Summary
Effective management of chronic constipation requires accurate identification of the functional abnormality. Colonic transit was assessed with scintigraphy and parametric images, and rectal evacuation was measured by scintigraphic defaecography in 36 chronically constipated patients. 17 percent had slow colonic transit, 22 percent had impaired rectal evacuation and 47 percent had a combination of functional disorders.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Preston DM, Hawley PR, Lennard-Jones JE, Todd IP. Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane’s disease). Br J Surg 1984; 71: 547–552.
Yoshioka K, Keighley MRB. Clinical results of colectomy for severe constipation. Br J Surg 1989; 76: 600–604.
Wexner SD, Daniel N, Jagelman DG. Colectomy for constipation: physiologic investigation is the key to success. Dis Colon Rectum 1991; 34: 851–856.
Notghi A, Kumar D, Panagamuwa B, Tulley NJ, Hesslewood SR, Harding LK. Measurement of colonic transit time using radionuclide imaging: analysis by condensed images. Nucl Med Commun 1993; 14: 204–211.
Proano M, Camilleri M, Phillips SF, Brown ML, Thomforde GM. Transit of solids through the colon: regional quantification in the unprepared bowel. Am J Physiol 1990; 258: G856–862.
Hutchinson R, Mostafa AB, Grant EA, Smith NB, Deen KI, Harding LK, Kumar D. Scintigraphic defecography: quantitative and dynamic assessment of anorectal function. Dis Colon Rectum 1993; 36: 1132–1138.
Wallace WC, Madden WM. Experience with partial resection of the puborectalis muscle. Dis Colon Rectum 1969; 12: 196–200.
Kamm MA, Hawley PR, Lennard-Jones JE. Lateral division of the puborectalis muscle in the management of severe constipation. Br J Surg 1988; 75: 661–663.
Bleijenberg G, Kuijpers HC. Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum 1987; 30: 108–111.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Birkhäuser Verlag Basel
About this chapter
Cite this chapter
Hutchinson, R., Notghi, A., Mostafa, A.B., Kumar, D., Harding, L.K. (1995). Scintigraphic Determination of the Functional Abnormality in Chronic Idiopathic Constipation. In: Bergmann, H., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research. Advances in Pharmacological Sciences. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-7340-6_34
Download citation
DOI: https://doi.org/10.1007/978-3-0348-7340-6_34
Publisher Name: Birkhäuser Basel
Print ISBN: 978-3-0348-7342-0
Online ISBN: 978-3-0348-7340-6
eBook Packages: Springer Book Archive