1997
Characterization of afferent mechanisms in ileoanal pouches.
Bernstein C, Rollandelli R, Niazi N, Robert M, Hirsh T, Munakata J, Mayer E. Characterization of afferent mechanisms in ileoanal pouches. The American Journal Of Gastroenterology 1997, 92: 103-8. PMID: 8995947.Peer-Reviewed Original ResearchConceptsIleoanal pouchPouch complianceProximal ileumActive ulcerative colitisAnal sphincter functionAfferent nerve functionBalloon distentionIntrapouch pressureS3 dermatomesNerve functionPouch functionSphincter functionAfferent mechanismsUlcerative colitisAfferent innervationClinical featuresClinical presentationColorectal inflammationReferral patternsReflex functionReflex regulationAfferent pathwaysDistention pressuresLower volume thresholdRamp distention
1996
Rectal afferent function in patients with inflammatory and functional intestinal disorders
Bernstein C, Niazi N, Robert M, Mertz H, Kodner A, Munakata J, Naliboff B, Mayer E. Rectal afferent function in patients with inflammatory and functional intestinal disorders. Pain 1996, 66: 151-161. PMID: 8880836, DOI: 10.1016/0304-3959(96)03062-x.Peer-Reviewed Original ResearchConceptsIrritable bowel syndromeInflammatory bowel diseaseDiarrhea-predominant irritable bowel syndromeViscerosomatic referral patternCrohn's disease patientsIBS patientsDisease patientsCrohn's diseaseMale patientsReferral patternsAfferent pathwaysReflex responsesHealthy male control subjectsTissue irritationAutonomic reflex responsesChronic ileal inflammationLower distension pressuresRapid phasic distensionDorsal horn neuronsVisceral afferent pathwaysIleal Crohn's diseaseFunctional intestinal disordersMale control subjectsSkin conductance responsesBulbospinal inhibition