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Original Article

Computerized Analysis of Ambulatory Long-Term Small-Bowel Manometry

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Pages 1076-1082 | Received 20 Nov 1993, Accepted 30 Mar 1994, Published online: 08 Jul 2009
 

Abstract

Widmer R, Schmidt T. Pfeiffer A. Kaess H. Computerized analysis of ambulatory long-term small-bowel manometry. Scand J Gastroenterol 1994;29:1076-1082.

Background: Ambulatory long-term manometry is increasingly being used to study small-bowel motility. This study aimed to develop computer-aided data analysis including the elimination of artefacts, identification of individual phasic contractions, and analysis of aboral propagation.

Methods: Data processing included low-pass filtering, base-line adaptation, cross-comparison of channels, and application of threshold values for contraction parameters. Automated analysis was validated by a visual reference standard.

Results: Artefacts were related to cardiovascular and respiratory activity, changes in body posture, and contractions of the abdominal wall. Automated recognition of contractions reached a sensitivity of 92% and a positive predictive value of 88% compared with the visual standard. Mean contraction amplitude and duration of computer analysis were 96% and 93%, respectively, of the visually obtained values. Propagation analysis under ambulatory conditions showed good agreement with previous results by stationary recordings.

Conclusions: Computerized analysis provided valid and reproducible data on small-bowel phasic contractile events and propagative activity by digital long-term manometry.

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