Intestinal Research

Original Article

Colon Transit Time May Predict Inadequate Bowel Preparation in Patients With Chronic Constipation: 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; Intest Res 2015;13(4):339-345. Published online October 15, 2015; DOI: https://doi.org/10.5217/ir.2015.13.4.339

<b>Background/Aims</b><br/>

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.

Methods

We 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.

Results

Of 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).

Conclusions

Patients 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.

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
瑶童
Advances in Clinical Medicine.2023; 13(11): 17129. CrossRef
Rectal Evacuation Disorders are Associated With Poor Bowel Preparation in Patients With Chronic Constipation
Mythili P. Pathipati, Casey J. Silvernale, Kenneth G. Barshop, Jasmine B. Ha, James M. Richter, Kyle D. Staller
Journal of Clinical Gastroenterology.2022; 56(5): 438. CrossRef
Combination of bisacodyl suppository and 1 L polyethylene glycol plus ascorbic acid is a non‐inferior and comfortable regimen compared to 2 L polyethylene glycol plus ascorbic acid
Sun Hwa Kim, Eun Ran Kim, Kyunga Kim, Tae Jun Kim, Sung Noh Hong, Dong Kyung Chang, Young‐Ho Kim
Digestive Endoscopy.2020; 32(4): 600. CrossRef
Modelling characteristics of inadequate bowel preparations for colonoscopy
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
Namyoung Paik, Eun Ran Kim, Tae Jun Kim, Sung Noh Hong, Dong Kyung Chang, Young-Ho Kim
Gut and Liver.2019; 13(2): 169. CrossRef
Prediction of Inadequate Bowel Preparation Using Total and Segmental Colon Transit Time in Patients with Chronic Constipation: Some Different Outcomes
Chunying Zhai, Qiyang Huang, Ningli Chai, Wengang Zhang, Enqiang Linghu
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef
Gut microbiota alterations from different Lactobacillus probiotic-fermented yoghurt treatments in slow-transit constipation
Chen-Jian Liu, Xiao-Dan Tang, Jie Yu, Hai-Yan Zhang, Xiao-Ran Li
Journal of Functional Foods.2017; 38: 110. CrossRef
The management of ‘hard-to-prepare’ colonoscopy patients
Daniele Mandolesi, Leonardo Frazzoni, Franco Bazzoli, Lorenzo Fuccio
Expert Review of Gastroenterology & Hepatology.2017; 11(8): 731. CrossRef
Bowel preparation for colonoscopy
Theodor Voiosu, Andrei Voiosu, Radu Voiosu
Current Opinion in Gastroenterology.2016; 32(5): 385. CrossRef

8,460 View
52 Download
14 Web of Science
16 Crossref

Review

Recent Updates on the Treatment of Constipation: Han Seung Ryu, Suck Chei Choi; Intest Res 2015;13(4):297-305. Published online October 15, 2015; DOI: https://doi.org/10.5217/ir.2015.13.4.297

Abstract PDF PubReader ePub

The treatment of constipation aims to regulate the frequency and quantity of stool in order to promote successful defecation. Numerous studies on pharmacologic treatments and non-pharmacologic therapies for constipation have attempted to overcome limitations such as temporary and insufficient efficacy. Conventional laxatives have less adverse effects and are inexpensive, but often have limited efficacy. Recently developed enterokinetic agents and intestinal secretagogues have received attention owing to their high efficacies and low incidences of adverse events. Studies on biofeedback and surgical treatment have focused on improving symptoms as well as quality of life for patients with refractory constipation.

Citations

Citations to this article as recorded by

EFFICACY AND SAFETY OF INTESTINAL SECRETAGOGUES FOR CHRONIC CONSTIPATION: A SYSTEMATIC REVIEW AND META-ANALYSIS
Juan Sebastian LASA, María Josefina ALTAMIRANO, Luis Florez BRACHO, Silvina PAZ, Ignacio ZUBIAURRE
Arquivos de Gastroenterologia.2018; 55(suppl 1): 2. CrossRef
Relation of Enteric α-Synuclein to Gastrointestinal Dysfunction in Patients With Parkinson's Disease and in Neurologically Intact Subjects
Hyo Jeong Lee, Kee Wook Jung, Sun Ju Chung, Seung-Mo Hong, Juyeon Kim, Jeong Hoon Lee, Sung Wook Hwang, Ho-Sung Ryu, Mi Jung Kim, Ho-Su Lee, Myeongsook Seo, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Jeong-Sik Byeon, Jaewon Choe, Hwoon-Yong Jung, Suk
Journal of Neurogastroenterology and Motility.2018; 24(3): 469. CrossRef
Clinical efficacy of the traditional Chinese herbal formula, (Tong Bian Decoction) on laxative dependence constipation in elderly persons: A randomized, multicenter, controlled trial
Yinzi Yue, Xiaopeng Wang, Huiju Yang, Mingming Sun, Shujun Chen, Haihua Qian, Tianshu Xu, Shuai Yan
European Journal of Integrative Medicine.2018; 24: 23. CrossRef

6,107 View
67 Download
4 Web of Science
3 Crossref

First
Prev
Page of 1
Next
Last

Search