Tertiary Esophageal Contractions Evoked by Acoustical Stimuli

Stacher, G; Schmierer, G; Landgraf, Monika

doi:10.1016/s0016-5085(79)80009-8

Cited by 45 publications

(7 citation statements)

References 8 publications

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“…Similarly, Rubin and coworkers (24) reported that in healthy volunteers a stress interview focusing on material upsetting to the volunteers provoked simultaneous contractions in three out of five subjects. Other controlled studies have shown that unpredictable bursts of white noise (1000 Hz), with intensities between 70 and 125 dBA, induced simultaneous esophageal contractions (19,20). By means of intraluminal pressure recording, Ayres and associates (8) demonstrated that dichotomic listening and cold pressor test increased the amplitudes of esophageal peristaltic pressure waves in the esophageal body.…”

Section: Esophagusmentioning

confidence: 96%

“…This test is based on the instillation of cold water into the external auditory meatus of one ear, resulting in a stimulation of the vestibular system with the sensations of unpleasant rotation and sometimes nausea (16). Other physical stimuli with psychological implications are continuous noise (17) and intermittent, unexpected acoustical stimuli (18)(19)(20). Psychological stressors include simulated or real performance tasks.…”

Section: Introductionmentioning

confidence: 99%

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Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Holtmann

Enck

1991

Neurogastroenterology Motil

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Clinical observations and uncontrolled single case experiments have suggested an effect of psychological stress on gastrointestinal motility. These observations encouraged a large number of experimental studies focusing on the influence of psychological stress on gastrointestinal motility. These controlled studies have shown that different kinds of stressors increase esophageal motor activity and induce secondary (nonpropulsive) esophageal contractions. Cold pressor test and transcutaneous electrical stimulation inhibited gastric emptying, auditory feedback and performance tasks inhibited the occurrence of interdigestive migrating motor complexes, and a noise stressor increased intestinal transit time. Furthermore, psychological stress (psychological stress interview, frustrating cognitive tasks, and anger) and physical stress (cold pressor test) stimulated large‐bowel contractions and electrical spiking activity. The present studies give some evidence that patients with functional motility disorders respond differently to stressors as compared to healthy controls. In spite of these findings with short‐acting stressors, there is no proof that stress has an effect on the manifestation of functional motility disorders. Nevertheless, this does not allow the conclusion that stress does not play any role in the manifestation of motility‐related gastrointestinal disorders. In particular, there are no studies on the action of chronic stress on gastrointestinal motility. Thus further research is needed to elucidate the influence of stress, especially of chronic stress, on gastrointestinal motility.

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Section: Esophagusmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Holtmann

Enck

1991

Neurogastroenterology Motil

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“…Acoustic stress has been reported to induce changes of human gut motility such as increased amplitude of oesophageal contractions, 9–11 increased amplitude of gastric slow waves 12 and gastric contractions, 13 and decreased number of migrating motor complex phase IIIs 14 . In the colon, Ford and colleagues 4 reported that mental stress induced by dichotomous listening increased perception of colonic distention.…”

Section: Introductionmentioning

confidence: 99%

Effect of acute acoustic stress on anorectal function and sensation in healthy humans¹

Gonlachanvit

Rhee

Sun

et al. 2004

Neurogastroenterology Motil

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Little is known about the effects of acute acoustic stress on anorectal function. To determine the effects of acute acoustic stress on anorectal function and sensation in healthy volunteers. Ten healthy volunteers (7 M, 3 F, mean age 34 +/- 3 years) underwent anorectal manometry, testing of rectal compliance and sensation using a barostat with and without acute noise stress on separate days. Rectal perception was assessed using an ascending method of limits protocol and a 5-point Likert scale. Arousal and anxiety status were evaluated using a visual analogue scale. Acoustic stress significantly increased anxiety score (P < 0.05). Rectal compliance was significantly decreased with acoustic stress compared with control P (P < 0.000001). In addition, less intraballoon volume was needed to induce the sensation of severe urgency with acoustic stress (P < 0.05). Acoustic stress had no effect on hemodynamic parameters, anal sphincter pressure, threshold for first sensation, sensation of stool, or pain. Acute acoustic stimulation increased anxiety scores, decreased rectal compliance, and enhanced perception of severe urgency to balloon distention but did not affect anal sphincter pressure in healthy volunteers. These results may offer insight into the pathogenesis of stress-in-induced diarrhoea and faecal urgency.

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“…Stress-induced esophageal contraction abnormalities have been well documented in the literature as early as 1949 (1)(2)(3)(4)(5)7,8), but relatively little has been published concerning stressinduced LES dysfunction. A recent study of healthy volunteers (6) found that artificial stressors resulted in impaired LES relaxation.…”

Section: Discussionmentioning

confidence: 99%

“…and experimental evidence suggest that psychological stressors can produce esophageal motility abnormalities (1). Psychologically stressful interviews may produce simultaneous and repetitive contractions (2), and loud noises or difficult mental tasks performed during manometry have been shown to increase the contraction amplitude and produce simultaneous contractions in the distal esophagus of normal subjects (3)(4)(5). Furthermore, a recent study demonstrated abnormal lower esophageal sphincter (LES) relaxation in healthy volunteers during experimental stress (6).…”

Section: Ncreasing Clinical Experiencementioning

confidence: 99%

Atypical Manometric Abnormality of the Lower Esophageal Sphincter: A Procedure-Related, Stress-Induced Phenomenon?

Indrakrishnan

Paterson

1995

Canadian Journal of Gastroenterology

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Stress-induced esophageal contraction abnormalities have been well documented in the literature, but relatively little is known about stress-related lower esophageal sphincter (LES) dysfunction. Two patients are described in whom initial manometry studies revealed LES hypertension and impaired LES relaxation. Both patients were markedly anxious and agitated during the initial study. However, when the manometry was repeated with the patients in a calmer state, LES pressure and function were normal. These cases demonstrate the need to be aware of stress-related LES dysfunction. If this phenomenon is not identified in the appropriate settings, it could lead to significant errors in management.

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Tertiary Esophageal Contractions Evoked by Acoustical Stimuli

Cited by 45 publications

References 8 publications

Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Effect of acute acoustic stress on anorectal function and sensation in healthy humans¹

Atypical Manometric Abnormality of the Lower Esophageal Sphincter: A Procedure-Related, Stress-Induced Phenomenon?

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Tertiary Esophageal Contractions Evoked by Acoustical Stimuli

Cited by 45 publications

References 8 publications

Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Stress and Gastrointestinal Motility in Humans: A Review of the Literature

Effect of acute acoustic stress on anorectal function and sensation in healthy humans1

Atypical Manometric Abnormality of the Lower Esophageal Sphincter: A Procedure-Related, Stress-Induced Phenomenon?

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Product

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Effect of acute acoustic stress on anorectal function and sensation in healthy humans¹