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© 1983 Oxford University Press

research-article

AN INVESTIGATION OF COLONIC FUNCTION IN THE ELDERLY

LINDA F. MCKAY, Research Fellow, R. G. SMITH, Consultant Geriatrician, M. A. EASTWOOD, Consultant Gastroenterologist, S. D. WALSH, Consultant Geriatrician and J. G. CRUIKSHANK, Consultant Radiologist

Wolfson Gastrointestinal Laboratory, University Department of Medicine, Western General Hospital Edinburgh EH4 2XU
Department of Geriatric Medicine, City Hospital Greenbank Drive, Edinburgh EH10
Wolfson Gastrointestinal Laboratory, Royal Victoria Hospital Craigleith Road, Edinburgh EH4
Department of Geriatric Medicine, Royal Victoria Hospital Craigleith Road, Edinburgh EH4
Department of Diagnostic Radiology, Royal Victoria Hospital

A straight abdominal radiograph can be used in the elderly to indicate a loaded colon. Two groups of patients were identified using radiology, one with faeces-filled caeca and the other with gasfilled caeca. Gastro-intestinal transit time measurements and breath methane analysis, an indicator of colonic bacterial activity, were used to investigate colonic function. An attempt was made to identify different colonic transit patterns by radiography after administering radio-opaque markers of various shapes on three consecutive days. Although the two patient groups showed no differences in gastro-intestinal transit time there were differences in the distribution of the pellets in the colon and in the excretion of breath methane. Straight abdominal radiography was of value in identifying two patient groups with different colonic function.


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