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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

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Correlation between Constipation Symptoms and Abdominal CT Imaging: A Cross-Sectional Pilot Study.

Mayuko Haraikawa¹, Tsutomu Takeda¹, Shotaro Oki¹

¹Department of Gastroenterology, Juntendo University School of Medicine, Tokyo 113-0034, Japan.

Journal of Clinical Medicine

|January 8, 2023

Summary

Computed tomography (CT) scans can help evaluate chronic constipation. Colon intraluminal content volume and diameter correlate with constipation symptoms and stool consistency, aiding in patient assessment.

Keywords:

BSFS CSS abdominal CT constipation

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Area of Science:

Gastroenterology
Radiology
Medical Imaging

Background:

Chronic constipation evaluation and treatment are challenging due to complex contributing factors.
Objective measurement of constipation severity and stool characteristics is needed.

Purpose of the Study:

To investigate the correlation between colonic intraluminal content volume and diameter measured via computed tomography (CT) and chronic constipation symptoms and stool consistency.

Main Methods:

Retrospective analysis of 149 patients who completed the Constipation Scoring System (CSS) and Bristol Stool Form Scale (BSFS) questionnaires.
Abdominal CT scans were used to measure intestinal tract diameter and evaluate stool and gas volumes at five levels.

Main Results:

Significant correlations were found between gas volume and CSS5 (Time) in the right hemi-colon.
Stool volume in the left hemi-colon correlated with CSS2 (Difficulty), CSS3 (Completeness), CSS5 (Time), and total CSS scores.
BSFS scores showed negative correlations with gas volume and diameter in the right hemi-colon and gas volume in the rectum.

Conclusions:

CT-derived measurements of stool and gas volume, along with colonic diameter, are associated with specific constipation symptoms and stool consistency.
These imaging findings offer potential utility in the clinical evaluation and management of chronic constipation.