Author:
Xiao Chang-Fang,Li Yi-Fan,Sun Yang-Yang,Meng Ling-Yun,Wu Jing-Wen,Wang Min,Cao Yong-Qing,Wang Chen,Yao Yi-Bo
Abstract
Abstract
Purpose
To evaluate the impact of two different parameters (body position and distension medium) on the rectal sensory test in patients with functional constipation and provide data support for the development of standardized operating procedures in clinical practice.
Methods
Based on a single-center process of the rectal sensory test, 39 patients with functional constipation were recruited for rectal sensory test under different body positions and distension mediums.
Results
Among the items of the Constipation Scoring System, the score of frequency of bowel movements showed a negative correlation with the first constant sensation volume (r = -0.323, P = 0.045). Conversely, the score of painful evacuation effort showed a positive correlation with the desire to defecate volume (r = 0.343, P = 0.033). There was a statistically significant difference in the first constant sensation volume (when the distension medium was gas) measured in different body positions (left lateral position, sitting position, squatting position), and the data measured in the squatting position were significantly higher than those in left lateral position (P < 0.05). In terms of research on distension medium, it was found that the first constant sensation volume measured in the squatting position (when the distension medium was water) was significantly lower than that of gas (P < 0.05).
Conclusion
For patients with functional constipation, there are differences in the results of rectal sensory tests between body positions and distension mediums. When conducting multicenter studies, it is necessary to unify the standard operating procedure (SOP) for operational details to ensure consistency and reliability of the test results.
Funder
The Yangfan Project of Shanghai Science and Technology Commission
National Natural Science Foundation of China
Shanghai key Clinical Specialty
Shenkang Promotion of Clinical Specialty Ability Improvement Project
Development highland construction of TCM- the inheritance and extension plan of traditional Chinese Medicine School in Shanghai
Shanghai Sinus Fistula Disease Research Center
National Administration of Traditional Chinese Medicine High level Key Discipline of Traditional Chinese Medicine - Traditional Chinese Medicine Anorectal Diseases
Program for Xinglin Scholar at Shanghai University of Traditional Chinese Medicine
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. Bharucha AE, Wald A. Chronic constipation. Mayo Clin Proc. 2019;94(11):2340–57.
2. Black CJ, Ford AC. Chronic idiopathic constipation in adults: epidemiology, pathophysiology, diagnosis and clinical management. Med J Aust. 2018;209(2):86–91.
3. Ghoshal UC, Sachdeva S, Pratap N, Verma A, K Ar Yampudi A, Misra A, Abraham P, Bhatia SJ, Bhat N, Chandra A. Indian consensus on chronic constipation in adults: a joint position statement of the Indian Motility and Functional Diseases Association and the Indian Society of Gastroenterology. Indian J Gastroenterol 2018.
4. Hanifah O. Fatima; Safira; Alatas; Badriul; Hegar; William; Cheng; Arnesya, Epidemiology of Paediatric constipation in Indonesia and its association with exposure to stressful life events. BMC Gastroenterol 2018.
5. Mill M, Koppen I, Benninga MA. Controversies in the management of functional constipation in children. Curr Gastroenterol Rep. 2020;21(6):23–.