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- W2978312404 abstract "Purpose: Constipation is a common medical disorder and affected pts often undergo an increased number of procedures, e.g. colonoscopy. Since pts with constipation have other symptoms in addition to infrequent defecation, including abdominal pain, change in stool form (hard stools), bloating and straining; physicians may be concerned about the possibility of underlying pathology. Methods: To evaluate the risk of pathologic finding in pts with constipation, we evaluated 374,323 colonoscopies performed between 2000–2003 as part of the CORI Program. Of these procedures, 5.8% (21,549) listed constipation as an indication and 2.0% (7,524) classified constipation as the primary/only indication. Data were compared to 49,460 colonoscopies performed in a matched control group of average/routine risk pts and statistical significance approximated (Fisher's Exact test). Results: Most procedures demonstrated abnormal findings; procedures for constipation revealed hemorrhoids 41.4% (n = 8,919) compared to 30.4% (control population). 29.1% (n = 6,272) and 27.7% (n = 2,086) of procedures for constipation as an indication, or as the primary indication, found a polyp. Multiple polyps were found in 5.8% (n = 1,255) and 4.9% (n = 368) of procedures performed for any constipation and constipation as the primary indication respectively. Polyps (single or multiple) were also present in the control cohort. Other findings significantly increased in colonoscopy performed for any constipation included; solitary ulcer (0.3% vs 0.1% control); fissure/fistula (0.2% vs < 0.1% control); stricture/stenosis (0.3% vs 0.1% control) and tumor (1.2% vs 0.4% control). Conclusions: Procedures performed primarily for constipation or for constipation as an additional reason frequently reveal pathology. Physicians should evaluate pts presenting with infrequent defecation, change in stool form, bloating and straining carefully and consider the possibility of pathology in pts suffering from constipation.Table: No Caption available." @default.
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- W2978312404 date "2005-09-01" @default.
- W2978312404 modified "2023-09-25" @default.
- W2978312404 title "Pathologic Findings Are Common during Colonoscopy for Constipation" @default.
- W2978312404 doi "https://doi.org/10.14309/00000434-200509001-00928" @default.
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