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- W3140698957 abstract "AIM:To study the ileal endocrine cell types in irritable bowel syndrome(IBS)patients.METHODS:Ninety-eight patients with IBS(77 females and 21 males;mean age 35 years,range 18-66 years)were included,of which 35 patients had diarrhea(IBS-D),31 patients had a mixture of both diarrhea and constipation(IBS-M),and 32 patients had constipation(IBS-C)as the predominant symptoms.The controls were 38 subjects(26 females and 12 males;mean age 40 years,range 18-65 years)who had submitted to colonoscopy for the following reasons:gastrointestinal bleeding,where the source of bleeding was identified as hemorrhoids(n=24)or angiodysplasia(n=3),and health worries resulting from a relative being diagnosed with colon carcinoma(n=11).The patients were asked to complete the:Birmingham IBS symptom questionnaire.Ileal biopsy specimens from all subjects were immunostained using the avidinbiotin-complex method for serotonin,peptide YY(PYY),pancreatic polypeptide(PP),enteroglucagon,and somatostatin cells.The cell densities were quantified by computerized image analysis,using Olympus cellSens imaging software.RESULTS:The gender and age distributions did not differ significantly between the patients and the controls(P=0.27 and P=0.18,respectively).The total score of Birmingham IBS symptom questionnaire was21±0.8,and the three underlying dimensions:pain,diarrhea,and constipation were 7.2±0.4,6.6±0.4,and 7.2±0.4,respectively.The density of serotonin cells in the ileum was 40.6±3.6 cells/mm2in the controls,and 11.5±1.2,10.7±5.6,10.0±1.9,and13.9±1.4 cells/mm2in the all IBS patients(IBS-total),IBS-D,IBS-M,and IBS-C patients,respectively.The density in the controls differed significantly from those in the IBS-total,IBS-D,IBS-M,and IBS-C groups(P<0.0001,P=0.0001,P=0.0001,and P<0.0001,respectively).There was a significant inverse correlation between the serotonin cell density and the pain dimension of Birmingham IBS symptom questionnaire(r=-0.6,P=0.0002).The density of PYY cells was 26.7±1.6 cells/mm2in the controls,and 33.1±1.4,27." @default.
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- W3140698957 date "2014-01-01" @default.
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- W3140698957 title "Endocrine cells in the ileum of patients with irritable bowel syndrome" @default.
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