Table 1.
Demographics and results of colonic transit, balloon expulsion test, and rectal area on scout film (RASF) in patients evaluated for constipation with rectal evacuation disorder (RED) and no RED.
Characteristics | RED (n=74) | No RED (n=202) | P value |
---|---|---|---|
Age, years | 30.5 [25; 42.3] | 45 [28; 56.3] | |
Sex (female) | 50 (67.5) | 172 (85.2) | |
Body mass index (kg/m2) | 21.8 [18.9; 25.0] | 22.2 [19.3; 25.4] | |
Current narcotic use | 7 (9.5) | 33 (16.3) | |
Prior hysterectomy | 3 (7.9) | 24 (18.3) | |
Prior delivery | 7 (14.6) | 74 (48.1) | |
Number of births | |||
• None | 41 (82.0) | 80 (47.9) | |
• One | 1 (2.0) | 24 (14.4) | |
• Two | 6 (12) | 40 (23.9) | |
• Three or more | 2 (4) | 23 (13.8) | |
Digital Rectal Examination | |||
Absent perineal descent | 62 (88.6) | 96 (51.1) | <0.001 |
Puborectalis tenderness | 40 (54.0) | 58 (28.7) | <0.001 |
Increased resting anal tone | 41 (56.2) | 42 (21.6) | <0.001 |
Increased anal squeeze | 15 (22.1) | 2 (1.1) | <0.001 |
Paradoxical contraction | 41 (68.3) | 83 (45.1) | <0.001 |
Impaired anal relaxation | 7 (11.7) | 6 (3.3) | <0.001 |
Colonic transit | |||
Geometric center 24 hours | 1.8 [1.5; 2.4], n=61 | 1.9 [1.6; 2.3], n=163 | 0.47 |
Slow colonic transit at 24h (<1.3) | 4/61 | 11/163 | 0.9 |
Geometric center 48 hours | 2.7 [2.0; 3.7], n=42 | 2.7 [2.2; 3.9], n=119 | 0.84 |
Slow colonic transit at 48h (<1.9) | 6/42 | 5/119 | 0.03 |
Balloon expulsion test | |||
Balloon weight (g) n=211 | 564 [384; 564] | 0 [0; 564] | <0.001 |
Balloon time (sec) n=61 | 31 [20; 60] | 13 [7; 23] | 0.003 |
Rectal area | |||
Rectal area on scout film (cm2) | 9.48 ± 1.99, n=38 | 6.09 ± 0.93, n=103 | 0.13 |
RASF >9cm2 | 15/38 (39.5%) | 27/103 (26.2 %) | 0.15 |
Data presented as N (%); median [interquartile range]; or mean±SEM.
Normal colonic transit data based on measurements in 145 females and 75 males for geometric center (GC) 24, and 136 females and 63 males for GC 48:
Median (5th, 95th %) GC 24h: 2.3 (1.3, 4.4)
GC48h: 3.8 (1.9, 5.0)