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Normal colonic transit time predicts the outcome of colonic manometry in patients with chronic constipation-an exploratory study.

Abstract：

PURPOSE:Colonic manometry (CM) can be of additive value in the diagnostic workup of colonic motility in chronic constipated patients. However, it is claimed that colonic motor disturbances occur in normal-transit constipation (NTC) and slow-transit (STC) constipation, as measured using a radio-opaque marker study, and therefore, the relationship between colonic motor disturbances on CM and colonic transit time (CTT) remains unclear. Our aim was to compare results from colonic marker study with the outcome of CM in patients with treatment-refractory chronic constipation (CC). METHOD:Eighty-seven CC patients and 12 healthy volunteers, undergoing both a CTT study and a 24-h CM in a Dutch tertiary referral center, were included. CTT was measured using radio-opaque markers (X-ray at day 4 after ingestion of 20 markers at day 0). CM was performed using a catheter with 6 solid-state pressure sensors, endoscopically clipped to the mucosa in the right colon. CM was defined as normal when at least three high-amplitude propagating contractions (HAPCs), i.e., propagating waves with amplitude ≥ 80 mmHg over at least three sensors, were identified. RESULTS:In total, 70 patients showed STC on CTT, of which 21 (30%) showed normal CM. All 17 NTC patients and healthy volunteers showed normal CM. The negative predictive value of CTT for normal CM was 100%. CONCLUSION:Colonic manometry should be considered in therapy-refractory STC patients in order to further delineate colonic motility. However, in this exploratory study, for patients presenting with NTC on a radio-opaque marker study, colonic manometry does not appear to have added value.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Vork L,van Avesaat MHP,van Hoboken EA,Kruimel JW,Conchillo JM,Keszthelyi D,Masclee AAM

doi

10.1007/s00384-019-03376-1

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1819-1822

issue

10

eissn

0179-1958

issn

1432-1262

pii

10.1007/s00384-019-03376-1

journal_volume

34

pub_type

杂志文章

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