The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Distinctive Clinical, Psychological, and Histological Features of Postinfective Irritable Bowel Syndrome
Abstract
OBJECTIVE: Irritable bowel syndrome after gastroenteritis is well recognized. Our aim was to determine whether postinfective IBS (PI-IBS) has histological or clinical features that are distinct from those of IBS patients with no history of preceding infection. METHODS: A total of 75 consecutive IBS outpatients and 36 healthy control subjects completed a questionnaire detailing symptoms, mode of onset, and previous psychiatric history. All underwent a full diagnostic workup including rectal biopsy, which included immunostaining and quantification for lamina propria or intraepithelial T lymphocytes, serotonin-containing enterochromaffin (EC), and mast cells. Patients were divided according to onset of symptoms into PI-IBS (n = 23) or non-PI-IBS (n = 52) patients. RESULTS: Diarrhea predominance occurred more frequently in PI-IBS (70%) than in non-PI-IBS (42%) patients (p = 0.03). A history of previous treatment for anxiety or depression was present in 26% of PI-IBS patients compared to 54% of non-PI-IBS (p = 0.02). Biopsy results for all patients were normal using conventional criteria; however, quantification revealed that PI-IBS showed increased EC cells compared to those of non-PI-IBS patients (p = 0.017) and controls (p = 0.02). Lamina propria T lymphocytes were increased in PI-IBS (p = 0.026) and non-PI-IBS (p = 0.011) patients compared to controls. Mast cells were increased in non-PI-IBS patients (p = 0.054) compared to controls. CONCLUSIONS: Individuals with PI-IBS are a clinically distinct subgroup characterized by diarrheal symptoms, less psychiatric illness, and increased serotonin-containing EC cells compared to those with non-PI-IBS.
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In the citing paper
“Other investigators have reported increased gastrointestinal permeability and elevated immune cell counts, even in patients with IBS without an infective aetiology. 54,55”
From Irritable bowel syndrome (2020) · cites this paper as [55]
In the citing paper
“Additionally, increased concentrations of CD3+ T cells in the colon and rectum and in the myenteric plexus of the small intestine were increased in these patients compared with normal controls (36, 46, 57, 58, 89, 94, 133, 168, 174).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [58]
In the citing paper
“However, as with mast cells, IELs are not consistently elevated in IBS patients (57, 58, 133).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [58]
In the citing paper
“However, some studies failed to demonstrate increased activated mast cells in IBS patients (35, 36, 57, 58, 168) and there are no consistent differences in the tissue concentrations of activated mast cells in patients with different IBS subtypes (36, 189).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [58]
In the citing paper
“The importance of the interaction between the intestinal microbiota and immune system in IBS patients is demonstrated by a few studies in patients with PI-IBS, indicating activation of the GI immune system following the acute GI infection (57, 58, 75, 89, 94, 124, 168, 170, 187)”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [58]
In the citing paper
“The evidence from these in vitro studies may shed light on the reported association of stressful life events with the duration of gastroenteritis, and with the subsequent development of postinfectious IBS.37”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [37]
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Postinfectious Irritable Bowel Syndrome: A Long-Term Consequence of Bacterial Gastroenteritis
Smith, J. L., & Bayles, D. O. (2007) · Journal of Food Protection · doi:10.4315/0362-028x-70.7.1762 · Cited by 33
“(23) found that patients with IBS, both PI-IBS and non-PI-IBS, had a higher likelihood of a history of treatment for anxiety or depression compared with controls without IBS; however, significantly fewer patients with PI-IBS had a history of treatment for anxiety or de-”
BackgroundRoka, R., Ait-Belgnaoui, A., Salvador‐Cartier, C., Garcia-Villar, R., Fioramonti, J., Eutamène, H., & Bueno, L. (2007) · Gut · doi:10.1136/gut.2006.115352 · Cited by 39
Wang, S. (2007) · World Journal of Gastroenterology · doi:10.3748/wjg.13.6041 · Cited by 32
Protease activated receptor 4 status of mast cells in post infectious irritable bowel syndrome
Han, W., Zhimin, W. A. N. G., Lu, X. F., & Guo, C. (2011) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2011.01841.x · Cited by 32
Post-infectious irritable bowel syndrome
Dupont, A. W. (2007) · Current Gastroenterology Reports · doi:10.1007/s11894-007-0046-8 · Cited by 32
Role of gut pathogens in development of irritable bowel syndrome.
Grover, M. (2014) · Europe PMC (PubMed Central) · Cited by 31
Overlap between Irritable Bowel Syndrome and Inflammatory Bowel Disease
Spiller, R. E. (2009) · Digestive Diseases · doi:10.1159/000268121 · Cited by 31
“This study showed the increases in lymphocytes to be distributed throughout the colon, though in this study, unlike most others, mast cells were not increased. When we studied IBS patients with diarrhoea without an infectious origin, we also found increased numbers of mast cells and CD3 lymphocytes in the rectum [”
ResultSelf-citationGastrointestinal infections and the development of irritable bowel syndrome
DuPont, H. L. (2011) · Current Opinion in Infectious Diseases · doi:10.1097/qco.0b013e32834a962d · Cited by 33
Postinfectious Functional Gastrointestinal Disorders
Mearin, F. (2011) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0b013e31821fbf58 · Cited by 30
Pimentel, M., & Chang, C. C.-C. (2011) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2010.12.010 · Cited by 30
Microbiome, antibiotics and irritable bowel syndrome
Ahmad, O. F., & Akbar, A. (2016) · British Medical Bulletin · doi:10.1093/bmb/ldw038 · Cited by 29
Effects of probiotic supplementation on post-infectious irritable bowel syndrome in rodent model
Hong, K., Seo, H.-Y., Lee, J.-S., & Park, Y. (2019) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-019-2610-9 · Cited by 29
Schmulson, M., Bielsa, M. V., Carmona-Sánchez, R., Hernández, A., López-Colombo, A., López Vidal, Y., Peláez-Luna, M., Remes-Troche, J. M., Tamayo, J. L., & Valdovinos, M. A. (2014) · Revista de Gastroenterología de México · doi:10.1016/j.rgmx.2014.01.004 · Cited by 29
Postinfectious Chronic Gut Dysfunction: From Bench to Bedside
Collins, S. M., Chang, C. C.-C., & Mearin, F. (2012) · The American Journal of Gastroenterology Supplements · doi:10.1038/ajgsup.2012.2 · Cited by 28
Barbara, G., Stanghellini, V., Cremon, C., GIORGIO, R. D., & Corinaldesi, R. (2007) · Digestive Diseases · doi:10.1159/000103894 · Cited by 28
“Basically, a hyperplasia of enterochromaffin cells and an increase in post-prandial serotonin have been shown in rectal biopsies of patients 3 weeks after acute infection [”
BackgroundChoudhury, B. K., Shi, X.-Z. P., & Sarna, S. K. (2009) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.90673.2008 · Cited by 28
“Most patients with PI-IBS, however, are diarrhea predominant (13).”
BackgroundPsychometric scores and persistence of irritable bowel afterCampylobacter concisusinfection
Nielsen, H. L., Engberg, J., Ejlertsen, T., & Nielsen, H. V. (2014) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365521.2014.886718 · Cited by 27
Neural mechanisms of early postinflammatory dysmotility in rat small intestine
Demedts, I., Geboes, K. J., Kindt, S., Berghe, P. V., Andrioli, A., Janssens, J., & Tack, J. F. (2006) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2006.00857.x · Cited by 27
Bafutto, M., de Almeida, J. R. D., Leite, N. V., Oliveira, Ê., Gabriel-Neto, S., & Rezende-filho, J. (2011) · Arquivos de Gastroenterologia · doi:10.1590/s0004-28032011000100008 · Cited by 28
“Individuals with PI-IBS are a clinically distinct subgroup characterized by diarrheal symptoms, less psychiatric illness, and increased serotonin-containing EC compared to those with non-PI-IBS(8).”
BackgroundAminosalicylates and Other Anti-Inflammatory Compounds for Irritable Bowel Syndrome
Barbara, G., Stanghellini, V., Cremon, C., GIORGIO, R. D., Fronzoni, L., Serra, M., & Corinaldesi, R. (2009) · Digestive Diseases · doi:10.1159/000268131 · Cited by 27
“Although most studies have reported increased immune cells in mucosal biopsies obtained from the rectum [”
BackgroundCurrent and future developments in travelers’ diarrhea therapy
Koo, H. L., & DuPont, H. L. (2006) · Expert Review of Anti-infective Therapy · doi:10.1586/14787210.4.3.417 · Cited by 26
Kalia, N., Hardcastle, J., Keating, C., Pelegrı́n, P., Grundy, D., Grasa, L., & Bardhan, K. D. (2007) · Gut · doi:10.1136/gut.2006.118356 · Cited by 26
Hons, I. M., Burda, J. E., Grider, J. R., Mawe, G. M., & Sharkey, K. A. (2009) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.90472.2008 · Cited by 26
“Abnormalities in function also occur during periods of remission from IBD, when there is resolution of inflammation (14, 27, 55).”
BackgroundProtozoan parasites in irritable bowel syndrome: A case-control study
Jadallah, K. A., Nimri, L. F., & Ghanem, R. A. (2017) · World Journal of Gastrointestinal Pharmacology and Therapeutics · doi:10.4292/wjgpt.v8.i4.201 · Cited by 25
Tikoo, S., Barki, N., Jain, R., Zulkhernain, N. S., Bühner, S., Schemann, M., & Weninger, W. (2018) · Immunological Reviews · doi:10.1111/imr.12631 · Cited by 25
Systematic Review and Meta-analysis: Efficacy of Mesalamine in Irritable Bowel Syndrome
Goodoory, V. C., Tuteja, A. K., Black, C. J., & Ford, A. C. (2023) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2023.02.014 · Cited by 30
Choi, K., Chen, J., MITRA, S. P., & Sarna, S. K. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.06.074 · Cited by 25
Nakane, S., Mukaino, A., Ihara, E., & Ogawa, Y. (2020) · Immunological Medicine · doi:10.1080/25785826.2020.1797319 · Cited by 24
“In patients with post-infectious irritable bowel syndrome, quantitative histology showed evidence of continuing inflammation, with elevated intra-epithelial T cell levels in rectal biopsy [53,54].”
Background
Metadata
- Authors
- Dunlop, S. P., Jenkins, D., & Spiller, R. C.
- Affiliations
- Nottingham University Hospitals NHS Trust (GB)
- ORCID
- Jenkins, David
- Venue
- American Journal of Gastroenterology
- Published
- 2003-07
- Volume
- 98
- Issue
- 7
- Pages
- 1578-1583
- ISSN
- 0002-9270 (ISSN-L)
- OpenAlex
- W2033889517
- Cited by
- 359
- References
- 32
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 10 · 2019: 9 · 2018: 14 · 2017: 13 · 2016: 17 · 2015: 14 · 2014: 28 · 2013: 24 · 2012: 23
- FWCI
- 12.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Gastroenterology › Microscopic Colitis
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Keywords
- irritable bowel syndrome, gastroenteritis, rectal biopsy, enterochromaffin cells, serotonin, mast cells, diarrhea, psychiatric comorbidity, anxiety, depression, immunohistochemistry
- MeSH terms
- Adult, Mental Disorders, Biopsy, Cell Count, Colonic Diseases, Functional, Diarrhea, Enterochromaffin Cells, Female, Gastroenteritis, Humans, Immunohistochemistry, Male, Mast Cells, Middle Aged, Rectum, Serotonin, T-Lymphocytes
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