Endoscopy To Evaluate Gastrointestinal Bleeding in Marathon Runners
Authors: Andrew E. Schwartz
Journal: Annals of Internal Medicine (1990)

Brief Reports15 October 1990Endoscopy To Evaluate Gastrointestinal Bleeding in Marathon RunnersAndrew E. Schwartz, MD, Arvydas Vanagunas, MD, Perry L. Kamel, MDAndrew E. Schwartz, MD, Arvydas Vanagunas, MD, Perry L. Kamel, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-8-632 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWith the increasing popularity of long-distance running in the United States, medical complications are being recognized more frequently. Although orthopedic problems predominate, gastrointestinal problems are frequent. Symptoms of abdominal cramping, rectal urgency, diarrhea, nausea, vomiting, and rectal bleeding certainly occur (1-4), and occult gastrointestinal bleeding has been well described (5-9). The actual cause of these disorders is unknown; however, and we used endoscopy to evaluate prospectively the source of gastrointestinal blood loss in marathon runners.Study Design and MethodsOf 9000 runners in the 1988 Chicago Marathon, 103 volunteered to participate in the study. The 41 runners who completed the...References1. Fogoros R. "Runners' trots"—gastrointestinal disturbances in runners. JAMA. 1980;243:1743-4. CrossrefMedlineGoogle Scholar2. CooperDouglasFirthHannaganChadwick BSLJV. Erosive gastritis and gastrointestinal bleeding in a female runner: prevention of the bleeding and healing of the gastritis with H2-receptor antagonists. Gastroenterology. 1987;92:2019-23. CrossrefMedlineGoogle Scholar3. HeerRepondHanySulserKehlJager MFAHOK. Acute ischaemic colitis in a female long distance runner. Gut. 1987;28:896-9. CrossrefMedlineGoogle Scholar4. MosesBrewerPeura FTD. Running-associated proximal hemorrhagic colitis. Ann Intern Med. 1988;108:385-6. LinkGoogle Scholar5. McMahonRyanLarsonFisher LMDR. Occult gastrointestinal blood loss in marathon runners. Ann Intern Med. 1984;100:846-7. LinkGoogle Scholar6. McCabePeuraKadakiaBocekJohnson MDSZL. Gastrointestinal blood loss associated with running a marathon. Dig Dis Sci. 1986;31:1229-32. CrossrefMedlineGoogle Scholar7. HalvorsenLyngRitland FJS. Gastrointestinal bleeding in marathon runners. Scand J Gastroenterol. 1986;21:493-7. CrossrefMedlineGoogle Scholar8. RobertsonMaughanDavidson JRR. Faecal blood loss in response to exercise. Br Med J. 1987;295:303-5. CrossrefMedlineGoogle Scholar9. FisherMcMahonRyanLarsonBrand RLMDM. Gastrointestinal bleeding in competitive runners. Dig Dis Sci. 1986;31:1226-8. CrossrefMedlineGoogle Scholar10. Clausen J. Effect of physical training on cardiovascular adjustments to exercise in man. Physiol Rev. 1977;57:779-815. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From Northwestern University Medical School and Northwestern Memorial Hospital, Chicago, Illinois. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByGastritis, Gastropathy, and Ulcer DiseaseEffects of skim milk and isotonic drink consumption before exercise on fluid homeostasis and time-trial performance in cyclists: a randomized cross-over study'Runs' from a run: A case of exercise induced ischemic colitisAnorexia nervosa hyperactivity-induced ischemic colitis (ANHIC): a new cause of anaemiaSpecial Considerations in Medical Screening for Participants in Remote Endurance EventsEffects of probiotics supplementation on gastrointestinal permeability, inflammation and exercise performance in the heatIndomethacin in Combination with Exercise Leads to Muscle and Brain Inflammation in MicePhysiology and pathophysiology of splanchnic hypoperfusion and intestinal injury during exercise: strategies for evaluation and preventionMarathon-induced ischemic colitis: why running is not always good for youMedical problems of marathon runnersIschemic colitis in marathon runners: A case-based reviewEffects of ranitidine for exercise induced gastric mucosal changes and bleedingTroubles hépato-digestifs du sportifExercise-associated Intestinal IschemiaPathologie hépatogastroentérologique du sportifSustained Strenuous Exercise Increases Intestinal Permeability in Racing Alaskan Sled DogsExercise and gastrointestinal function and disease: an evidence-based review of risks and benefitsThe Gastrointestinal SystemThe role of gastrointestinal endoscopy in long-distance runners with gastrointestinal symptomsIs the GI System Built For Exercise?Reversible ischemic colitis in a high endurance athleteGastrointestinal permeability following aspirin intake and prolonged runningLESS FREQUENT CAUSES OF LOWER GASTROINTESTINAL BLEEDINGExercise-Induced Gastrointestinal SymptomsGastrointestinal Disorders in the AthleteGastrointestinal symptoms during endurance runningGastrointestinal Bleeding in RunnersRichard I. Andron, MD 15 October 1990Volume 113, Issue 8Page: 632-633KeywordsBloodDiarrheaEndoscopyHemorrhageInterleukinsNauseaOrthopedicsRunningVomiting Issue Published: 15 October 1990 PDF DownloadLoading ...