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Constipation in Children-Colonic Transit Time and the Barr-Score

Journal of the Korean Pediatric Society 1997;40(10):1427-1434.
Published online October 15, 1997.
Constipation in Children-Colonic Transit Time and the Barr-Score
Nam-Seon Beck1, I Sok Kang1, Dong Kyu Jin1, Munhyang Lee1, Sang Il Lee1, Heung Jae Lee1, Bokyung Kim1, Tae Sung Park2
1Department of Pediatrics, Sung Kyun Kwan University, College of Medicine, Samsung Medical Center, Seoul Korea
2Department of Statistics, Hankook University of Foreing Study, Seoul Korea
소아에서의 변비 - 단순 방사선 촬영에 의한 Barr 점수와 방사선 비투과성 표지자를 이용한 대장통과시간검사
백남선1, 강이석1, 진동규1, 이문향1, 이상일1, 이홍재1, 김보경1, 박태성2
1성균관대학교 의과대학 소아과학교실
2한국외국어대학교 통계학과
Abstract
Purpose
: We have assessed the clinical usefulness of solid maker transit technique and Barr-score in 31 patients with idiopathic constipation (male:female; 17:14, mean age; 6.7 years, range 1.4-12 years).
Methods
: All patients underwent full history taking and physical examination including rectal examination. On first visit to gastroenterology clinic a plain abdominal film was taken for Barr-score which evaluated by two observers without the information of the patients. Kappa score was calculated for inter or intra observer variability. Sitz marker were given orally at 9 am on days 1, 2 and 3, and another plain abdominal film was taken on day 5. Total remained solid marker were counted for the degree of retention. We calulated the residual sitz marker. Each film was divided into right colon, left colon and rectosigmoid areas, using bony landmarks, and the marker content of each area counted.
Results
: 2 patients were excluded because they resisted to take sitz maker. Transit times were normal, mild, moderate and severe delay in 12 patients, 2 patients, 3 patients and 12 patients respectively on day 5 film. The correlation coefficiency between the degree of transit delay and clinical severity was 0.89. Among 14 patients with transit delay, 12 patients has outlet obstruction, 1 patient right colonic delay and 1 patients left colonic delay. The Kappa for inter and intra-personal variability were 4.13 and 4.18 respectively (moderate consistency each). The correlation coefficiency between Barr-score and solid marker colonic transit time was 0.603(P =0.0008).
Conclusions
: This results showed that the solid marker colonic transit time and Barr score were useful in evaluation of patients with constipation.
Key Words: Constipation, Colonic transit time, Barr-score


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