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Figure 8 Assessment of colonic tone using a barostat device

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1 Figure 8 Assessment of colonic tone using a barostat device
Figure 8 | Assessment of colonic tone using a barostat device. The barostat balloon is placed into the colon endoscopically (part a). The barostat device keeps intraballoon pressure at a pre-set level chosen to ensure apposition of the balloon to the colonic wall without relevant distension. Phasic and tonic contractions therefore induce a decrease in baseline balloon volume. The panels show phasic and tonic contractile activity measured under constant pressure conditions in the colon of a patient with slow-transit constipation (part b) and in the colon of a patient with chronic megacolon (part c). Note the large colonic volume (indicating low tone) during fasting in part c and the persistence of phasic contractile activity despite the low colonic tone. Keller, J. et al. (2018) Advances in the diagnosis and classification of gastric and intestinal motility disorders Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro


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