Plain Abdominal Radiograph as an Evaluation Method of Bowel Dysfunction in Patients With Spinal Cord Injury

Park, Hyun Joon; Noh, Se Eung; Kim, Gang Deuk; Joo, Min Cheol

doi:10.5535/arm.2013.37.4.547

Cited by 11 publications

(11 citation statements)

References 12 publications

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“…Prior measurements of the degree of faecal loading have been exclusively described in children, and several systems have been developed to score both the amount of faeces and its localization in different colon segments[ 14 , 15 ]. The Leech-score is a reproducible tool for assessing faecal loading, with high intra-observer and interobserver agreement[ 13 , 16 - 18 ]. The plain abdominal radiograph has seldom been used in adults[ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

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Increased colon transit time and faecal load in irritable bowel syndrome

Raahave¹,

Jensen²

2021

WJGPT

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BACKGROUND Irritable bowel syndrome (IBS) is a bowel disorder involving abdominal pain or discomfort along with irregularity of stool form and passage frequency. The pathophysiology is poorly understood and seems to be multifactorial. Investigations of possible causes of IBS have included only a few colonic transit studies and no simultaneous determination of the colonic faecal content. AIM To compare colon transit time and faecal load between IBS-patients and healthy control subjects. METHODS The study included 140 patients with IBS, with a mean age of 50.0 years. The control group comprised 44 healthy persons with a mean age of 43.4 years, who were selected at random from the National Civil Register. Both the patient group and the control group underwent a marker study to measure colon transit time (CTT) and to calculate a faecal loading score. The patient group underwent treatment with a combined prokinetic regime, after which their CTT and faecal loading were reassessed. Analyses were performed to compare measurements between the control group and the patient group before and after treatment. RESULTS Compared to healthy controls, IBS-patients exhibited a significantly prolonged mean CTT (45.48 h vs 24.75 h, P = 0.0002) and significantly greater mean faecal loading scores in all colonic segments ( P < 0.001). Among IBS patients, we found no significant differences between the 48 h and 96 h radiographs. Among patients exhibiting increased CTT and faecal loading, approximately half exhibited a palpable mass in the right iliac fossa. After intervention with a prokinetic treatment, the mean CTT among IBS patients was reduced from 45.48 h to 34.50 h (P = 0.091), with the pos t -treatment CTT not significantly differing from the CTT among control subjects ( P = 0.095). The faecal loading score among IBS patients did not significantly differ before and after treatment ( P = 0.442). The post-treatment faecal loading score in IBS patients remained significantly higher compared to that in controls (5.3 vs 4.3 , P = 0.014). After treatment, half of the IBS-patients were relieved of bloating, while the majority no longer experienced abdominal pain and achieved a daily consistent stool. CONCLUSION IBS-patients exhibited prolonged CTT and heavier faecal loading. These assessments may aid in diagnosis. Faecal retention may contribute to IBS symptoms, which can be treated using a prokinetic regime.

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Section: Discussionmentioning

confidence: 99%

“…The Leech-score is a reproducible tool for assessing faecal loading, with high intra-observer and interobserver agreement[ 13 , 16 - 18 ]. The plain abdominal radiograph has seldom been used in adults[ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Increased colon transit time and faecal load in irritable bowel syndrome

Raahave¹,

Jensen²

2021

WJGPT

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“…However, previous reports show patient recall of bowel habits is sometimes inaccurate [ 24 ], so objective evaluation methods such as plain abdominal radiography and colon transit time are recommended [ 25 ]. Objective means of evaluation, such as constipation score, plain abdominal radiography, and colon transit time using Rome Criteria II used in the previous study [ 26 ], were presently adapted to estimate the effect of PF. A significant difference in postadministration was observed in constipation score, stool retention score, and colon transit time.…”

Section: Discussionmentioning

confidence: 99%

Effects and Safety of Aqueous Extract of Poncirus fructus in Spinal Cord Injury with Neurogenic Bowel

Kim

Lee

Joo

2016

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate the effects and safety of the aqueous extract of the dried, immature fruit of Poncirus trifoliata (L.) Raf., known as Poncirus fructus (PF), in spinal cord injury (SCI) patients with neurogenic bowel. Methods. Thirty-one SCI patients with neurogenic bowel were recruited. Patients were evaluated based on clinical information, constipation score, Bristol Stool Form Scale, stool retention score using plain abdominal radiograph, and colon transit time. PF was administered in dosages of 800 mg each prior to breakfast and lunch for 14 days. Results. The morphological feature of the stool before and after administration indicated a statistically significant difference from 3.52 ± 1.33 to 4.32 ± 1.44 points (p < 0.05). Stool retention score before and after administration of PF was represented with low significance (7.25 ± 1.60 to 6.46 ± 1.53 points) in the whole colon (p < 0.05), and the colon transit time was significantly shortened (57.41 ± 20.7 to 41.2 ± 25.5 hours) in terms of the whole transit time (p < 0.05). Side effects were observed in 7 people (28.0%) consisting of 2 people with soft stools and 5 people with diarrhea. Conclusion. For SCI patients, PF administration significantly improved defecation patterns, defecation retention, and colon transit time. PF could be an effective aid to improve colonic motility and constipation.

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“…In addition, plain abdominal radiography has the advantages of less cost, simple to perform, and less exposure to radiation. In 2013, Park et al [ 21 ] found that plain abdominal radiography for spinal cord injured patients had a significant correlation with CTT on constipation scores. They also reported that the interinvestigator consistency was high.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Plain Abdominal Radiography in Stroke Patients With Bowel Dysfunction

et al. 2015

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ObjectiveTo evaluate the diagnostic value of plain abdominal radiography in stroke patients with bowel dysfunction.MethodsA total of 59 stroke patients were recruited and assigned into constipation or non-constipation group. Patients were interviewed to obtain clinical information, constipation score, and Bristol stool form scale. The total and segmental colon transit time (CTT) was measured using radio-opaque markers (Kolomark). The degree of stool retention was evaluated by plain abdominal radiography and scored by two different methods (Starreveld score and Leech score). The relationship between the clinical aspects, CTT, and stool retention score using plain abdominal radiography was determined.ResultsAverage constipation score was 4.59±2.16. Average Bristol stool form scale was 3.86±1.13. The total and segmental CTTs showed significant differences between the constipation and non-constipation groups. There was statistically significant (p<0.05) correlation between the total CTT and constipation score or between Starreveld score and Leech score. Each segmental CTT showed significant correlation (p<0.05) between segmental stool retention scores.ConclusionThe stool retention score showed significant correlation with constipation score as well as total and segmental CTT. Thus, plain abdominal radiography is a simple and convenient method for the evaluation of bowel dysfunction in stroke patients.

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Plain Abdominal Radiograph as an Evaluation Method of Bowel Dysfunction in Patients With Spinal Cord Injury

Cited by 11 publications

References 12 publications

Increased colon transit time and faecal load in irritable bowel syndrome

Increased colon transit time and faecal load in irritable bowel syndrome

Effects and Safety of Aqueous Extract of Poncirus fructus in Spinal Cord Injury with Neurogenic Bowel

Diagnostic Value of Plain Abdominal Radiography in Stroke Patients With Bowel Dysfunction

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