Table 1.
Summary of motor abnormalities and gastrointestinal symptoms in inflammatory bowel diseases patients in each segment of the gastrointestinal tract
Segment | Motor changes | Symptoms | Ref. |
Esophagus | Aspecific, achalasia-like (rare) | Gastroesophageal reflux | [18,19,24,25] |
Stomach | Delayed emptying | Not reported (?) | [30,31,34,35] |
Biliary tree | Possible reduction of cyclic contractions of gallbladder due to deranged phase III and motilin peaks | Symptoms related to gallstones | [41,42] |
Small bowel | Large amplitude, rapidly propagated waves in small bowel of UC after proctocolectomy | IBS-like symptoms | [49,57-60] |
Reduced small bowel contractions, increased incidence single and clustered propagated contractions in CD | [63,64] | ||
Colon | Decreased contractility in UC with accelerated transit | Diarrhea | [75-77] |
Reduced tone after meals | [80] | ||
Increased propulsive activity | [81] | ||
Anorectum | Low anal pressure, poor rectal distensibility, reduced compliance, enhanced perception | Incontinence, urgency | [84-88] |
[90-93] | |||
[94,95] |
UC: Ulcerative colitis; CD: Crohn’s disease.