Slow colonic transit

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain


Chronic constipation.

Patient Data

Age: 45 years
Gender: Male

22 of the 24 markers are retained on day 5, located within the transverse, descending and sigmoid colon as well as rectum.

Case Discussion

There are numerous variations in how a colonic transit study is conducted and how the findings are interpreted. In this case, 24 markers are ingested and abdominal x-rays taken 1, 24, 48, 72, 96 and 120 hours later. If 24 rings are used, then <5 rings should be present in five days. 

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