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Tegaserod Increases Sigmoid Accommodation in Female Irritable Bowel Syndrome (IBS) Patients
이오영 ( Oh Young Lee ),( Bruce D. Naliboff ),( Lin Chang ),( Michael D. Crowell ),( Max Schmulson ),( Gerald J. Holtmann ),( Hubert Monnikes ),( Jorge E. Valenzuela ),( Jean Stains ),( Roger Bolus ),( E 대한소화기학회 2004 대한소화기학회 추계학술대회 Vol.- No.-
Tegaserod Increases Sigmoid Accommodation in Female Irritable Bowel Syndrome (IBS) Patients
이오영 ( Oh Young Lee ),( Bruce D Naliboff ),( Lin Chang ),( Michael D Crowell ),( Max Schmulson ),( Gerald J Holtmann ),( Hubert Monnikes ),( Jorge E Valenzuela ),( Jean Stains ),( Roger Bolus ),( Emera 대한소화관운동학회 2004 소화기연관학회 합동학술대회 Vol.10 No.20
( Monica E Jarrett ),( Kevin C Cain ),( Pamela G Barney ),( Robert L Burr ),( Bruce D Naliboff ),( Robert Shulman ),( Jasmine Zia ),( Margaret M Heitkemper ) 대한소화기기능성질환·운동학회 2016 Journal of Neurogastroenterology and Motility (JNM Vol.22 No.1
Background/Aims To determine if potential biomarkers can be used to identify subgroups of people with irritable bowel syndrome (IBS) who will benefit the most or the least from a comprehensive self-management (CSM) intervention. Methods In a two-armed randomized controlled trial a CSM (n = 46) was compared to a usual care (n = 46) group with follow-up at 3 and 6 months post randomization. Biomarkers obtained at baseline included heart rate variability, salivary cortisol, interleukin-10 produced by unstimulated peripheral blood mononuclear cells, and lactulose/mannitol ratio. Linear mixed models were used to test whether these biomarkers predicted improvements in the primary outcomes including daily abdominal pain, Gastrointestinal Symptom score and IBS-specific quality of life. Results The nurse-delivered 8-session CSM intervention is more effective than usual care in reducing abdominal pain, reducing Gastrointestinal Symptom score, and enhancing quality of life. Participants with lower nighttime high frequency heart rate variability (vagal modulation) and increased low frequency/high frequency ratio (sympathovagal balance) had less benefit from CSM on abdominal pain. Salivary cortisol, IL-10, and lactulose/mannitol ratio were not statistically significant in predicting CSM benefit. Baseline symptom severity interacts with treatment, namely the benefit of CSM is greater in those with higher baseline symptoms. Conclusions Cognitively-focused therapies may be less effective in reducing abdominal pain in IBS patients with higher sympathetic tone. Whether this a centrally-mediated patient characteristic or related to heightened arousal remains to be determined. (J Neurogastroenterol Motil 2016;22:102-111)