208 114

Cited 0 times in

Comparison of Anorectal Function Tests according to the Types of Colon Transit Time in Patients with Chronic Idiopathic Constipation

Other Title
만성 특발성 변비에서 대장 통과 시간의 유형에 따른 항문직장기능검사 소견의 비교
Authors
이, 광재; 황, 일란; 김, 진홍; 함, 기백; 김, 영수; 조, 성원
Citation
The Korean journal of gastroenterology, 33(3):348-357, 1999
Journal Title
The Korean journal of gastroenterology; Taehan Sohwagi Hakhoe chi
ISSN
1598-99922233-6869
Abstract
Background/Aims: The pathophysiology of chronic idiopathic constipation is complex. This study was designed to assess the usefulness of colon transit time as screening test in chronic idiopathic constipation. Methods: Colon transit time was evaluated in patients with chronic idiopathic constipation (n=38) in order to determine the type of colon transit time. The change of anorectal angle, perineal descent, rectocele, rectal intussusception, resting and squeezing anal sphincter pressure, and rectoanal inhibitory reflex were evaluated. Results: The abnormal change of anorectal angle at defecation was noted in 10.5% of patients with normal transit and 28.6% of patients with pelvic outlet obstruction. The descending perineum syndrome was observed in 10.5% of patients with normal transit, 25.0% of patients with colonic inertia, 25.0% of patients with hindgut dysfunction and 14.3% of patients with pelvic outlet obstruction. Rectocele greater than 2 cm was observed in 42.1% of patients with normal transit, 37.5% of patients with colonic inertia, 50.0% of patients with hindgut dysfunction and 57.1% of patients with pelvic outlet obstruction. Rectal intussusception severer than grade 3 was observed in 26.3% of patients with normal transit, 25.0% of patients with colonic inertia and 42.9% of patients with pelvic outlet obstruction. The high resting and squeezing anal sphincter pressure were observed in some with normal transit. Conclusions: These results suggest that defecography and anorectal manometry in addition to colon transit time are also recommended as screening test for chronic idiopathic constipation. (Kor J Gastroenterol 1999;33:348 - 357)
Keywords
Chronic idiopathic constipationColon transit timeDefecographyAnorectal manometry
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
Files in This Item:
348-357.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse