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Pelvic floor biofeedback is an effective treatment for severe bloating in disorders of gut-brain interaction with outlet dysfunction
- Source :
- Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility SocietyREFERENCES. 34(5)
- Publication Year :
- 2021
-
Abstract
- BACKGROUND The pathophysiology of bloating is partially understood. We investigated in patients with disorders of gut-brain interaction (DGBI) the relationship between severity of bloating, abdominal girth changes and defecation pattern, and the efficacy of pelvic floor biofeedback treatment on bloating. METHODS Disorders of gut-brain interaction patients with severe bloating as the main complaint were prescribed 2 weeks dietary advice and underwent abdominal girth measurements. At the first visit, all patients underwent a questionnaire on the subjective improvement of bloating, a (0-100) VAS abdominal bloating, and abdominal girth measurement. Patients reporting inadequate bloating relief underwent a standardized balloon expulsion test. Furthermore, they were invited to undergo pelvic floor electromyography and biofeedback treatment previously used for constipation due to dyssynergic defecation. The primary outcome was bloating improvement on a 5-point Likert scale. The secondary outcomes were the effect of diet intervention and pelvic floor biofeedback treatment on bloating severity and quality of life changes as well as the effect of pelvic floor biofeedback treatment on BET and EMG on straining. KEY RESULTS One hundred and fifty six patients (129 F, 39.3 ± 11.7 mean age) completed the 2-week run-in period. 105 patients were diet non-responder and underwent balloon expulsion test, with the vast majority (64%) failing the test. Patients who scored higher bloating on VAS had a significant association with failed balloon expulsion test (adjusted B 0.4 [95% CI 10.8-25.7], p
- Subjects :
- medicine.medical_specialty
Constipation
Physiology
abdominal distension
NICE advice
medicine.medical_treatment
pelvic floor biofeedback
Biofeedback
Bloating
Quality of life
medicine
Flatulence
Humans
functional gastrointestinal disorders
Defecation
Pelvic floor
Endocrine and Autonomic Systems
business.industry
digestive, oral, and skin physiology
Gastroenterology
Brain
Biofeedback, Psychology
Pelvic Floor
Abdominal distension
humanities
bloating
body regions
medicine.anatomical_structure
Treatment Outcome
Etiology
Physical therapy
Quality of Life
medicine.symptom
business
Subjects
Details
- ISSN :
- 13652982
- Volume :
- 34
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility SocietyREFERENCES
- Accession number :
- edsair.doi.dedup.....24f3768f33bf696bcf98b81b7cfaf2c6