2015, Number 4
<< Back Next >>
Rev cubana med 2015; 54 (4)
Imaging and manometric manifestations in patients with functional constipation
Rodríguez AMÁ, Rúa DS, Naranjo HD, Rodríguez PL
Language: Spanish
References: 17
Page: 314-322
PDF size: 133.74 Kb.
ABSTRACT
Introduction: constipation is a symptom or condition that can compromise the quality of patient's life. Its global prevalence varies between 2% and 28%.
Objective: evaluate the correlation between the results of imaging tests and anorectal manometry in patients with suspected functional constipation.
Methods: the sample consisted of 37 patients, who underwent radiological examinations of sequential cecocolografía (colon or swallowed), colonic transit time
with radiopaque markers, defecography and manometric examination. Kappa index was calculated to determine the correlation.
Results: 62.2% of patients were female, the predominant age was between 41 and 60 years (43.2%), mobile blind predominated (54.2%) as a cause of
constipation. 14 studies of colonic transit time with radiopaque markers, were made, 28.6% of them presented a slow transit time. 4 patients underwent defecography and 3 had pelvic floor dysfunction. It was found that 94.6% of imaging tests and 78.4% of manometries were positive (Kappa p = 0.006).
Conclusions: imaging techniques used in this study are suitable for diagnosing functional constipation and consistency of these techniques is suitable anorectal
manometry.
REFERENCES
Remes J, Carmona R, González A. ¿Qué se entiende por estreñimiento?: Un estudio en población abierta. Rev Gastroenterol Mex. 2009;74(4):321-8.
Remes J, Rao SC. Neurophysiological testing in anorrectal disorders. Gastroenterol Hepatol. 2008;2(3):323-35.
Padrón F, Anías B. El estreñimiento es una enfermedad. Barcelona: Ed. JIMS;1995.
García MP, Serrano P, Cervera A. Constipación en el anciano. Rev Gerontol. 2005;15(1):57-60.
Espinoza J. Constipación en pediatría. Rev Chil Nutric. 2002;29(3):272-9.
Guzmán A, Suárez B, Martínez L, Sitchao N, Ruiz J, Martínez MA, et al. El ciego móvil puede dar origen a un megacolon adquirido o dolicocolon. Estudio preliminar. Rev Dominic Cirug. 2000;5(2):6-100.
Zolezzi A. Las enfermedades funcionales gastrointestinales y Roma III. Rev Gastroenterol. 2007;27(2):177-84.
Mearín F. Síndrome del intestino irritable: utilidad de los criterios diagnósticos. (Nuevos criterios diagnósticos de Roma III). [citado 4 dic 2013]. Disponible en: http://www.aegastro.es/Areas/Trastornos_Funcionales/Roma_III.pdf
Rodríguez H. De la cecopexia a la cecocolopexia. Técnica de Rodríguez Bonet. Rev Latinoam Cir. 2011;1(1):18-23.
Rodríguez Allende MA, González PP, Valdés Y. La defecografía en las afecciones anorrectales y del suelo pélvico. Rev Cubana Med. 2006 [citado jul. 2015];45(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232006000300003&lng=es&nrm=iso&tlng=es
Lacima G, Espuña M. Patología del suelo pélvico. Gastroenterol Hepatol. 2008;31(9):587-95.
MacLennan A, Taylor A, Wilson D, Wilson D. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG. 2000;107(12):1460-70.
Sung VW, Hampton BS. Epidemiology of pelvis floor dysfunction. Obstet Gynecol Clin North Am. 2009;36(3):421-43.
Braekken IH, Majida M, Ellström M, Holme IM, Bo K. Pelvic floor function is independently associated with pelvic organ prolapse. BCOG. 2009;116:1706-14.
Gadel N, El-Hemaly M, Hamdy E, El-Raouf AA, Atef E, Salah T, et al. Pelvic floor dyssynergia: efficacy of biofeedback training. Arab J Gastroenterol. 2011;12(1):15-9.
Madrid AM. Revisión crítica de los métodos utilizados en el estudio del tránsito colónico. Gastroenterol Latinoam. 2008;19(2):81-5.
Naranjo D, García I, Guzmán A, Rodríguez MA, Abreu MR, Pascau B, et al. Perfil manométrico anorrectal en pacientes con constipación crónica asociada a ciego móvil. Rev Cubana Med. 2011 [citado jul. 2015];50(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232011000300004&lng=es&nrm=iso&tlng=es