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CT Colonogram as First Line Investigation for Chronic Constipation as a Primary Symptom

Aim: It is a common complaint and challenge for older adults. The aim of this study was to compare and evaluate the feasibility of colonoscopy and CT colonogram in patients with chronic constipation as a primary symptom. Methods: Data was collected on patients with documented chronic constipation or altered bowel habits. Colonoscopy was carried out by trained endoscopists. Standards employed were based on the British Society of Gastroenterology guidelines for faecal intubation, bowel preparation and level of sedation. Chi square test was carried out for data comparison and P value<0.05 was considered significant. Results: A total of 102 colonoscopies were performed with 41 performed in males and 61 in females. 67 had a normal colonoscopy result, 21 with diverticulitis, 14 with polyps, 1 with cancer and 1 with colitis. Bowel preparation was adequate in 47 patients, with the rest being satisfactory or poor. Conclusion: CT colonogram can be first line investigation for patients with chronic constipation. There is a higher failure rate associated with colonoscopy with a failed procedure causing extra stress to the patient.


Najam Husain, Joshua Agilank

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