Rectosigmoid Localization of Radiopaque Markers Does Not Correlate with Prolonged Balloon Expulsion in Chronic Constipation: Results from a Multicenter Cohort

2015 ◽  
Vol 110 (7) ◽  
pp. 1049-1055 ◽  
Author(s):  
Kyle Staller ◽  
Kenneth Barshop ◽  
Ashwin N Ananthakrishnan ◽  
Braden Kuo
Keyword(s):  
Chronic Constipation ◽  
Multicenter Cohort ◽  
Balloon Expulsion ◽  
Radiopaque Markers

scholarly journals Prevalence and Clinical Characteristics of Dyssynergic Defecation and Slow Transit Constipation in Patients with Chronic Constipation

2021 ◽  
Vol 10 (9) ◽  
pp. 2027
Author(s):  
Samuel Tanner ◽  
Ahson Chaudhry ◽  
Navneet Goraya ◽  
Rohan Badlani ◽  
Asad Jehangir ◽  
...  
Keyword(s):  
Medical History ◽  
Chronic Constipation ◽  
Clinical Characteristics ◽  
Anorectal Function ◽  
Slow Transit Constipation ◽  
Dyssynergic Defecation ◽  
Patient Demographics ◽  
Balloon Expulsion ◽  
Slow Transit ◽  
Transit Constipation

Patients with chronic constipation who do not respond to initial treatments often need further evaluation for dyssynergic defecation (DD) and slow transit constipation (STC). The aims of this study are to characterize the prevalence of DD and STC in patients referred to a motility center with chronic constipation and correlate diagnoses of DD and STC to patient demographics, medical history, and symptoms. High-resolution ARM (HR-ARM), balloon expulsion testing (BET) and whole gut transit scintigraphy (WGTS) of consecutive patients with chronic constipation were reviewed. Patients completed questionnaires describing their medical history and symptoms at the time of testing. A total of 230 patients completed HR-ARM, BET, and WGTS. Fifty (22%) patients had DD, and 127 (55%) patients had STC. Thirty patients (13%) had both DD and STC. There were no symptoms that were suggestive of STC vs. DD; however, patients with STC and DD reported more severe constipation than patients with normal transit and anorectal function. Patients with chronic constipation often need evaluation for both DD and STC to better understand their pathophysiology of symptoms and help direct treatment.

Benefit of Pelvic Floor Physical Therapy in Pediatric Patients with Dyssynergic Defecation Constipation

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Muscle Tone ◽  
Colonic Surgery ◽  
Tertiary Referral Center ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Physical Therapy ◽  
Novel Treatment ◽  
Balloon Expulsion

Objectives: Chronic constipation is a common childhood problem and often caused or worsened by abnormal dynamics of defecation. The aim of this study was to assess the benefit of pelvic floor physical therapy (PFPT), a novel treatment in pediatrics for the treatment of chronic constipation with dyssynergic defecation. Methods: This was a retrospective study of 69 children seen at a pediatric neurogastroenterology program of a large tertiary referral center for chronic constipation and dyssynergic defecation, determined by anorectal manometry and balloon expulsion testing. We compared the clinical outcome of patients who underwent PFPT (n = 49) to control patients (n = 20) whom received only medical treatment (laxatives/stool softeners). Additionally, characteristics of the treatment group were analyzed in relation to therapeutic response. Results: Thirty-seven (76%) of the patients who received physical therapy had improvement in constipation symptoms, compared to 5 (25%) of the patients on conservative treatment (p < 0.01). Additionally, patients who received pelvic physical therapy had fewer hospitalizations for cleanouts (4 vs. 25%, p = 0.01) and ­colonic surgery than those that were treated with medical therapy exclusively (0 vs. 10%, p = 0.03). Among the patients who received physical therapy, those that suffered from anxiety and/or low muscle tone had a higher response rate (100%). There were no adverse effects from the intervention. Conclusion: The new field of pediatric PFPT is a safe and effective intervention for children with dyssynergic defecation causing or contributing to chronic constipation, particularly in children whose comorbidities include anxiety and low ­muscle tone.

S1304 Wireless pH-Motility Capsule for Colonic Transit: Prospective Comparison With Radiopaque Markers in Chronic Constipation

2010 ◽  
Vol 138 (5) ◽  
pp. S-224-S-225 ◽  
Author(s):  
Michael Camilleri ◽  
Nyree K. Thorne ◽  
Yehuda Ringel ◽  
William L. Hasler ◽  
Braden Kuo ◽  
...  
Keyword(s):  
Chronic Constipation ◽  
Colonic Transit ◽  
Prospective Comparison ◽  
Radiopaque Markers

Balloon expulsion testing for the diagnosis of dyssynergic defecation in women with chronic constipation

2015 ◽  
Vol 26 (9) ◽  
pp. 1385-1390 ◽  
Author(s):  
Nadine C. Kassis ◽  
John M. Wo ◽  
Toyia N. James-Stevenson ◽  
Dean D. T. Maglinte ◽  
Michael H. Heit ◽  
...  
Keyword(s):  
Chronic Constipation ◽  
Dyssynergic Defecation ◽  
Balloon Expulsion

scholarly journals Wireless pH-motility capsule for colonic transit: prospective comparison with radiopaque markers in chronic constipation

2010 ◽  
Vol 22 (8) ◽  
pp. 874-e233 ◽  
Author(s):  
M. Camilleri ◽  
N. K. Thorne ◽  
Y. Ringel ◽  
W. L. Hasler ◽  
B. Kuo ◽  
...  
Keyword(s):  
Chronic Constipation ◽  
Colonic Transit ◽  
Prospective Comparison ◽  
Radiopaque Markers

661 Do Rectoanal Pressures Predict Rectal Balloon Expulsion in Chronic Constipation?

2009 ◽  
Vol 136 (5) ◽  
pp. A-101-A-102 ◽  
Author(s):  
Karthik Ravi ◽  
Alan R. Zinsmeister ◽  
Adil E. Bharucha
Keyword(s):  
Chronic Constipation ◽  
Rectal Balloon ◽  
Balloon Expulsion

Mo1522 THE EFFICAY OF ELOBIXIBAT AS AN INHIBITOR OF ILEAL BILE ACID TRANSPORTER FOR CHRONIC CONSTIPATION -A MULTICENTER COHORT STUDY-

2020 ◽  
Vol 158 (6) ◽  
pp. S-880
Author(s):  
Naohisa Yoshida ◽  
Akira Tomie ◽  
Ken Inoue ◽  
Satoshi Sugino ◽  
Ryohei Hirose ◽  
...  
Keyword(s):  
Cohort Study ◽  
Bile Acid ◽  
Chronic Constipation ◽  
Multicenter Cohort Study ◽  
Multicenter Cohort ◽  
Bile Acid Transporter ◽  
Acid Transporter

scholarly journals Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia on Diagnosis and Treatment of Constipation in Adults

2020 ◽  
Vol 30 (6) ◽  
pp. 69-85
Author(s):  
V. T. Ivashkin ◽  
Yu. A. Shelygin ◽  
I. V. Maev ◽  
A. A. Sheptulin ◽  
D. V. Aleshin ◽  
...  
Keyword(s):  
Correct Diagnosis ◽  
Time Estimation ◽  
Diagnosis And Treatment ◽  
Clinical Recommendations ◽  
Key Points ◽  
Balloon Expulsion ◽  
Radiopaque Markers ◽  
Secondary Form ◽  
Balloon Expulsion Test

Aim. Current clinical recommendations are intended to supply gastroenterologists, physicians and general practitioners with modern methods for the diagnosis and treatment of constipation.Key points. Constipation is defined as primary (functional) and secondary form, the latter comprising a manifestation of another illness. The causes of constipation are diagnosed with colonoscopy, especially in patients aged over 50 having “anxiety symptoms” and hereditary colorectal oncological predisposition. Indications may also include the bowel transit time estimation with radiopaque markers, balloon expulsion test, anorectal manometry, defecography and electromyography. Therapy for constipation should be comprehensive and concern lifestyle, diet recommendations and use of medications (psyllium, macrogol, lactulose, lactitol, contact laxatives, prucalopride). Patients with a less effective conservative therapy and largely reduced quality of life should be considered for surgical intervention.Conclusion. An effective therapy for constipation requires a correct diagnosis of its causes.

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