Slow colonic transit

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Work up for chronic constipation.

Patient Data

Age: 55 years
Gender: Female
x-ray

6 of the 24 markers are retained on day 5, located within the descending and sigmoid colon.

Case Discussion

There are numerous variations in how a colonic transit study is conducted and how the findings are interpreted. Twenty-four markers are ingested in this case, and abdominal x-rays are 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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