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Enteric ganglioneuritis and abnormal interstitial cells of Cajal: Features of inflammatory bowel disease.

Ohlsson, Bodil LU ; Veress, Bela LU ; Lindgren, Stefan LU and Sundkvist, Göran LU (2007) In Inflammatory Bowel Diseases 13. p.721-726
Abstract
Background: An increased prevalence of irritable bowel syndrome (IBS) and disturbances in cardiac and blood pressure reflexes have been described in patients with Crohn's disease (CD) and ulcerative colitis (UC). These features could be due to abnormalities in the gastrointestinal neurotransmission. The aims of this study were to examine whether histopathologic changes in the enteric nervous system correlate with disturbances in cardiac and blood pressure reflexes and the occurrence of IBS- and dyspepsia-like symptoms in these patients. Methods: Thirty patients with CD and UC with bowel resection were examined by deep-breathing and orthostatic tests. The resection specimens were evaluated histologically regarding visceral neuro- or... (More)
Background: An increased prevalence of irritable bowel syndrome (IBS) and disturbances in cardiac and blood pressure reflexes have been described in patients with Crohn's disease (CD) and ulcerative colitis (UC). These features could be due to abnormalities in the gastrointestinal neurotransmission. The aims of this study were to examine whether histopathologic changes in the enteric nervous system correlate with disturbances in cardiac and blood pressure reflexes and the occurrence of IBS- and dyspepsia-like symptoms in these patients. Methods: Thirty patients with CD and UC with bowel resection were examined by deep-breathing and orthostatic tests. The resection specimens were evaluated histologically regarding visceral neuro- or myopathy. All medical records were studied for treatment and clinical course. Results: Ganglioneuritis was observed in 11 of 19 patients with CD and in 5 of 11 with UC. Only patients with CD had ganglioneuritis in the small intestine. Moreover, in CD the interstitial cells of Cajal (ICCs) in the small bowel showed atrophy and vacuolar degeneration, along with a reduced number of cells (P = 0.005). In UC the colonic ICCs were hyperplastic (P = 0.05) without signs of degeneration. The indices of deep-breathing and orthostatic tests were impaired, except in CD with ganglioneuritis, who showed normal test values. There were no correlations between histopathologic alterations versus IBS and dyspepsia. Conclusions: Visceral ganglioneuritis and pathologic ICCs were observed in patients with CD and UC. However, these histopathologic abnormalities could not be related to the clinical or autonomic features of the disease. (Less)
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publication status
published
subject
keywords
ganglioneuritis, bowel syndrome, Crohn's disease, autonomic nerve function tests, enteric, nervous system, ulcerative colitis, irritable, dyspepsia, interstitial cells of Cajal
in
Inflammatory Bowel Diseases
volume
13
pages
721 - 726
publisher
Oxford University Press
external identifiers
  • wos:000246893900006
  • scopus:34250369930
ISSN
1536-4844
DOI
10.1002/ibd.20095
language
English
LU publication?
yes
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The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Clinical Sciences, Malmö (013240000), Diabetes Epidemiology and Neuropathy (013241560), Pathology (Malmö) (013031000), Chronic Inflammatory and Degenerative Diseases Research Unit (013242530), Gastroenterology (013240600), Internal Medicine Research Unit (013242520)
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e6fd4212-5c0c-466a-a0a6-39e4810855e6 (old id 164806)
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17230538&dopt=Abstract
date added to LUP
2016-04-01 11:50:47
date last changed
2020-09-02 01:36:03
@article{e6fd4212-5c0c-466a-a0a6-39e4810855e6,
  abstract     = {Background: An increased prevalence of irritable bowel syndrome (IBS) and disturbances in cardiac and blood pressure reflexes have been described in patients with Crohn's disease (CD) and ulcerative colitis (UC). These features could be due to abnormalities in the gastrointestinal neurotransmission. The aims of this study were to examine whether histopathologic changes in the enteric nervous system correlate with disturbances in cardiac and blood pressure reflexes and the occurrence of IBS- and dyspepsia-like symptoms in these patients. Methods: Thirty patients with CD and UC with bowel resection were examined by deep-breathing and orthostatic tests. The resection specimens were evaluated histologically regarding visceral neuro- or myopathy. All medical records were studied for treatment and clinical course. Results: Ganglioneuritis was observed in 11 of 19 patients with CD and in 5 of 11 with UC. Only patients with CD had ganglioneuritis in the small intestine. Moreover, in CD the interstitial cells of Cajal (ICCs) in the small bowel showed atrophy and vacuolar degeneration, along with a reduced number of cells (P = 0.005). In UC the colonic ICCs were hyperplastic (P = 0.05) without signs of degeneration. The indices of deep-breathing and orthostatic tests were impaired, except in CD with ganglioneuritis, who showed normal test values. There were no correlations between histopathologic alterations versus IBS and dyspepsia. Conclusions: Visceral ganglioneuritis and pathologic ICCs were observed in patients with CD and UC. However, these histopathologic abnormalities could not be related to the clinical or autonomic features of the disease.},
  author       = {Ohlsson, Bodil and Veress, Bela and Lindgren, Stefan and Sundkvist, Göran},
  issn         = {1536-4844},
  language     = {eng},
  pages        = {721--726},
  publisher    = {Oxford University Press},
  series       = {Inflammatory Bowel Diseases},
  title        = {Enteric ganglioneuritis and abnormal interstitial cells of Cajal: Features of inflammatory bowel disease.},
  url          = {https://lup.lub.lu.se/search/ws/files/2668488/625846.pdf},
  doi          = {10.1002/ibd.20095},
  volume       = {13},
  year         = {2007},
}