RESUMO
In clinical practice, bowel sounds are often used to assess bowel motility. However, the mechanism of bowel-sound occurrence is unknown. Furthermore, there is no objective evidence indicating a relationship between bowel motility and bowel sounds, and diagnoses have been based on empirically established criteria. In this study, simultaneous X-ray fluoroscopy and bowel-sound measurements were used to reveal the mechanism of bowel-sound occurrence. The results indicate that the flow of luminal contents may cause bowel sounds. Additionally, on the basis of the hypothesis that bowel motility recovers with the postoperative course, bowel-sound features that reflect bowel motion were explored, revealing that the current diagnosis indices are appropriate.
Assuntos
Acústica , Auscultação , Humanos , Raios X , Auscultação/métodos , Motilidade Gastrointestinal , FluoroscopiaRESUMO
In clinical practice, bowel sounds are often used to assess bowel motility. However, the diagnosis differs depending on the literature because diagnoses have been based on empirically established criteria. To establish diagnostic criteria, researching the mechanism of bowel-sound occurrence is necessary. In this study, based on simultaneously measured X-ray fluoroscopy and bowel sounds, correlation and Granger causality among bowel movement, luminal content movement, and abdominal sound were estimated. The results supported our hypothesis that the bowel moves luminal contents and luminal contents generate abdominal sounds.