|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Is irritable bowel syndrome an organic disorder?显示文摘Irritable bowel syndrome(IBS)is a common gastrointestinal disorder that is generally considered to be functional because there appears to be no associated anatomical defect.Stress and psychological factors are thought to play an important role in IBS.The gut neuroendocrine system(NES),which regulates all functions of the gastrointestinal tract,consists of endocrine cells that are scattered among the epithelial cells of the mucosa,and the enteric nervous system.Although it is capable of operating independently from the centra nervous system(CNS),the gut NES is connected to and modulated by the CNS.This review presents evidence for the presence of an anatomical defect in IBS patients,namely in the gastrointestinal endocrine cells.These cells have specialized microvilli that project into the lumen and function as sensors for the luminal content and respond to luminal stimuli by releasing hormones into the lamina propria,which starts a chain reaction that progresses throughout the entire NES.The changes in the gastrointestinal endocrine cells observed in IBS patients are highly consistent with the other abnormalities reported in IBS patients,such as visceral hypersensitivity,dysmotility,and abnormal secretion. | Magdy El-Salhy Doris Gundersen Odd Helge Gilja Jan Gunnar Hatlebakk Trygve Hausken | 2014 | World Journal of Gastroenterology2014，20，2： | 11 |
| 2 | Gastrointestinal neuroendocrine peptides/amines in inflammatory bowel disease显示文摘Inflammatory bowel disease(IBD) is a chronic recurrent condition whose etiology is unknown,and it includes ulcerative colitis,Crohn's disease,and microscopic colitis. These three diseases differ in clinical manifestations,courses,and prognoses. IBD reduces the patients' quality of life and is an economic burden to both the patients and society. Interactions between the gastrointestinal(GI) neuroendocrine peptides/amines(NEPA) and the immune system are believed to play an important role in the pathophysiology of IBD. Moreover,the interaction between GI NEPA and intestinal microbiota appears to play also a pivotal role in the pathophysiology of IBD. This review summarizes the available data on GI NEPA in IBD,and speculates on their possible role in the pathophysiology and the potential use of this information when developing treatments. GI NEPA serotonin,the neuropeptide Y family,and substance P are proinflammatory,while the chromogranin/secretogranin family,vasoactive intestinal peptide,somatostatin,and ghrelin are antiinflammatory. Several innate and adaptive immune cells express these NEPA and/or have receptors to them. The GI NEPA are affected in patients with IBD and in animal models of human IBD. The GI NEPA are potentially useful for the diagnosis and follow-up of the activity of IBD,and are candidate targets for treatments of this disease. | Magdy El-Salhy Tefera Solomon Trygve Hausken Odd Helge Gilja Jan Gunnar Hatlebakk | 2017 | World Journal of Gastroenterology2017，23，28： | 8 |
| 3 | Reduction in duodenal endocrine cells in irritable bowel syndrome is associated with stem cell abnormalities显示文摘AIM: To determine whether the decreased density of duodenal endocrine cells in irritable bowel syndrome(IBS) is associated with abnormalities in stem cell differentiation.METHODS: The study sample comprised 203 patients with IBS(180 females and 23 males with a mean age of 36 years) and a control group of 86 healthy subjects without gastrointestinal complaints(77 females and 9 males with a mean age of 38 years). The patients included 80 with mostly diarrhoea(IBS-D), 47 with both diarrhoea and constipation(IBS-M), and 76 with mostly constipation(IBS-C). Both the patients and controls underwent gastroscopy and four biopsy samples were taken from the descending part of the duodenum, proximal to the papilla of Vater. The biopsy samples were sectioned and immunostained for Musashi 1(Msi-1), neurogenin 3(NEUROG3), secretin, cholecystokinin(CCK), gastric inhibitory peptide(GIP), somatostatin and serotonin. Immunostainingwas performed with an ultra View Universal DAB Detection Kit(v1.02.0018, Venata Medical Systems, Basal, Switzerl and) using the Bench Mark Ult ra immunohistochemistry/in situ hybridization staining module(Venata Medical Systems). Endocrine cell densities were quantified by computerized image analysis using the Olympus cell Sens imaging program.RESULTS: The densities of Msi-1 and NEUROG3 cells were significantly lower in IBS patients, regardless of the subtype, than in the controls(77 ± 17 vs 8 ± 2; P = 0.0001, and 351 ± 33 vs 103 ± 22; P = 0.00002, respectively). Furthermore, the densities of secretin, and CCK cells were significantly lower in patients with diarrhoea as the predominant IBS symptom(IBS-D) than in the controls(161 ± 11 vs 88 ± 8; P = 0.00007, and 325 ± 41 vs 118 ± 10; P = 0.00006, respectively), but not in patients with constipation as the predominant IBS symptom(IBS-C) or those with both diarrhoea and constipation(IBS-M). The GIP cell density was significantly reduced in both IBS-D(152 ± 12 vs 82 ± 7; P = 0.00003), and IBS-C(152 ± 12 vs 107 ± 8; P = 0.01), but not in IBS-M. The densities of somatostatin cells in the controls and the IBS-total, IBS-D, IBS-M and IBS-C patients were 81 ± 8, 28 ± 3, 20 ± 4, 37 ± 5 and 28 ± 4 cells/mm2 epithelium, respectively. The density of somatostatin cells was lower in IBS-total, IBS-D, IBS-M and IBS-C patients than in the controls(P = 0.00009, 0.00006, 0.009 and 0.00008, respectively). The density of serotonin cells did not differ between IBS patients and controls.CONCLUSION: The reduction in duodenal endocrine cells in IBS patients found in this study is probably attributable to the reduction in cells expressing Msi-1 and NEUROG3. | Magdy El-Salhy Jan Gunnar Hatlebakk Trygve Hausken | 2015 | World Journal of Gastroenterology2015，21，32： | 7 |
| 4 | Endocrine cells in the ileum of patients with irritable bowel syndrome显示文摘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±1.4,27.5±1.4,34.1±2.5,and 41.7±3.1 cells/mm2in the IBStotal,IBS-D,IBS-M,and IBS-C patients,respectively.This density differed significantly between patients with IBS-total and IBS-C and the controls(P=0.03 and<0.0001,respectively),but not between controls and,IBS-D,and IBS-M patients(P=0.8,and P=0.1,respectively).The density of PYY cells correlated significantly with the degree of constipation as recorded by the Birmingham IBS symptom questionnaire(r=0.6,P=0.0002).There were few PP-,enteroglucagon-,and somatostatin-immunoreactive cells in the biopsy material examined,which made it impossible to reliably quantify these cells.CONCLUSION:The decrease of ileal serotonin cells is associated with the visceral hypersensitivity seen in all IBS subtypes.The increased density of PYY cells in IBS-C might contribute to the constipation experienced by these patients. | Magdy El-Salhy Odd Helge Gilja Doris Gundersen Jan Gunnar Hatlebakk Trygve Hausken | 2014 | World Journal of Gastroenterology2014，20，9： | 5 |
| 5 | High densities of serotonin and peptide YY cells in the colon of patients with lymphocytic colitis显示文摘AIM:To investigate colonic endocrine cells in lymphocytic colitis(LC) patients.METHODS:Fifty-seven patients with LC were included.These patients were 41 females and 16 males,with an average age of 49 years(range 19-84 years).Twenty-seven subjects that underwent colonoscopy with biopsies were used as controls.These subjects underwent colonoscopy because of gastrointestinal bleeding or health worries,where the source of bleeding was identified as haemorrhoids or angiodysplasia.They were 19 females and 8 males with an average age of 49 years(range 18-67 years).Biopsies from the right and left colon were obtained from both patients and controls during colonoscopy.Biopsies were fixed in 4% buffered paraformaldehyde,embedded in paraffin and cut into 5 m-thick sections.The sections immunostained by the avidin-biotin-complex method for serotonin,peptide YY(PYY),pancreatic polypeptide(PP) enteroglucagon and somatostatin cells.The cell densities were quantified by computerised image analysis using Olympus software.RESULTS:The colon of both the patient and the control subjects were macroscopically normal.Histopathological examination of colon biopsies from controls revealed normal histology.All patients fulfilled the diagnosis criteria required for of LC:an increase in intraepithelial lymphocytes(> 20 lymphocytes/100 epithelial cells) and surface epithelial damage with increased lamina propria plasma cells and absent or minimal crypt architectural distribution.In the colon of both patients and control subjects,serotonin-,PYY-,PP-,enteroglucagon-and somatostatin-immunoreactive cells were primarily located in the upper part of the crypts of Lieberkühn.These cells were basket-or flask-shaped.There was no statistically significant difference between the right and left colon in controls with regards to the densities of serotonin-and PYYimmunoreactive cells(P = 0.9 and 0.1,respectively).Serotonin cell density in the right colon in controls was 28.9 ± 1.8 and in LC patients 41.6 ± 2.6(P = 0.008).In the left colon,the corresponding figures were 28.5 ± 1.9 and 42.4 ± 2.9,respectively(P = 0.009).PYY cell density in the right colon of the controls was 10.1 ± 1 and of LC patients 41 ± 4(P = 0.00006).In the left colon,PYY cell density in controls was 6.6 ± 1.2 and in LC patients 53.3 ± 4.6(P = 0.00007).CONCLUSION:The change in serotonin cells could be caused by an interaction between immune cells and serotonin cells,and that of PYY density might be secondary. | Magdy El-Salhy Doris Gundersen Jan Gunnar Hatlebakk Trygve Hausken | 2012 | World Journal of Gastroenterology2012，18，42： | 5 |
| 6 | The role of peptide YY in gastrointestinal diseases and disorders (Review)显示文摘 | Magdy El-Salhy Tarek Mazzawi Doris Gundersen Jan Hatlebakk Trygve Hausken | 2013 | International Journal of Molecular Medicine2013，，2： | 2 |
| 7 | Mucosal blood flow measurements using laser Doppler perfusion monitoring显示文摘Perfusion of individual tissues is a basic physiological process that is necessary to sustain oxygenation and nutrition at a cellular level. Ischemia, or the insuff iciency of perfusion, is a common mechanism for tissue death or degeneration, and at a lower threshold, a mechanism for the generation of sensory signalling including pain. It is of considerable interest to study perfusion of pe- ripheral abdominal tissues in a variety of circumstances. Microvascular disease of the abdominal organs has been implicated in the pathogenesis of a variety of disorders, including peptic ulcer disease, inflammatory bowel disease and chest pain. The basic principle of laser Doppler perfusion monitoring (LDPM) is to analyze changes in the spectrum of light reflected from tissues as a response to a beam of monochromatic laser light emitted. It reflects the total local microcirculatory blood perfusion, including perfusion in capillaries, arterioles, venules and shunts. During the last 20-25 years, numerous studies have been performed in different parts of the gastroin-testinal (GI) tract using LDPM. In recent years we have developed a multi-modal catheter device which includes a laser Doppler probe, with the intent primarily to investigate patients suffering from functional chest pain of presumed oesophageal origin. Preliminary studies show the feasibility of incorporating LDPM into such catheters for performing physiological studies in the GI tract. LDPM has emerged as a research and clinical tool in preference to other methods; but, it is important to be aware of its limitations and account for them when reporting results. | Dag Arne Lihaug Hoff Hans Gregersen Jan Gunnar Hatlebakk | 2009 | World Journal of Gastroenterology2009，15，2： | 2 |
| 8 | Abnormal rectal endocrine cells in patients with irritable bowel syndrome显示文摘 | Magdy El-Salhy Doris Gundersen Jan G. Hatlebakk Odd Helge Gilja Trygve Hausken | 2013 | Regulatory Peptides2013，，： | 2 |
| 9 | Low Densities of Serotonin and Peptide YY Cells in the Colon of Patients with Irritable Bowel Syndrome显示文摘 | M. El-Salhy D. Gundersen H. ?stgaard B. Lomholt-Beck J. Hatlebakk T. Hausken | 2012 | Digestive Diseases and Sciences2012，，4： | 2 |
| 10 | The role of diet in the pathogenesis and management of irritable bowelsyndrome (Review)显示文摘 | M. El-Salhy H. ?stgaard D. Gundersen J. Hatlebakk T. Hausken | 2012 | International Journal of Molecular Medicine2012，，5： | 2 |
| 11 | Advanced imaging and visualization in gastrointestinal disorders显示文摘Advanced medical imaging and visualization has a strong impact on research and clinical decision making in gastroenterology. The aim of this paper is to show how imaging and visualization can disclose structural and functional abnormalities of the gastrointestinal (GI) tract. Imaging methods such as ultrasonography, magnetic resonance imaging (MRI), endoscopy, endosonography, and elastography will be outlined and visualization with Virtual Reality and haptic methods. Ultrasonography is a versatile method that can be used to evaluate antral contractility, gastric emptying, transpyloric flow, gastric configuration, intragastric distribution of meals, gastric accommodation and strain measurement of the gastric wall. Advanced methods for endoscopic ultrasound, three-dimensional (3D) ultrasound, and tissue Doppler (Strain Rate Imaging) provide detailed information of the GI tract. Food hypersensitivity reactions including gastrointestinal reactions due to food allergy can be visualized by ultrasonography and MRI. Development of multi-parametric and multi-modal imaging may increase diagnostic benefits and facilitate fusion of diagnostic and therapeutic imaging in the future. | Odd Helge Gilja Jan G Hatlebakk Svein φdegaard Arnold Berstad Ivan Viola Christopher Giertsen Trygve Hausken Hans Gregersen | 2007 | World Journal of Gastroenterology2007，13，9： | 2 |
| 12 | Gastro-oesophageal reflux disease in primary care: an international study of different treatment strategies with omeprazole显示文摘 | Rolf Carlsson John Dent Richard Watts Stuart Riley Rajan Sheikh Jan Hatlebakk Kjell Haug Gerrit de Groot Arnold van Oudvorst Agneta Dalv?g Ola Junghard Ingela Wiklund | 1998 | European Journal of Gastroenterology & Hepatology1998，，2： | 1 |
| 13 | Nocturnal gastric acidity and acid breakthrough on different regimens of omeprazole 40 mg daily显示文摘 | Hatlebakk JG Katz PO Kuo B | 1998 | Aliment Pharmacol Ther1998，12，12： | 1 |
| 14 | Gastric acidity and acid breakthrough with twice-daily omeprazole or lansoprazole显示文摘 | Katz PO Hatlebakk JG Castell DO | 2000 | Aliment Pharmacol Ther2000，14，6： | 1 |
| 15 | Ineffective esophageal motility: The most commom motility abnormality in patients with GERD-associated respiratory sympotoms 显示文摘 | Fouad YM Katz PO Hatlebakk JG | 1999 | Am J Gastroenterol1999，94，： | 1 |
| 16 | Nocturnal gastric acidity and acid breakthrough on different regimens of omeprazole 40 mg daily显示文摘 | Hatlebakk JG Katz PO Kuo B | 1998 | Aliment Pharmacol Ther1998，12，2： | 1 |
| 17 | Nocturnal gastric acidity and acid breakthrough on different regimens of omeprazole 40 mg daily显示文摘 | Hatlebakk JG Katz PO Kuo B | | 0，，： | 1 |
| 18 | Duodenal Chromogranin A Cell Density as a Biomarker for the Diagnosis of Irritable Bowel Syndrome显示文摘 | Magdy El-Salhy Odd Helge Gilja Doris Gundersen Jan Gunnar Hatlebakk Trygve Hausken Andrew Thillainayagam | 2014 | Gastroenterology Research and Practice2014，，： | 1 |
| 19 | Nocturnal gastric acidity and acid breakthrough on different regimens of omeprazole 40 mg daily显示文摘 | HATLEBAKK J G KATZ P O KUO B | 1998 | Aliment Pharmacol Ther1998，12，12： | 1 |
| 20 | Endoscopy in gastro-oesophageal reflux disease 显示文摘 | Hatlebakk JG | 2010 | Best Pract Res Clin Gastroenterol2010，24，6： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员