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2015 ; 5
(2
): 67-73
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Recording and Analysis of Bowel Sounds
#MMPMID29201695
Zaborski D
; Halczak M
; Grzesiak W
; Modrzejewski A
Euroasian J Hepatogastroenterol
2015[Jul]; 5
(2
): 67-73
PMID29201695
show ga
BACKGROUND: The aim of this study was to construct an electronic bowel sound
recording system and determine its usefulness for the diagnosis of appendicitis,
mechanical ileus and diffuse peritonitis. MATERIALS AND METHODS: A group of 67
subjects aged 17 to 88 years including 15 controls was examined. Bowel sounds
were recorded using an electret microphone placed on the right side of the
hypogastrium and connected to a laptop computer. The method of adjustable grids
(converted into binary matrices) was used for bowel sounds analysis. RESULTS:
Significantly, fewer (p ? 0.05) sounds were found in the mechanical ileus
(1004.4) and diffuse peritonitis (466.3) groups than in the controls (2179.3).
After superimposing adjustable binary matrices on combined sounds (interval
between sounds <0.01 s), significant relationships (p ? 0.05) were found between
particular positions in the matrices (row-column) and the patient groups. These
included the A1_T1 and A1_T2 positions and mechanical ileus as well as the A1_T2
and A1_T4 positions and appendicitis. For diffuse peritonitis, significant
positions were A5_T4 and A1_T4. CONCLUSION: Differences were noted in the number
of sounds and binary matrices in the groups of patients with acute abdominal
diseases. Certain features of bowel sounds characteristic of individual abdominal
diseases were indicated. LIST OF ABBREVIATIONS: BS: bowel sound; APP:
appendicitis; IL: mechanical ileus; PE: diffuse peritonitis; CG: control group;
NSI: number of sound impulses; NCI: number of combined sound impulses; MBS: mean
bit-similarity; TMIN: minimum time between impulses; TMAX: maximum time between
impulses; TMEAN: mean time between impulses. HOW TO CITE THIS ARTICLE: Zaborski
D, Halczak M, Grzesiak W, Modrzejewski A. Recording and Analysis of Bowel Sounds.
Euroasian J Hepato-Gastroenterol 2015;5(2):67-73.