Idiopathic megacolon and slow-transit constipation: the comparison of clinical features and quality of life Article Swipe
D. V. Aleshin
,
S. I. Achkasov
,
D. G. Shakhmatov
,
E. S. Surovegin
,
O. Yu. Fomenko
,
M. A. Ignatenko
,
O. I. Sushkov
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.33878/2073-7556-2025-24-4-53-61
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.33878/2073-7556-2025-24-4-53-61
AIM: to compare the clinical features and quality of life estimation in patients with chronic constipation due to idiopathic megacolon/megarectum and slow-transit constipation. PATIENTS AND METHODS: the comparative retrospective analysis (2003-2024) had been provided in 260 patients with chronic constipation, which were undergone barium enema to exclude/confirm megacolon/megarectum. 1 group (n=158) consisted of patients with idiopathic megacolon/megarectum. Hirschsprung’s disease was excluded in all patients based on complex of clinical features, barium enema and anorectal manometry results and (if needed) rectal Swenson’s biopsy. 102 patients with chronic slow-transit constipation and normal size of the bowel were included in 2 group. RESULTS: In 1 group patients were statistically significant younger (Me=26.0 (19.0; 43.0) years and Me=33.0 (23.0; 48.0) years (p=0.043)) and significant male predominance were observed (87/158 (55.1%) vs 15/102 (14.7%), (p<0.0001)). Wexner constipation scale rate, burden of symptoms of abdominal discomfort and defecation difficulties in point scale were significant higher in 2 group patients with normal size of bowel (p=0.01, p=0.013 and p=0.0005, respectively). Summary assessment of quality of life with an IBSQOL questionnaire were significant better in 1 group (p=0.0001). At the same time there were no significant difference in overall transit time between groups (p=0.789). Defecation impairment assessed by defecography (time of defecation and rest volume) were significant more in 1 group (p<0.0001 for both). In multivariate analysis (General regression models),taking into account age and gender of patients, the presence of megacolon/megarectum was significant independent predictor of better quality of life, as the young age too ((p=0,001 и p=0,013, respectively). In addition, contrary to defecography results, there was significant association between the presence of megacolon/megarectum and lower rate of “defecation difficulties” scale (p=0,002). At the same time female gender was only significant independent predictor of burden of Wexner constipation scale and “abdominal discomfort” scale (p=0.0007 и p=0.048, respectively). CONCLUSION: patients with chronic constipation due to idiopathic megacolon/megarectum have significant better quality of life and lower burden of clinical features then slow-transit constipation ones.
Related Topics
Concepts
Medicine
Defecation
Constipation
Quality of life (healthcare)
Defecography
Chronic constipation
Megacolon
Barium enema
Obstructed defecation
Enema
Internal medicine
Anorectal manometry
Multivariate analysis
Ulcerative colitis
Significant difference
Retrospective cohort study
Surgery
Physical therapy
Physical examination
Severity of illness
Disease
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.33878/2073-7556-2025-24-4-53-61
- https://www.ruproctology.com/jour/article/download/2070/2239
- OA Status
- diamond
- References
- 14
- OpenAlex ID
- https://openalex.org/W7105999750
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7105999750Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.33878/2073-7556-2025-24-4-53-61Digital Object Identifier
- Title
-
Idiopathic megacolon and slow-transit constipation: the comparison of clinical features and quality of lifeWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-19Full publication date if available
- Authors
-
D. V. Aleshin, S. I. Achkasov, D. G. Shakhmatov, E. S. Surovegin, O. Yu. Fomenko, M. A. Ignatenko, O. I. SushkovList of authors in order
- Landing page
-
https://doi.org/10.33878/2073-7556-2025-24-4-53-61Publisher landing page
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https://www.ruproctology.com/jour/article/download/2070/2239Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.ruproctology.com/jour/article/download/2070/2239Direct OA link when available
- Concepts
-
Medicine, Defecation, Constipation, Quality of life (healthcare), Defecography, Chronic constipation, Megacolon, Barium enema, Obstructed defecation, Enema, Internal medicine, Anorectal manometry, Multivariate analysis, Ulcerative colitis, Significant difference, Retrospective cohort study, Surgery, Physical therapy, Physical examination, Severity of illness, DiseaseTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
14Number of works referenced by this work
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