THE USE OF ORIGINAL RADIOPAQUE MARKERS IN DIAGNOSIS OF CHRONIC CONSTIPATION

Abstract

AIM. To evaluate the effectiveness of radiological control of original radiopaque markerspassage through the gastrointestinal tract in the diagnosis of chronic constipation. MATERIALS AND METHODS. In examination of 28 patients with chronic constipation syndrome method of passage the original radiopaque markers through gastrointestinal tract has been used. The markers were non-adhesive and insoluble compounds based on barium sulfate. RESULTS. The specifics of radiopaque markers passage in different severity of chronic constipation, as well as in abnormal architectonics and disposition of the colon in the abdominal cavity has been studied. We noted the peculiarities of radiopaque markers passage in two main patterns of motility disorders: colonic inertia and outlet obstruction. The speed of markers movement, their distribution in the gut, and the timing of the evacuation objectively reflects impaired evacuation function, moreover the method is easy to perform and interpret. CONCLUSION. This method expands the resources of diagnostic methods in chronic constipation and can be considered as an effective tool of functional diagnostics, allowing to make the differentiated approach to selection of the kind of the treatment, and in the case of surgical approach - to choose a range of resection.