Abstract
Transit time, rectoanal manometry, and symptoms were studied in 61 patients complaining of constipation. A slow transit, in the colonic area of most of the patients, was found in 49. Rectoanal manometry was abnormal in 40. Both examinations were abnormal in 32 patients, colonic transit only in 17, and manometry only in eight. Finally, both examinations were normal in only four subjects. A transit delay was always associated with less than three stools per week, and straining at stool was constant when rectoanal manometric disturbances were shown. Objective abnormalities appear common in patients complaining of constipation and, correlated with symptoms, suggest that clinical study in constipation could be of more value than usually is believed.
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References
Manning AP, Wyman JB, Heaton KW. How trustworthy are bowel histories? Comparison of recalled and recorded information. Br Med J 1976;2:213–4.
Devroede G. Constipation: mechanisms and management. In: Sleisenger MH, Fordtran JS, Saunders WB (eds.). Gastrointestinal disease, pathophysiology, diagnosis, management. Philadelphia: JB Lippincott, 1983:288–307.
Martelli H, Devroede G, Arhan R, Duguay C. Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology 1978;75:623–31.
Hancock BD. The internal sphincter and anal fissure. Br J Surg 1977;64:92–5.
Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology 1974;67:216–20.
Arhan P, Devroede G, Jehannin B, et al. Segmental colonic transit time. Dis Colon Rectum 1981;24:625–9.
Martelli H, Devroede G, Arhan P, Duguay C, Dornic C, Faverdin C. Some parameters of large bowel motility in normal man. Gastroenterology 1978;75:612–8.
Schang JC, Devroede G, Duguay C, Hemond M, Herbert M. Constipation par inertie colique et obstruction distale: étude électromyographique. Gastroenterol Clin Biol 1985;9:480–5.
Chaussade S, Roche H, Khyari A, Guerre J. Mesure du temps de transit colique global et segmentaire: description et validation d'une nouvelle technique (abstr). Gastroenterol Clin Biol 1985; 9:29A.
Ducrotté P, Denis P, Galmiche JP, et al. Motricité anorectale dans la constipation idiopathique. Étude de 200 patients consécutifs. Gastroenterol Clin Biol 1985;9:10–5.
Meunier P, Marechal JM, Jaubert de Beaujeu M. Rectoanal pressures and rectal sensitivity in chronic childhood constipation. Gastroenterology 1979;77:330–6.
Loening-Baucke V, Anuras S. Anorectal manometry in healthy elderly subjects. J Am Geriatr Soc 1984;32:636–9.
Connell AM, Hilton C, Irvine G, Lennard-Jones JE, Misiewicz JJ. Variation of bowel habit in two population samples. Br Med J 1965;2:1095–9.
Drossman DA, Sandler RS, McKee DC, Lovitz AJ. Bowel patterns among subjects not seeking health care: use of a questionnaire to identify a population with bowel dysfunction. Gastroenterology 1982;83:529–34.
Bartolo DC, Read NW, Jarratt JA, Read MG, Donnelly TC, Johnson AG. Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology 1983;85:68–75.
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Ducrotte, P., Rodomanska, B., Weber, J. et al. Colonic transit time of radiopaque markers and rectoanal manometry in patients complaining of constipation. Dis Colon Rectum 29, 630–634 (1986). https://doi.org/10.1007/BF02560322
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DOI: https://doi.org/10.1007/BF02560322