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We investigated whether postinfectious irritable bowel syndrome (<jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>) is associated with abnormalities in phasic contractions of the colon, smooth muscle tone, and pain sensitivity compared to non\u2010<jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>) or healthy controls (<jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred and eighteen Rome III\u2010positive <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> patients and 43 <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content> participated. <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> patients were designated <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>, if their <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> symptoms began following an episode of gastroenteritis characterized by two or more of: fever, vomiting, or diarrhea. Pain threshold to phasic distentions of the descending colon was assessed using a barostat. Colonic motility was assessed with the barostat bag minimally inflated to the individual operating pressure (<jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>), at 20\u00a0mmHg above the <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>, and following a test meal. <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> symptom severity and psychological symptoms were assessed by the <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> Severity Scale (<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content>) and the Brief Symptom Inventory\u201018 (<jats:styled-content style=\"fixed-case\">BSI<\/jats:styled-content>\u201018).<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>Twenty two (10.1%) met criteria for <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>. Both <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content> groups showed a significant increase in motility index during intraluminal distention and following meals. The magnitude of the response to distention above (orad to) the balloon was significantly greater in <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> compared with <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05) or <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content> (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). Differences between <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> were not significant for <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> symptom severity, pain threshold, barostat bag volumes, or any psychological score on the <jats:styled-content style=\"fixed-case\">BSI<\/jats:styled-content>\u201018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Inferences<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">PI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> have greater colonic hypercontractility than <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>. We speculate that sustained mild mucosal inflammation may cause this colonic irritability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.12318","type":"journal-article","created":{"date-parts":[[2014,2,13]],"date-time":"2014-02-13T10:06:48Z","timestamp":1392286008000},"page":"696-704","source":"Crossref","is-referenced-by-count":16,"title":["Motility response to colonic distention is increased in postinfectious irritable bowel syndrome (<scp>PI<\/scp>\u2010<scp>IBS<\/scp>)"],"prefix":"10.1111","volume":"26","author":[{"given":"M.","family":"Kanazawa","sequence":"first","affiliation":[{"name":"Center for Functional GI and Motility Disorders University of North Carolina at Chapel Hill Chapel Hill NC USA"},{"name":"Department of Behavioral Medicine Tohoku University Graduate School of Medicine Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. 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