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| DOI | 10.1111/NMO.12068 | ||||
| Año | 2013 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background Using an experimental model of colonic gas infusion, we previously showed that the abdominal walls adapt to its content by an active phenomenon of abdominal accommodation. We now hypothesized that abdominal accommodation is a physiological phenomenon, and aimed to confirm that it can be induced by ingestion of a meal; a secondary aim was to determine whether the response to gut filling is region-specific. Methods In healthy subjects (n=24) a nutrient test meal was administered until tolerated at a rate of 50mL min1. Electromyographic (EMG) activity of the anterior wall (upper and lower rectus, external and internal oblique) was measured via four pairs of surface electrodes, and EMG activity of the diaphragm via intraluminalelectrodes on an esophageal tube. To address the secondary aim, the response to gastric filling was compared with that induced by colonic filling (1440mL 30min1 anal gas infusion; n=8). Key Results Participants tolerated 927 +/- 66mL of meal (4501500mL). Meal ingestion induced progressive diaphragmatic relaxation (EMG reductionby 16 +/- 2%; P<0.01) and selective contraction of the upper abdominal wall (24 +/- 2% increasein activity of the upper rectus and external oblique; P<0.01 for both), with no significantchangesin the lower rectus (4 +/- 2%)or internal oblique (5 +/- 3%). Colonic gas infusion induced a similar response, but with an overall contraction of the anterior wall. Conclusions & Inferences Meal ingestion induces a metered and region-specific response of the abdominal walls to accommodate the volume load. Abnormal abdominal accommodation could be involved in postprandial bloating.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Quiroga, S. | Hombre |
UNIV AUTONOMA BARCELONA - España
Stadspital Triemli - Suiza Hospital Universitari Vall d'Hebron - España |
| 2 | CISTERNAS-CAMUS, DANIEL ALEJANDRO | Hombre |
UNIV AUTONOMA BARCELONA - España
Pontificia Universidad Católica de Chile - Chile Hospital Universitari Vall d'Hebron - España Facultad de Medicina - Chile |
| 3 | Villoria, Albert | Hombre |
UNIV AUTONOMA BARCELONA - España
Hospital Universitari Vall d'Hebron - España Universitat Autònoma de Barcelona - España |
| 4 | Quiroga, S. | Hombre |
UNIV AUTONOMA BARCELONA - España
Stadspital Triemli - Suiza Hospital Universitari Vall d'Hebron - España |
| 5 | Soldevilla, Alfredo | Hombre |
Univ Politecn Cataluna - España
Universitat Politècnica de Catalunya - España |
| 6 | Quiroga, S. | Hombre |
UNIV AUTONOMA BARCELONA - España
Stadspital Triemli - Suiza Hospital Universitari Vall d'Hebron - España |
| 7 | Azpiroz, F. | Hombre |
UNIV AUTONOMA BARCELONA - España
Hospital Universitari Vall d'Hebron - España |
| Fuente |
|---|
| Pontificia Universidad Católica de Chile |
| Instituto de Salud Carlos III |
| Comision Nacional de Investigacion Cientifica y Tecnologica-Gobierno de Chile |
| Freiwillige Akademische Gesellschaft (Basel, Switzerland) |
| Gottfried und Julia Bangerter-Rhyner-Stiftung (Bern, Switzerland) |
| Fundacio la Marato TV3 |
| Spanish Ministry of Education (Direccion General de Investigacion) |
| European Community (project OASIS) |
| Spanish Ministry of Health (Ayuda para contratos post Formacion Sanitaria Especializada) |
| Agradecimiento |
|---|
| Supported in part by the Spanish Ministry of Education (Direccion General de Investigacion, SAF 2009-07416), Fundacio La Marato TV3 (MARATV3_072010), and European Community (project OASIS, QLRT-2001-00218); Ciberehd is funded by the Instituto de Salud Carlos III. Dr. Burri was supported by grants from the Freiwillige Akademische Gesellschaft (Basel, Switzerland) and the Gottfried und Julia Bangerter-Rhyner-Stiftung (Bern, Switzerland). Dr Cisternas was supported by grants from Comision Nacional de Investigacion Cientifica y Tecnologica-Gobierno de Chile and from Pontificia Universidad Catolica de Chile. Dr. Villoria was supported by a scholarship from the Spanish Ministry of Health (Ayuda para contratos post Formacion Sanitaria Especializada, ISC III 03/00051). |