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Colonic transit in patients after anterior resection: Prospective, comparative study using single‐photon emission CT/CT scintigraphy

British Journal of Surgery Apr 02, 2020

Ng KS, et al. - This research was intended to assess colonic transit applying planar scintigraphy and single‐photon emission CT (SPECT)/CT in patients after anterior resection, stratified according to postoperative bowel function. Symptoms were evaluated by applying the low anterior resection syndrome (LARS) score. Following gallium‐67 ingestion, scintigraphy was conducted at predefined time points. Researchers applied receiver operating characteristic curve analyses to compare transit parameters between subgroups based on LARS score. This study recruited a total of 57 patients (37 men; median age 72·6 (range 44·4–87·7) years) who underwent planar and SPECT scintigraphy. Compared with patients without LARS, it was noted that patients with major LARS had accelerated colonic transit, which may help explain postoperative bowel dysfunction in this group. The evidence shows that the percentage tracer retained at 32 h had the greatest area under curve value in discriminating such patients.

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