Correlation between Constipation Symptoms and Abdominal CT Imaging: A Cross-Sectional Pilot Study

被引:3
|
作者
Haraikawa, Mayuko [1 ]
Takeda, Tsutomu [1 ]
Oki, Shotaro [1 ]
Hojo, Mariko [1 ]
Asaoka, Daisuke [2 ]
Iwano, Tomoyo [1 ]
Uchida, Ryouta [1 ]
Utsunomiya, Hisanori [1 ]
Susuki, Nobuyuki [1 ]
Abe, Daiki [1 ]
Ikeda, Atsushi [1 ]
Akazawa, Yoichi [1 ]
Ueda, Kumiko [1 ]
Ueyama, Hiroya [1 ]
Shibuya, Tomoyoshi [1 ]
Nojiri, Shuko [3 ]
Nagasawa, Hidekazu [4 ]
Suzuki, Masaru [4 ]
Kuwatsuru, Ryohei [5 ]
Nagahara, Akihito [1 ]
机构
[1] Juntendo Univ, Dept Gastroenterol, Sch Med, Tokyo 1130034, Japan
[2] Juntendo Tokyo Koto Geriatr Med Ctr, Dept Gastroenterol, Tokyo 1360075, Japan
[3] Juntendo Univ, Dept Med Technol Innovat Ctr, Sch Med, Tokyo 1130034, Japan
[4] Juntendo Tokyo Koto Geriatr Med Ctr, Dept Radiol, Tokyo 1360075, Japan
[5] Juntendo Univ, Dept Radiol, Sch Med, Tokyo 1130034, Japan
关键词
constipation; abdominal CT; CSS; BSFS; QUALITY-OF-LIFE; BOWEL; MANAGEMENT; TRANSIT; VOLUMES;
D O I
10.3390/jcm12010341
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Evaluation of chronic constipation is important, although it is often difficult to satisfactorily treat due to the complex interplay of factors. This study aimed to determine whether the volume of intraluminal contents and lateral diameter of the colon measured from computed tomography (CT) images were correlated with the symptoms of chronic constipation and stool consistency. Consecutive patients who underwent the Constipation Scoring System (CSS), Bristol Stool Form Scale (BSFS) questionnaires and simple abdominal CT were selected retrospectively. The intestinal tract diameter at each site was measured, and the amounts of stool and gas in the intestinal tract were evaluated at five levels. Of the 149 study participants, 54 were males and 95 were females and their mean age was 72.1 years. In the right hemi-colon, CSS5 (Time) correlated significantly with gas volume (p < 0.01). In the left hemi-colon, stool volume correlated significantly with CSS2 (Difficulty), CSS3 (Completeness), CSS5 (Time) and CSS total (p < 0.05). The BSFS negatively correlated with gas volume and diameter in the right hemi-colon and with gas volume in the rectum (p < 0.05). CT findings including stool volume, gas volume and diameter correlated with some constipation symptoms and stool consistency. These findings may be useful in evaluating and treating constipation.
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页数:9
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