Colonic Slow Transit in Patients with Dyssynergic Defecation and Effectiveness of Biofeedback Therapy

Derya Arı; Ömer Öztürk; Yasemin Özderin; Dilara Turan Gökçe; İlyas Tenlik; Ferhat Bacaksız; Volkan Gökbulut; Orhan Coşkun

doi:10.7197/cmj.1099119

EN

Colonic Slow Transit in Patients with Dyssynergic Defecation and Effectiveness of Biofeedback Therapy

Abstract

Background: Colonic transit is delayed in two-thirds of patients with dyssynergic defecation. As a result, it's possible that dyssynergic defecation and slow transit constipation are linked. There is a scarcity of research on the coexistence of dyssynergic defecation and slow transit constipation, as well as the efficacy of biofeedback therapy in this group of patients. Methods: The results of anorectal manometry and MR defecography were used to make the diagnosis of dyssynergic defecation. The colon transit time was measured with the help of 24 specially marked markers. All of the patients were given biofeedback therapy. Results: The average age of the 17 patients with dyssynergic defecation in the study was 45.6 years. The colon transit time was prolonged in seven patients (41.2%). In anorectal manometry, 7 patients (41.2%) had improved dyssynergic defecation after dyssynergic defecation. When the relationship between colon transit time and biofeedback therapy was investigated, it was discovered that normal colon transit time was found in 85.7 percent of those who benefited from biofeedback therapy, while slow transit constipation was found in 60% of those who did not. Conclusion: In patients with pre- biofeedback therapy and dyssynergic defecation, colon transit time should be evaluated, and it should be kept in mind that these patients may be resistant to treatment in the case of accompanying slow transit constipation.

Keywords

Supporting Institution

Yok

Project Number

Yok

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Derya Arı ^*
0000-0001-8024-781X
Türkiye

Ömer Öztürk
0000-0002-4545-7149
Türkiye

Yasemin Özderin
0000-0002-8744-4936
Türkiye

Dilara Turan Gökçe
0000-0003-3660-7237
Türkiye

İlyas Tenlik
0000-0001-9546-2918
Türkiye

Ferhat Bacaksız
0000-0002-9670-3290
Türkiye

Volkan Gökbulut
0000-0002-7906-2479
Türkiye

Orhan Coşkun
0000-0002-3124-9517
Türkiye

Publication Date

March 31, 2023

Submission Date

April 5, 2022

Acceptance Date

March 26, 2023

Published in Issue

Year 1970 Volume: 45 Number: 1

DOI

https://doi.org/10.7197/cmj.1099119

IZ

https://izlik.org/JA34UN43CF

Cite

RIS / Bibtex

AMA

1.Arı D, Öztürk Ö, Özderin Y, et al. Colonic Slow Transit in Patients with Dyssynergic Defecation and Effectiveness of Biofeedback Therapy. CMJ. 2023;45(1):66-73. doi:10.7197/cmj.1099119