Life Events and Appendicectomy

Creed, Francis

doi:10.1016/s0140-6736(81)92567-8

Cited by 85 publications

(22 citation statements)

References 20 publications

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“…17 The presence of pain in the right iliac fossa without evidence of organic disease is a common phenomenon and may result in the removal of a normal appendix or the diagnosis of 'grumbling appendix'. '8 19 The observation that pain, localised to other sites in the abdomen, is temporally related to the entry of food into the colon, is in keeping with the results of balloon distension of the colon, which can induce pain at sites which do not necessarily correspond to the anatomical source. 20 Patients with irritable bowel syndrome exhibit a greater degree of life stress than normal subjects,2' and experimental stress dramatically influences colonic motor activity.…”

Section: Discussionmentioning

confidence: 79%

Irritable bowel syndrome: relationship of disorders in the transit of a single solid meal to symptom patterns.

Cann¹,

Read²,

Brown³

et al. 1983

Gut

330

124

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SUMMARYThe time taken for a solid meal to pass through the stomach, small intestine, and colon was measured in 61 patients with irritable bowel syndrome, subdivided according to their presenting symptoms, and in 53 healthy volunteers. Small bowel transit times were significantly shorter in patients who complained predominiantly of diarrhoea (3.3±0.3 vs 4.2±0.2 h; p=001; n=21) and significantly longer in patients who complained predominantly of constipation (5.4±0.3 vs 4.2±0.2 h; p<001; n=23) or pain and distension (5.4±0.4 vs 4.2±0.2 h; p<001; n= 17) compared with controls. Whole gut transit times were shorter in patients who complained of diarrhoea (35±5 vs 53±4 h; p<0.01), and longer in patients with constipation (87±13 vs 53±4 h; p<005) compared with controls. No significant differences in gastric emptying rates were shown between any of the patient groups and normal controls. Thirty-four patients reported pain, particularly in the right iliac fossa, during the meal transit test, and in 25 of these (74%), the onset of the pain was associated with the arrival of residues of the test meal in the caecum. Our results indicate that irritable bowel syndrome intestine as well as the colon.

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Section: Discussionmentioning

confidence: 79%

Irritable bowel syndrome: relationship of disorders in the transit of a single solid meal to symptom patterns.

Cann¹,

Read²,

Brown³

et al. 1983

Gut

330

124

View full text Add to dashboard Cite

show abstract

“…44 A precipitating factor is the proverbial "straw that breaks the camel's back," setting off an acute episode of MUPS and related morbidity. Factors that precipitate MUPS include biologic stressors, 45,46 psychosocial stressors, [47][48][49] acute psychiatric disorders, 50 and epidemic health concerns. [51][52][53][54] Perpetuating factors are those that maintain, exacerbate, or prolong symptoms, distress, and disability after they occur.…”

Section: Common Determinants Of Natural Historymentioning

confidence: 99%

Evaluation and Management of Medically Unexplained Physical Symptoms

Richardson

Engel²

2004

The Neurologist

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Effective symptom management involves collaborative doctor-patient approaches for identification of problems based on a combination of medical importance and patient readiness to initiate behavioral change, negotiated treatment goals and outcomes, gradual physical activation and exercise prescription. Additionally, efforts should be made to teach and support active rather than passive coping with the symptoms.

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“…More recently, Creed [31] has put for ward that a stressful life, including emotional problems and depression, may be influential. As to precipitating causes.…”

Section: Predisposition and Causationmentioning

confidence: 99%

Appendicectomy Prevalences in South African Adolescents

Walker

Duvenhage

et al. 1982

Digestion

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From questioning 16,939 South African pupils of 16–18 years, in 56 high schools, mean prevalences of appendicectomies in representative segments of ethnic groups were found to be: rural Blacks 0.6%; urban Blacks 0.7%; Indians, 2.9%; Coloureds (Eur-African-Malay), 1.7%; Whites, 10.5%. Percentages in the sexes were similar. Only those of Indian and Coloured pupils appear to be increasing. Blacks and Whites, respectively, have high and low intakes of fibre-containing foods, which are negatively correlated with appendicectomy prevalences. However, although intakes of fibre-containing foods are slightly higher in Indians and Coloureds than in Whites, the former’s appendicectomy prevalences are lower than would be dietarily expected.

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Life Events and Appendicectomy

Cited by 85 publications

References 20 publications

Irritable bowel syndrome: relationship of disorders in the transit of a single solid meal to symptom patterns.

Irritable bowel syndrome: relationship of disorders in the transit of a single solid meal to symptom patterns.

Evaluation and Management of Medically Unexplained Physical Symptoms

Appendicectomy Prevalences in South African Adolescents

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