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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
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Abstract
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ePub <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.
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Citations
Citations to this article as recorded by
- Efficacy safety of linaclotide combined with polyethylene glycol for bowel preparation in patients with constipation: a meta-analysis
Guoli Li, Hongfang Zhang, Lamei Li, Yun Huang
Frontiers in Gastroenterology.2026;[Epub] CrossRef - Seoul Consensus on Clinical Practice Guidelines for Functional Constipation
Kyung Ho Song, Young Sin Cho, Jeong Eun Shin, Hye-Kyung Jung, Seon-Young Park, Seung Joo Kang, Jung-Wook Kim, Yoo Jin Lee, 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,
The Korean Journal of Gastroenterology.2025; 85(3): 319. CrossRef - 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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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
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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
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
- Efficacy safety of linaclotide combined with polyethylene glycol for bowel preparation in patients with constipation: a meta-analysis
- 13,570 View
- 57 Download
- 17 Web of Science
- 18 Crossref
Case Reports
- Colitis Cystica Profunda Masquerading as a Pneumatosis Cystoides Intestinalis: A Case Report
- Eun Suk Jung, Jae Hee Cheon, Kyong Joo Lee, Hyun Jung Lee, Hui Won Jang, Young Eun Chon, Kyu Sik Jung, Seonjung Chang, Sung Pil Hong, Tae Il Kim, Won Ho Kim
- Intest Res 2010;8(2):187-190. Published online December 30, 2010
- DOI: https://doi.org/10.5217/ir.2010.8.2.187
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Abstract
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- Colitis Cystica Profunda (CCP) is an uncommon and benign disease entity characterized by mucoid cysts located in the submucosal layer of the colon. It can mimic cystic submucosal tumors or mucinous adenocarcinoma and is usually located in the rectum. CCP is found in the ascending colon less frequently. CCP manifesting as multiple cystic tumors, similar to pneumatosis cystoides intestinalis, has not yet been reported. Recently, a case of CCP mimicking pneumatosis cystoides intestinalis in the ascending colon was treated. Here this case is reported and the literature reviewed. (Intest Res 2010;8:187-190)
- 3,232 View
- 31 Download
- Clinical Experience of Thalidomide in the Treatment of Korean Patients with Intestinal BehcӇet's Disease: Pilot Experience in a Single Center
- Hyun Jung Lee, Jae Hee Cheon, Kyong Joo Lee, Hui Won Jang, Kyu Sik Jung, Eun Suk Jung, Jin Ha Lee, Seung Min Jeon, Sung Pil Hong, Tae Il Kim, Won Ho Kim
- Intest Res 2010;8(1):63-69. Published online June 30, 2010
- DOI: https://doi.org/10.5217/ir.2010.8.1.63
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Abstract
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- Intestinal BehcӇet's disease (BD) often leads to severe complications, such as perforation or massive bleeding, and therefore is one of the major causes of morbidity and mortality. As thalidomide has been identified and its anti-inflammatory and immunomodulatory properties clarified, this drug has been used in cases of systemic BD with some success. Herein we report a case series of four patients with intestinal BD to share our clinical experience with thalidomide treatment. We studied the effects of thalidomide in four patients who had a chronic relapse of intestinal BD requiring the frequent use of systemic steroids due to refractoriness to prior treatments, such as 5-aminosalycylic acid and immunosuppressants. Pre- and post-treatment clinical and laboratory data, including clinical symptoms, laboratory data, disease activity index for intestinal BD, and thalidomide toxicity were recorded. Three of the four patients had a clinical and radiologic improvement after thalidomide treatment and all of the patients discontinued steroid therapy. Although two patients tolerated thalidomide, two patients could not continue the treatment because they suffered from edema and neutropenia. Thalidomide could be considered a therapeutic option for the treatment of intestinal BD. (Intest Res 2010;8:63-69)
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Citations
Citations to this article as recorded by- Advances in Management of Intestinal Behçet’s Disease: A Perspective From Gastroenterologists
Jae Hee Cheon
Journal of Rheumatic Diseases.2021; 28(1): 4. CrossRef - An Overview of Conventional and Recent Treatment Options for Behcet’s Disease
Kader Cetin Gedik, Micol Romano, Roberta A. Berard, Erkan Demirkaya
Current Treatment Options in Rheumatology.2020; 6(2): 99. CrossRef - Updated treatment strategies for intestinal Behçet’s disease
Yong Eun Park, Jae Hee Cheon
The Korean Journal of Internal Medicine.2018; 33(1): 1. CrossRef - Update on the Medical Management of Gastrointestinal Behçet’s Disease
Giuseppe Lopalco, Donato Rigante, Vincenzo Venerito, Claudia Fabiani, Rossella Franceschini, Michele Barone, Giovanni Lapadula, Mauro Galeazzi, Bruno Frediani, Florenzo Iannone, Luca Cantarini
Mediators of Inflammation.2017; 2017: 1. CrossRef - An update on the diagnosis, treatment, and prognosis of intestinal Behçet's disease
Jae Hee Cheon, Won Ho Kim
Current Opinion in Rheumatology.2015; 27(1): 24. CrossRef - Update on the Treatment of Intestinal Behçet's Disease
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Journal of Rheumatic Diseases.2014; 21(4): 176. CrossRef - The Medical Treatments of Intestinal Behçet's Disease: An Update
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Intestinal Research.2013; 11(3): 155. CrossRef - Efficacy of Infliximab in Intestinal Behçet’s Disease
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Inflammatory Bowel Diseases.2013; : 1. CrossRef
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- 4,322 View
- 36 Download
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