Skip to main content
Gut logoLink to Gut
. 1988 Sep;29(9):1173–1179. doi: 10.1136/gut.29.9.1173

Colonic mass movements in idiopathic chronic constipation.

G Bassotti 1, M Gaburri 1, B P Imbimbo 1, L Rossi 1, F Farroni 1, M A Pelli 1, A Morelli 1
PMCID: PMC1434376  PMID: 3197990

Abstract

As relatively little is known of human colonic motor activity either in health, or in pathological conditions, we investigated mass movements in 14 chronically constipated patients and 18 healthy volunteers. Mass movements were recorded from proximal and distal colon during 24 h (12 noon-12 noon) by a colonoscopically positioned multilumen manometric probe and low compliance infusion system. Patients and controls differed significantly in the number (mean 2.6 (0.7) v 6.1 (0.9) (SE), p = 0.02) and duration (mean 8.2 (1.6) v 14.1 (0.8) s, p = 0.04) of mass movements. The data suggest that one pathophysiological mechanism of constipation may be decreased propulsive activity. A circadian pattern, with a significant difference between day and night distribution, was documented in both groups. The patients reported decreased defecatory stimulus concomitant with the mass movements.

Full text

PDF
1173

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bassotti G., Gaburri M., Giacomo Clausi G., Pelli M. A., Morelli A. Can idiopathic megacolon cause functional motor abnormalities in the upper gastrointestinal tract? Hepatogastroenterology. 1987 Aug;34(4):186–189. [PubMed] [Google Scholar]
  2. Bassotti G., Imbimbo B. P., Gaburri M., Daniotti S., Morelli A. Transverse and sigmoid colon motility in healthy humans: effects of eating and of cimetropium bromide. Digestion. 1987;37(1):59–64. doi: 10.1159/000199488. [DOI] [PubMed] [Google Scholar]
  3. Bueno L., Fioramonti J., Ruckebusch Y., Frexinos J., Coulom P. Evaluation of colonic myoelectrical activity in health and functional disorders. Gut. 1980 Jun;21(6):480–485. doi: 10.1136/gut.21.6.480. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. COCHRAN W. G. The comparison of percentages in matched samples. Biometrika. 1950 Dec;37(3-4):256–266. [PubMed] [Google Scholar]
  5. Devroede G. La constipation: du symptôme vers la personne. Gastroenterol Clin Biol. 1985 Jan;9(1):3–6. [PubMed] [Google Scholar]
  6. Frexinos J., Bueno L., Fioramonti J. Diurnal changes in myoelectric spiking activity of the human colon. Gastroenterology. 1985 May;88(5 Pt 1):1104–1110. doi: 10.1016/s0016-5085(85)80067-6. [DOI] [PubMed] [Google Scholar]
  7. Frexinos J. Inertie colique primitive: mythe ou réalité? Gastroenterol Clin Biol. 1987 Apr;11(4):302–306. [PubMed] [Google Scholar]
  8. Hardcastle J. D., Mann C. V. Study of large bowel peristalsis. Gut. 1968 Oct;9(5):512–520. doi: 10.1136/gut.9.5.512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hertz A. F., Newton A. The normal movements of the colon in man. J Physiol. 1913 Oct 17;47(1-2):57–65. doi: 10.1113/jphysiol.1913.sp001613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Holdstock D. J., Misiewicz J. J., Smith T., Rowlands E. N. Propulsion (mass movements) in the human colon and its relationship to meals and somatic activity. Gut. 1970 Feb;11(2):91–99. doi: 10.1136/gut.11.2.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Huizinga J. D., Daniel E. E. Control of human colonic motor function. Dig Dis Sci. 1986 Aug;31(8):865–877. doi: 10.1007/BF01296057. [DOI] [PubMed] [Google Scholar]
  12. Kellow J. E., Borody T. J., Phillips S. F., Tucker R. L., Haddad A. C. Human interdigestive motility: variations in patterns from esophagus to colon. Gastroenterology. 1986 Aug;91(2):386–395. doi: 10.1016/0016-5085(86)90573-1. [DOI] [PubMed] [Google Scholar]
  13. Krishnamurthy S., Schuffler M. D., Rohrmann C. A., Pope C. E., 2nd Severe idiopathic constipation is associated with a distinctive abnormality of the colonic myenteric plexus. Gastroenterology. 1985 Jan;88(1 Pt 1):26–34. doi: 10.1016/s0016-5085(85)80128-1. [DOI] [PubMed] [Google Scholar]
  14. Kumar D., Wingate D., Ruckebusch Y. Circadian variation in the propagation velocity of the migrating motor complex. Gastroenterology. 1986 Oct;91(4):926–930. doi: 10.1016/0016-5085(86)90696-7. [DOI] [PubMed] [Google Scholar]
  15. Lanfranchi G. A., Bazzocchi G., Brignola C., Campieri M., Labò G. Different patterns of intestinal transit time and anorectal motility in painful and painless chronic constipation. Gut. 1984 Dec;25(12):1352–1357. doi: 10.1136/gut.25.12.1352. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Meunier P., Rochas A., Lambert R. Motor activity of the sigmoid colon in chronic constipation: comparative study with normal subjects. Gut. 1979 Dec;20(12):1095–1101. doi: 10.1136/gut.20.12.1095. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Misiewicz J. J. Colonic motility. Gut. 1975 Apr;16(4):311–314. doi: 10.1136/gut.16.4.311. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Narducci F., Bassotti G., Daniotti S., Del Soldato P., Pelli M. A., Morelli A. Identification of muscarinic receptor subtype mediating colonic response to eating. Dig Dis Sci. 1985 Feb;30(2):124–128. doi: 10.1007/BF01308197. [DOI] [PubMed] [Google Scholar]
  19. Narducci F., Bassotti G., Gaburri M., Morelli A. Transition from nutcracker esophagus to diffuse esophageal spasm. Am J Gastroenterol. 1985 Apr;80(4):242–244. [PubMed] [Google Scholar]
  20. Narducci F., Bassotti G., Gaburri M., Morelli A. Twenty four hour manometric recording of colonic motor activity in healthy man. Gut. 1987 Jan;28(1):17–25. doi: 10.1136/gut.28.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Narducci F., Bassotti G., Granata M. T., Gaburri M., Farroni F., Palumbo R., Morelli A. Functional dyspepsia and chronic idiopathic gastric stasis. Role of endogenous opiates. Arch Intern Med. 1986 Apr;146(4):716–720. [PubMed] [Google Scholar]
  22. Narducci F., Bassotti G., Granata M. T., Pelli M. A., Gaburri M., Palumbo R., Morelli A. Colonic motility and gastric emptying in patients with irritable bowel syndrome. Effect of pretreatment with octylonium bromide. Dig Dis Sci. 1986 Mar;31(3):241–246. doi: 10.1007/BF01318114. [DOI] [PubMed] [Google Scholar]
  23. Preston D. M., Lennard-Jones J. E. Severe chronic constipation of young women: 'idiopathic slow transit constipation'. Gut. 1986 Jan;27(1):41–48. doi: 10.1136/gut.27.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Reynolds J. C., Ouyang A., Lee C. A., Baker L., Sunshine A. G., Cohen S. Chronic severe constipation. Prospective motility studies in 25 consecutive patients. Gastroenterology. 1987 Feb;92(2):414–420. [PubMed] [Google Scholar]
  25. Ritchie J. A. Colonic motor activity and bowel function. I. Normal movement of contents. Gut. 1968 Aug;9(4):442–456. doi: 10.1136/gut.9.4.442. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Ritchie J. Mass peristalsis in the human colon after contact with oxyphenisatin. Gut. 1972 Mar;13(3):211–219. doi: 10.1136/gut.13.3.211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Schang J. C., Devroede G., Duguay C., Hémond M., Hébert M. Constipation par inertie colique et obstruction distale: étude électromyographique. Gastroenterol Clin Biol. 1985 Jun-Jul;9(6-7):480–485. [PubMed] [Google Scholar]
  28. Sullivan M. A., Cohen S., Snape W. J., Jr Colonic myoelectrical activity in irritable-bowel syndrome. Effect of eating and anticholinergics. N Engl J Med. 1978 Apr 20;298(16):878–883. doi: 10.1056/NEJM197804202981604. [DOI] [PubMed] [Google Scholar]
  29. Watier A., Devroede G., Duranceau A., Abdel-Rahman M., Duguay C., Forand M. D., Tétreault L., Arhan P., Lamarche J., Elhilali M. Constipation with colonic inertia. A manifestation of systemic disease? Dig Dis Sci. 1983 Nov;28(11):1025–1033. doi: 10.1007/BF01311732. [DOI] [PubMed] [Google Scholar]
  30. Wingate D. The tunnel at the end of the light. Gut. 1986 Sep;27(9):995–998. doi: 10.1136/gut.27.9.995. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES