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[Diagnostic imaging in constipation]

E Barbi1, G G Delaini, M Sulpasso

  • 1Istituti di Radiologia, Università di Verona.

Chirurgia Italiana
|February 1, 1993
PubMed
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Diagnostic imaging, including Barium Enema (BE) and Defecography (DG), helps identify constipation causes. Intestinal Transit Time (ITT) distinguishes functional constipation types, while imaging aids in defining complex cases.

Area of Science:

  • Gastroenterology
  • Radiology
  • Medical Imaging

Background:

  • Constipation is a common condition with diverse underlying causes.
  • Accurate diagnosis is essential for effective treatment and management.
  • Diagnostic imaging plays a crucial role in elucidating the etiology of constipation.

Purpose of the Study:

  • To outline the utility of various diagnostic imaging modalities in evaluating constipation.
  • To highlight specific imaging techniques for identifying organic and functional causes of constipation.
  • To differentiate between types of functional constipation using imaging.

Main Methods:

  • Review of diagnostic imaging modalities including Barium Enema (BE), Defecography (DG), Intestinal Transit Time (ITT), Computed Axial Tomography (CT), and Magnetic Resonance (MR).

Related Experiment Videos

  • Focus on ITT for characterizing functional colic constipation (hypertonic vs. atonic).
  • Emphasis on DG for dynamic assessment of anorectal function and pelvic floor disorders.
  • Inclusion of CT and MR for comprehensive evaluation.

    • Main Results:

    • ITT effectively distinguishes between hypertonic and atonic functional colic constipation based on marker distribution.
    • DG provides detailed dynamic visualization of anorectal pathology and pelvic floor abnormalities.
    • BE, CT, and MR contribute to identifying organic causes and defining the overall clinical picture of constipation.

    Conclusions:

    • Diagnostic imaging is indispensable for diagnosing constipation, differentiating organic from functional causes.
    • Specific modalities like ITT and DG are key for characterizing functional constipation subtypes.
    • A combination of imaging techniques offers a comprehensive approach to managing constipation.