Abstract
Extraintestinal symptoms are often found in patients with irritable bowel syndrome (IBS). Recent studies suggest that IBS is associated with bronchial hyperresponsiveness. But it is still arguable that the bronchial hyperresponsiveness is associated with IBS patients. The purpose of this study is to investigate the possible relationship between IBS and bronchial hyperresponsiveness. Forty-two patients with IBS and 42 control subjects were included in this study. All patients underwent pulmonary function, methacholine challenge, and skin prick tests. There was no statistical difference between the two groups with respect to percentage of all pulmonary function test parameters, including FEV1%, FCV%, FVC/FEV1, and FEF25 − 75%. Only two persons in the alternating-type IBS patient group and one person in the control group tested positive in the methacholine provocation test. But all PC20 values were above 16 mg/ml. These results do not demonstrate a relationship between bronchial hyperresponsiveness and IBS. However, a relationship might exist in a subpopulation of IBS patients.
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Lee SH, Yoon BC, Lee OY, et al.: Characteristics and prevalence of IBS patients in Korea. Korean Soc Neurogastroenterol Motil 1:104, 2001
Smart HL, Atkinson M: Abnormal vagal function in IBS. Lancet 1:475–478, 1987
Kennedy TM, Jones RH, Hungin AP, O’Flanagan H, Kelly P: Irritable bowel syndrome, gastro-oesoghageal reflux, and bronchial hyperresponsiveness in the general population. Gut 43:770–774, 1998
White AM, Stevens WH, Upton AR, O’Byrne PM, Collins SM: Airway responsiveness to inhaled methacholine in patients with IBS. Gastroenterology 100:68–74, 1991
Roussos A, Koursarakos P, Patsopoulos D, Gerogianni I, Philippou N: Increased prevalence of IBS in patients with bronchial asthma. Respir Med 97:75–79, 2003
Yazar A, Atis S, Konca K et al.: Respiratory symptoms and pulmonary functional changes in patients with IBS. Am J Gastroenterol 96:1511–1516, 2001
Whorwell PJ, Lupton EW, Erduran D, Wilson K: Bladder smooth muscle dysfuction in patients with IBS. Gut 27:1014–1017, 1986
Fielding JF, Regan R: Excessive cold pressor response in the irritable colon syndrome. Ir J Med Sci 153:348–350, 1984
Carpo RO, Casaburi, Coates Al, et al.: Guildlines for methacholine and exercise challenge testing. Am J Respir Crit Care Med 161:309–329, 2000
Riccioni G, Della Vecchia R, Menna V, Staniscia T, Di llio C, D’Orazio N: Irritable bowel syndrome and bronchial hyperresponsiveness: is there a link? Digestion 69:185–189, 2004
Wubbel C, Asmus MJ, Stevens G, Chesrown SE, Hendeles L: Methacholine challenge testing: comparison of the two American Thoracic Society recommendation methods. Chest 125:453–458, 2004
Theoharides TC: Mast cells and stress—A psychoneuroimmunological perspective. J Clin Psychopharmacol 22:103–108, 2002
Theoharides TC, Letourneau R, Patra P, et al.: Stress induced rat intestinal mast cell intragranular activation and inhibitory effect of sulfated proteoglycans. Dig Dis Sci (Suppl) 44:87S–93S, 1999
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Jun, D.W., Lee, O.Y., Yoon, H.J. et al. Bronchial Hyperresponsiveness in Irritable Bowel Syndrome. Dig Dis Sci 50, 1688–1691 (2005). https://doi.org/10.1007/s10620-005-2916-y
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DOI: https://doi.org/10.1007/s10620-005-2916-y