group was lower but not statistically significant, as compared with the drug group, and the effect of acupuncture stimulation was acceptable to allow examination of the patients without severe disturbance. <BR>Acupuncture may be a useful non-pharmacologic alternative to anti-cholinergic drugs and glucagon to inhibit gastric movement during gastroscopy, when these drugs could not be administered.