BACKGROUND _ AIMS: Persistent @entity490 occurs in many @entity1 after cholecystectomy, some of whom are described as having @entity1690 ( @entity1690 ). @entity158 in @entity1690 type III is thought to be of biliary origin with little objective data, and treatment is often unsatisfactory. Chronic @entity490 without a biological disease marker is similar to @entity1744 , in which many @entity1 exhibit @entity1931 . This study tested the hypothesis that duodenal-specific visceral afferent sensitivity exists in @entity1 with @entity1690 type III. METHODS: Eleven @entity1 with chronic @entity490 after cholecystectomy and 10 controls underwent duodenal and rectal barostat studies to evaluate visceral @entity158 perception measured with a visual analog scale. All subjects underwent psychological testing. RESULTS: @entity1 with @entity1690 type III exhibited duodenal but not @entity1931 compared with controls. There were no differences in duodenal compliance between the groups. @entity9317 reproduced symptoms in all but 1 @entity1 . @entity1 showed high levels of somatization, @entity308 , @entity3119 , and @entity148 . CONCLUSIONS: @entity1 with @entity1690 type III exhibited duodenal-specific @entity1931 , and duodenal distention reproduced symptoms in all but 1 @entity1 . @entity490 in these @entity1 may not originate exclusively from the biliary tree.

@entity158 syndrome: pathophysiology of @entity490 in XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1690 :: ('MESH:D046628', 'Disease') :: ['sphincter of Oddi dysfunction', 'SOD'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity1931 :: ('MESH:D006930', 'Disease') :: ['visceral hyperalgesia', 'rectal hyperalgesia'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain', 'Abdominal pain'] @entity3119 :: ('MESH:D009771', 'Disease') :: ['obsessive-compulsive behavior'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['irritable bowel syndrome'] @entity9317 :: ('MESH:D004382', 'Disease') :: ['Duodenal distention']
@entity1690 :: (MESH:D046628,Disease) :: ['sphincter of Oddi type III']
