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Colon Transit Time May Predict Inadequate Bowel Preparation in Patients With Chronic Constipation
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Hong Jun Park, Myeong Hun Chae, Hyun-Soo Kim, Jae Woo Kim, Moon Young Kim, Soon Koo Baik, Sang Ok Kwon, Hee Man Kim, Kyong Joo Lee
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Intest Res 2015;13(4):339-345. Published online October 15, 2015
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DOI: https://doi.org/10.5217/ir.2015.13.4.339
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Abstract
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- Background/Aims
We evaluated whether colonic transit time (CTT) can predict the degree of bowel preparation in patients with chronic constipation undergoing scheduled colonoscopy in order to assist in the development of better bowel preparation strategies for these patients. MethodsWe analyzed the records of 160 patients with chronic constipation from March 2007 to November 2012. We enrolled patients who had undergone a CTT test followed by colonoscopy. We defined patients with a CTT ≥30 hours as the slow transit time (STT) group, and patients with a CTT <30 hours as the normal transit time (NTT) group. Boston Bowel Preparation Scale (BBPS) scores were compared between the STT and NTT groups. ResultsOf 160 patients with chronic constipation, 82 (51%) were included in the STT group and 78 (49%) were included in the NTT group. Patients with a BBPS score of <6 were more prevalent in the STT group than in the NTT group (31.7% vs. 10.3%, P=0.001). Multivariate analysis showed that slow CTT was an independent predictor of inadequate bowel preparation (odds ratio, 0.261; 95% confidence interval, 0.107-0.634; P=0.003). The best CTT cut-off value for predicting inadequate bowel preparation in patients with chronic constipation was 37 hours, as determined by receiver operator characteristic (ROC) curve analysis (area under the ROC curve: 0.676, specificity: 0.735, sensitivity: 0.643). ConclusionsPatients with chronic constipation and a CTT >30 hours were at risk for inadequate bowel preparation. CTT measured prior to colonoscopy could be useful for developing individualized strategies for bowel preparation in patients with slow CTT, as these patients are likely to have inadequate bowel preparation.
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Citations
Citations to this article as recorded by 
- Advanced intestinal regulation improves bowel preparation quality in patients with constipation: A systematic review and network meta-analysis
Liang Ding, JinNan Duan, Tao Yang, ChaoQiong Jin, Jun Luo, Ahuo Ma Frontiers in Pharmacology.2023;[Epub] CrossRef - Factors affecting cecal intubation time during colonoscopy
Ke Wang, Wen-Tao Xu, Wen-Jing Kou, Xing-Shun Qi World Chinese Journal of Digestology.2023; 31(3): 105. CrossRef - Factors affecting the quality of bowel preparation for colonoscopy in hard-to-prepare patients: Evidence from the literature
Endrit Shahini, Emanuele Sinagra, Alessandro Vitello, Rocco Ranaldo, Antonella Contaldo, Antonio Facciorusso, Marcello Maida World Journal of Gastroenterology.2023; 29(11): 1685. CrossRef - The effect of kiwi berry (Actinidia arguta) on preventing and alleviating loperamide-induced constipation
Jiyue Zhang, Dongnan Li, Qilin Tian, Yumeng Ding, Hanqian Jiang, Guang Xin, Shunchang Cheng, Siyi Tang, Chenyu Jin, Jinlong Tian, Bin Li Food Innovation and Advances.2023; 2(1): 1. CrossRef - A Systematic Review of Exercise Therapy for Bowel Preparation
Yuan-Yuan Zhang, Ramoo Vimala, Ping Lei Chui, Ida Normiha Hilmi Gastroenterology Nursing.2023; 46(5): 393. CrossRef - 2022 Seoul Consensus on Clinical Practice Guidelines for Functional Constipation
Young Sin Cho, Yoo Jin Lee, Jeong Eun Shin, Hye-Kyung Jung, Seon-Young Park, Seung Joo Kang, Kyung Ho Song, Jung-Wook Kim, Hyun Chul Lim, Hee Sun Park, Seong-Jung Kim, Ra Ri Cha, Ki Bae Bang, Chang Seok Bang, Sung Kyun Yim, Seung-Bum Ryoo, Bong Hyeon Kye, Journal of Neurogastroenterology and Motility.2023; 29(3): 271. CrossRef - Taking a Long and Hard Look at Quality Predictors of Bowel Preparation for Colonoscopy
Yunho Jung Digestive Diseases and Sciences.2023; 68(11): 4069. CrossRef - Factors Influencing the Quality of Intestinal Preparation before Colonoscopy in Special Population
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Scott L. Cornella, Brian J. Wentworth, Charles Orton, Bethany J. Horton, Steven M. Powell GastroHep.2020; 2(2): 72. CrossRef - Usefulness of Personal Bowel Habits as a Predictive Factor for Inadequate Bowel Preparation for Colonoscopy: A Prospective Questionnaire-Based Observational Study
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Adenocarcinoma Originating From a Completely Isolated Duplication Cyst of the Mesentery in an Adult
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Seung Yong Shin, Mee Yon Cho, Hoon Ryu, Jae Woo Kim, Hyun-Soo Kim, Jung Min Kim, An Na Ko, Tae-Sun Yu, Hong Jun Park
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Intest Res 2014;12(4):328-332. Published online October 27, 2014
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DOI: https://doi.org/10.5217/ir.2014.12.4.328
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Abstract
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Alimentary tract duplications are uncommon congenital abnormalities that usually have an anatomical connection with some part of the gastrointestinal tract and have a common blood supply with the adjacent segment of intestine. A completely isolated duplication cyst (CIDC) is a very rare type of gastrointestinal duplication that does not communicate with the normal bowel segment and possesses its own exclusive blood supply. Only 5 CIDC cases in adults have been reported in the English medical literature. Additionally, only 1 case of mucinous cystadenoma from an infected CIDC of the ileum has been reported. This report describes a 52-year-old male patient with a peritoneal CIDC, which upon curative excision was found to have given rise to an adenocarcinoma. The latter was lined internally with malignant glandular cells and contained a smooth muscular outer layer as determined by microscopic examination of the tissue. We believe that this is the first reported case of an adenocarcinoma originating from a CIDC in an adult.
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- Two Cases of Adult-Onset Intestinal Duplication Manifested as Acute Abdomen: Case Report and Review of the Literature
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Tristan Anderson, Peter J. Yuide, Terence C. Chua Gastroenterology.2020; 158(8): e9. CrossRef - Laparoscopic excision of a retroperitoneal completely isolated enteric duplication cyst in an adult male: A case report and review of literature
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Shabnam Seydafkan, David Shibata, Julian Sanchez, Nam D. Tran, Marino Leon, Domenico Coppola Cancer Control.2016; 23(2): 170. CrossRef
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Prevalence and Risk Factors of Colorectal Neoplasms according to Coronary Artery Obstructive Disease
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Ki Tae Suk, Hyun Soo Kim, Hyun Jun Min, Hong Jun Park, Hyo Keun Jeon, Moon Young Kim, Jae Woo Kim, Soon Koo Baik, Sang Ok Kwon
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Intest Res 2011;9(2):112-117. Published online August 30, 2011
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DOI: https://doi.org/10.5217/ir.2011.9.2.112
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Abstract
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- Background/Aims
Both colorectal neoplasm (CN) and coronary artery obstructive disease (CAOD) are prevalent and major leading causes of death in Korea. Although CN and CAOD share similar risk factors such as male gender, smoking, hyperlipidemia, diabetes mellitus, and obesity, few studies of both CN and CAOD have been reported. In this study, we evaluated clinical correlations between CN and CAOD. Methods: Between June 2003 and December 2007, 176 patients (Male: 101, average age: 62.1±9.7 yr) who underwent colonoscopy after or before coronary angiography were retrospectively enrolled. The colonoscopic findings (normal, adenoma, or cancer) of patients as well as clinical and laboratory data according to the extent of CAOD (normal, minimal CAOD, or CAOD) were compared. Results: CAOD negative, minimal CAOD, and CAOD patients totaled 36, 40, and 100, respectively. The presence of CN (adenoma and adenocarcinoma) in CAOD negative, minimal CAOD, and CAOD cases was 42%, 48%, and 63%, respectively, which was significantly different (P<0.05). In multivariate analysis, old age (≥60 yr; P=0.03, odds ratio 2.47) and the presence of CAOD (P=0.02, odds ratio 4.11) were associated with the presence of CN. Conclusions: The prevalence of CN increased in proportion to the severity of CAOD. Colorectal cancer screening by fecal occult blood tests or colonoscopy should be a priority in patients with CAOD, particularly the elderly. (Intest Res 2011;9:112-116)
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