Hechos históricos en pacientes con disfunción del piso pelviano / History of patients with pelvic floor dysfunction

OBJECTIVES: 1) To determine differences between sexes; 2) To determine differences by sex and age groups in symptom onset, time of evolution, clinical forms and probable associated causes. POPULATION AND SAMPLE: 83 consecutive patients with diagnosed PCP (X age = 50.9 SE 2.21). 25 males (30.1% x 51.2 years-old, SE 4.1) and 58 females (69.9%, X 50.8 years-old, SE 2.2). Patients with organic colon-rectum pathology (with the exception of hemorrhoidal pathology, proctologic surgery and active anus fissure) had been excluded. METHODS: ... (AU)

Hechos históricos en pacientes con disfunción del piso pelviano / History of patients with pelvic floor dysfunction

OBJECTIVES: 1) To determine differences between sexes; 2) To determine differences by sex and age groups in symptom onset, time of evolution, clinical forms and probable associated causes. POPULATION AND SAMPLE: 83 consecutive patients with diagnosed PCP (X age = 50.9 SE 2.21). 25 males (30.1% x 51.2 years-old, SE 4.1) and 58 females (69.9%, X 50.8 years-old, SE 2.2). Patients with organic colon-rectum pathology (with the exception of hemorrhoidal pathology, proctologic surgery and active anus fissure) had been excluded. METHODS: ...

Alteraciones de la mecanosensibilidad gastrica, del vaciamiento gastrico y de la electrograstrografia en pacientes con dispepsia no organica (DNO) / Abnormalities in gastric mechano sensitivity, gastric emptying and electrogastrography in non organic dyspepsia (NOD)

The aim to study the alterations in mechanosensitivity gastric emptying, and electrogastrography (E.G.G.) in a population of patients suffering from N.O.D. eighteen controls (9 males, 9 females, mean age 49.33 years old0.01). Twenty porcent of controls showed isolated tachygastria, but dominant frecuencies never were higher than 6 c.p.m and never last more than 8 percent of the total recording time. Sixty eight point seventy five porcent of N.O.D. showed arrhytmias, 48 percent of tachygastrias were in the range 30-60 percent of total recording time. No differences in gastric emptying between patient presenting pain with=<700ml. and <700ml. of balloon inflation were seen. Patients with sensorial treshold=<700ml. showeed less frequent tachigastria (0.01

Alteraciones de la mecanosensibilidad gastrica, del vaciamiento gastrico y de la electrograstrografia en pacientes con dispepsia no organica (DNO) / Abnormalities in gastric mechano sensitivity, gastric emptying and electrogastrography in non organic dyspepsia (NOD)

The aim to study the alterations in mechanosensitivity gastric emptying, and electrogastrography (E.G.G.) in a population of patients suffering from N.O.D. eighteen controls (9 males, 9 females, mean age 49.33 years old0.01). Twenty porcent of controls showed isolated tachygastria, but dominant frecuencies never were higher than 6 c.p.m and never last more than 8 percent of the total recording time. Sixty eight point seventy five porcent of N.O.D. showed arrhytmias, 48 percent of tachygastrias were in the range 30-60 percent of total recording time. No differences in gastric emptying between patient presenting pain with=<700ml. and <700ml. of balloon inflation were seen. Patients with sensorial treshold=<700ml. showeed less frequent tachigastria (0.01

[Abnormalities in gastric mechanic sensitivity, gastric emptying and electrogastrography in non organic dyspepsia (NOD)]. / Alteraciones de la mecanosensibilidad gástrica, del vaciamiento gástrico y de la electrograstrografía en pacientes con dispepsia no organica (DNO).

UNLABELLED: The aim was to study the alterations in mechanosensitivity, gastric emptying, and electrogastrography (E.G.G.) in a population of patients suffering from N.O.D. eighteen controls (9 males, 9 females, mean age 49.33 years old < SEM 3.62, range 24-74) and 32 patients with N.O.D. (22 males, 21 females, mean age 55.72 years old, SEM 2.87, range 17-86) were studied. Gastric mechano-sensitivity with a latex balloon of low compliance inflated "in phasic" was investigated, and intra balloon pressure was recorded. Gastric emptying with a mixed meal marked with 99 Tc in the solid phase, containing 250 Cal, was studied. E.G.G. was studied using two skin surface electrodes Ag-2C1Ag placed on epigastric area following a probalistic antral axe. Only dominant frequency in each block was considered, and % of total abnormalities on total recording time lesser than 2 c.p.m or more than 4 c.p.m. was considered. Recordings were taken during fast time during 30 minutes, and 30 minutes after a meal containing 250 Cal. Analysis with F.F.T, and spectral running. RESULTS: In 67.92% a delay in gastric emptying was observed. 56.3% did not complete 700 ml. of balloon inflation because of pain, Vs 16.8% in controls (p < 0.001) The slopes of intra-balloon pressure were not different in both groups. (Variance, F-NS). Mean E.C.A was 2.99 c.p.m in control, Vs 3.46 in fasting and 3.64 in postprandial period in N.O.D. (p = NS) Differences in fasting and postprandial % of arrhythmias total time recording were significant in N.O.D. ("t". 0.02 > p 0.01). Twenty percent of controls showed isolated tachygastria, but dominant frequencies never were higher than 6 c.p.m and never last more than 8% of the total recording time. Sixty eight point seventy five percent of N.O.D. showed arrhythmias. 48% of tachygastrias were in the range 30-60% of total recording time. No differences in gastric emptying between patient presenting pain with = < 700 ml. and < 700 ml. of balloon inflation were seen. Patients with sensorial threshold = < 700 ml. showed less frequent tachygastria (0.01 < p < 0.01). Patients with delayed gastric emptying showed more frequent tachygastria (94.7%, 0.05 < p < 0.02) CONCLUSIONS: a) E.G.G. abnormalities would more frequent in "motor" subpopulation; b) No association between abnormalities in gastric emptying, abnormal thresholds in mechanosensitivity and/or E.G.G. and any clinical subtype of Dyspepsia can be showed; h) although gastric arrhythmia was more frequent in motor than in sensorial abnormalities, it may represents a more generalized disturbance in central modulation in afferents and efferents inputs and outputs.

[Esophageal sensitivity. Projection of esophageal pain induced by balloon distension]. / Sensorialidad el esófago. Proyección del dolor esofágico inducido por la distensión de un balón.

UNLABELLED: The esophagus is source of several kinds of painful sensibility. Esophageal sensoriality follows the general visceral sensibility laws with some individual differences. We have investigated the areas of pain projection induced by a progressive balloon distension in 2 cm scales from 38 to 22 cm. of the dental row. It was registered the number of painful responses in everyone of the 13 frontal zones an 10 dorsal zones in which the chest was divided. Epigastrium and the base of neck were included. It was considered the first patient's symptom or until a maximum of 15 ml. of air (diameter = 3.2 cm.) 101 patients were examined. 1153 responses in the all 9 stimulated levels were obtained. 93.8% were in frontal zones, and 82.4% of them in median areas (from epigastrium to neck). There were not differences between both sexes. The inferior esophagus was significantly less sensible than the superior esophagus. The number of projections to the superior chest was proportionally larger. There were individual patterns which could be usefull in a particular patient. CONCLUSIONS: a) the esophagus is not equally sensible in its whole extension; b) the metameric projection is multiple and predominates in frontal areas; c) the existence of "trigger zones" obligate to examine the whole extension of the esophagus when intraesophageal distension of a balloon is used as a diagnostic test.

Sensorialidad el esófago. Proyección del dolor esofágico inducido por la distensión de un balón. / [Esophageal sensitivity. Projection of esophageal pain induced by balloon distension]

The esophagus is source of several kinds of painful sensibility. Esophageal sensoriality follows the general visceral sensibility laws with some individual differences. We have investigated the areas of pain projection induced by a progressive balloon distension in 2 cm scales from 38 to 22 cm. of the dental row. It was registered the number of painful responses in everyone of the 13 frontal zones an 10 dorsal zones in which the chest was divided. Epigastrium and the base of neck were included. It was considered the first patients symptom or until a maximum of 15 ml. of air (diameter = 3.2 cm.) 101 patients were examined. 1153 responses in the all 9 stimulated levels were obtained. 93.8

were in frontal zones, and 82.4

of them in median areas (from epigastrium to neck). There were not differences between both sexes. The inferior esophagus was significantly less sensible than the superior esophagus. The number of projections to the superior chest was proportionally larger. There were individual patterns which could be usefull in a particular patient. Conclusions: a) the esophagus is not equally sensible in its whole extension; b) the metameric projection is multiple and predominates in frontal areas; c) the existence of [quot ]trigger zones[quot ] obligate to examine the whole extension of the esophagus when intraesophageal distension of a balloon is used as a diagnostic test.