Relation of endometriosis and neuromuscular disease of the gastrointestinal tract

New insights

John R. Mathias, Robert Franklin, Don C. Quast, Nelda Fraga, Camille A. Loftin, Lori Yates, Victoria Harrison

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objective: To investigate the neuromuscular activity of the gastrointestinal tract by antroduodenal manometry in women with endometriosis documented by laparoscopy, to assess the effects of diet and drug therapy on symptoms, and to assess the bacterial overgrowth that is commonly associated with these nerve diseases. Design: Prospective, open-label study. Setting: A clinical center for the care of women's health. Patient(s): Fifty women with endometriosis documented by laparoscopy and gastrointestinal tract symptoms characterized by chronic abdominal pain, nausea, vomiting, early satiety, bloating and distention, and altered bowel habits. Intervention(s): Motility of the gastrointestinal tract was recorded and bacterial overgrowth was assessed. Treatment consisted of dietary changes, including reduction of glycemic carbohydrates, balancing with omega 9 oils, elimination of foods with caffeine and tyramine, and addition of omega 3 fatty acids, as well as drug therapy with clonazepam (0.25 mg 3 times per day). Result(s): All 50 women showed a characteristic motility change (ampulla of Vater-duodenal wall spasm, a seizure equivalent of the enteric nervous system). Forty of the women showed bacterial overgrowth. There was a significant reduction in the total symptom score after 8 weeks of treatment. Conclusion(s): This study suggests that endometriosis and gastrointestinal tract symptoms are a result of the dysfunction of hollow organs. Correction of the biochemical imbalance of the eicosanoid system and the hypersecretion of insulin that results from excessive intake of glycemic carbohydrates and lack of essential fatty acids significantly decreases symptoms in patients with endometriosis and associated neuromuscular disease of the gastrointestinal tract.

Original languageEnglish (US)
Pages (from-to)81-88
Number of pages8
JournalFertility and Sterility
Volume70
Issue number1
DOIs
StatePublished - Jul 1998
Externally publishedYes

Fingerprint

Neuromuscular Diseases
Endometriosis
Gastrointestinal Tract
Laparoscopy
Carbohydrates
Ampulla of Vater
Enteric Nervous System
Diet Therapy
Clonazepam
Drug Therapy
Essential Fatty Acids
Tyramine
Eicosanoids
Manometry
Omega-3 Fatty Acids
Spasm
Women's Health
Caffeine
Chronic Pain
Nausea

Keywords

  • Functional bowel disease
  • Insulin
  • Omega fatty acids
  • Prostaglandins

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Mathias, J. R., Franklin, R., Quast, D. C., Fraga, N., Loftin, C. A., Yates, L., & Harrison, V. (1998). Relation of endometriosis and neuromuscular disease of the gastrointestinal tract: New insights. Fertility and Sterility, 70(1), 81-88. https://doi.org/10.1016/S0015-0282(98)00096-X

Relation of endometriosis and neuromuscular disease of the gastrointestinal tract : New insights. / Mathias, John R.; Franklin, Robert; Quast, Don C.; Fraga, Nelda; Loftin, Camille A.; Yates, Lori; Harrison, Victoria.

In: Fertility and Sterility, Vol. 70, No. 1, 07.1998, p. 81-88.

Research output: Contribution to journalArticle

Mathias, JR, Franklin, R, Quast, DC, Fraga, N, Loftin, CA, Yates, L & Harrison, V 1998, 'Relation of endometriosis and neuromuscular disease of the gastrointestinal tract: New insights', Fertility and Sterility, vol. 70, no. 1, pp. 81-88. https://doi.org/10.1016/S0015-0282(98)00096-X
Mathias, John R. ; Franklin, Robert ; Quast, Don C. ; Fraga, Nelda ; Loftin, Camille A. ; Yates, Lori ; Harrison, Victoria. / Relation of endometriosis and neuromuscular disease of the gastrointestinal tract : New insights. In: Fertility and Sterility. 1998 ; Vol. 70, No. 1. pp. 81-88.
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