PMID- 19949866 OWN - NLM STAT- MEDLINE DCOM- 20100218 LR - 20220409 IS - 1573-2568 (Electronic) IS - 0163-2116 (Print) IS - 0163-2116 (Linking) VI - 55 IP - 2 DP - 2010 Feb TI - Effect of meal ingestion on ileocolonic and colonic transit in health and irritable bowel syndrome. PG - 384-91 LID - 10.1007/s10620-009-1041-8 [doi] AB - BACKGROUND: Postprandial symptoms in irritable bowel syndrome (IBS) have been associated with increased bowel contractility. AIM: To compare ileocolonic and colonic responses to feeding in health and IBS. METHODS: We prospectively analyzed data from separate research trials in 122 IBS patients and 41 healthy volunteers. Ileocolonic transit (ICT) was evaluated before (colonic filling [CF]3h) and immediately after (CF4 h) a standard lunch at 3 h 45 min, and 2 h thereafter. The colonic geometric center (GC) was calculated 2 h (GC6 h) after lunch ingested at 4 h (GC4 h) and directly after (GC8 h) a standard dinner ingested at 7 h 45 min. RESULTS: ICT immediately after eating was higher in IBS diarrhea predominant (IBS-D) patients than in the healthy cohort (23.1 +/- 2.4 vs. 17.5 +/- 2.8%, P = 0.059). ICT 2 h after lunch was similar between groups (P = 0.55). There was significant overall group differences in colonic transit 2 h post-lunch (P = 0.045), particularly in the IBS constipation predominant (IBS-C; GC6-GC4, delta 0.29 +/- 0.08) patients versus healthy volunteers (delta 0.56 +/- 0.12 GC units). CONCLUSIONS: After feeding, ICT is increased in IBS-D, whereas colonic transit is blunted in IBS-C. FAU - Deiteren, Annemie AU - Deiteren A AD - Clinical Enteric Neuroscience Translational and Epidemiological Research, College of Medicine, Mayo Clinic, Charlton 8-110, 200 First St SW, Rochester, MN 55905, USA. FAU - Camilleri, Michael AU - Camilleri M FAU - Burton, Duane AU - Burton D FAU - McKinzie, Sanna AU - McKinzie S FAU - Rao, Archana AU - Rao A FAU - Zinsmeister, Alan R AU - Zinsmeister AR LA - eng GR - R01 DK054681/DK/NIDDK NIH HHS/United States GR - R01 DK054681-08/DK/NIDDK NIH HHS/United States GR - R01 DK-54681/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Dig Dis Sci JT - Digestive diseases and sciences JID - 7902782 RN - 7440-26-8 (Technetium) SB - IM MH - Administration, Oral MH - Adult MH - Colon/*physiology MH - Eating/*physiology MH - Female MH - Food MH - Gastrointestinal Transit/*physiology MH - Humans MH - Ileum/*physiology MH - Irritable Bowel Syndrome/diagnostic imaging/*physiopathology MH - Male MH - Radionuclide Imaging MH - Reference Values MH - Technetium/administration & dosage PMC - PMC2900583 MID - NIHMS215947 EDAT- 2009/12/02 06:00 MHDA- 2010/02/19 06:00 PMCR- 2011/02/01 CRDT- 2009/12/02 06:00 PHST- 2009/08/04 00:00 [received] PHST- 2009/10/26 00:00 [accepted] PHST- 2009/12/02 06:00 [entrez] PHST- 2009/12/02 06:00 [pubmed] PHST- 2010/02/19 06:00 [medline] PHST- 2011/02/01 00:00 [pmc-release] AID - 10.1007/s10620-009-1041-8 [doi] PST - ppublish SO - Dig Dis Sci. 2010 Feb;55(2):384-91. doi: 10.1007/s10620-009-1041-8.