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. 2004 Nov;53(11):1595–1601. doi: 10.1136/gut.2003.028514

Table 3.

 Brain regions significantly activated by heterotopic stimulation during rectal pain (z score >3, Bonferroni-corrected, two tailed)

Controls IBS-C IBS-D
Cingulate anterior +Bilateral*
Cingulate posterior +Bilateral +Right†*
Prefrontal cortex inferior +Bilateral† +Bilateral†
Prefrontal cortex superior +Bilateral +Bilateral
Insula anterior −Bilateral‡ −Right
Insula posterior −Left
Thalamus lateral +Bilateral§
Thalamus medial −Right +Bilateral¶
Thalamus anterior +Bilateral§
S1 +Bilateral
PAG −Midline
Orbitofrontal +Bilateral**
Amygdala/hippocampus +Bilateral††

IBS, irritable bowel syndrome; IBS-C, IBS with constipation; IBS-D, IBS with diarrhoea; PAG, periaqueductal gray.

+, Significant activation; −, significant deactivation; Bilateral, bilateral symmetrical activation changes; Right or Left, respective asymmetrical activation changes.

*Increased versus IBS-D; †increased versus IBS-D; ‡decreased versus IBS-C and IBS-D; §increased versus healthy and IBS-D; ¶increased versus healthy; **increased versus healthy and IBS-D; ††§§increased versus healthy and IBS-D.