alexa Correlation of bowel symptoms with colonic transit, length, and faecal load in functional faecal retention.
Microbiology

Microbiology

Journal of Bacteriology & Parasitology

Author(s): Raahave D, Christensen E, Loud FB, Knudsen LL

Abstract Share this page

Abstract INTRODUCTION: Abdominal pain, bloating, and defecation disturbances are common complaints in gastrointestinal functional disorders. This study explores whether bowel symptoms are correlated to colon transit time (CTT), faecal loading (coprostasis), and colon length; and whether prokinetic intervention can reduce CTT, faecal retention, and symptoms. METHODS: This observational and interventional study includes 281 patients, and 44 asymptomatic controls. Evaluations included symptoms, physical signs, CTT, faecal loading, barium enema, endoscopy, sonography, anal manometry and biochemistry. Interventions included a low-fat, high-fiber diet, cisapride or domperidone, and exercise for a mean of 21.6 months. RESULTS: The mean CTT was 40.71 h in patients vs 24.75 h in controls (p = 0.013). In patients, faecal loading was significantly greater than in controls (p<0.001). Bloating correlated significantly positively with CTT ( r = 0.174, p = 0.009), and faecal load. Abdominal pain correlated significantly positively with distal faecal loading ( r = 0.151; p = 0.036). The mean CTTs in patients with zero to four colon redundancies were: 36.26 h, 43.80 h, 41.65 h and 52.27 h, respectively (p = 0.030), and symptoms increased significantly with increase in the number of redundancies (p<0.001). A subgroup of patients (n = 90) with normal CTTs (< or = 24.75 h) had significantly higher faecal loading compared to controls (p = 0.033). Factor analysis showed that bloating correlated significantly with abdominal pain and defecation rate (p<0.05) and that CTT and faecal load correlated inversely with daily defecation rate, ease, incompleteness, repetitiveness, and faecal consistency. Intervention significantly reduced CTT, faecal loading, bloating, abdominal pain, and improved defecation patterns (p<0.05). CONCLUSIONS: Faecal retention with or without increased CTT, caused bloating, abdominal pain and altered defecation patterns in patients with bowel symptoms. An elongated colon aggravated the symptoms. Measurements of CTT, faecal load and the number of colon redundancies can be useful guides in clinical practice. Prokinetic intervention reduces abdominal and anorectal symptoms, and improves quality of life.
This article was published in Dan Med Bull and referenced in Journal of Bacteriology & Parasitology

Relevant Expert PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords