CT Colonogram as First Line Investgaton for Chronic Constpaton as a Primary Symptom Najam Husain 1 , Joshua Agilank 2* 1 Department of Surgery, Queens Hospital, Burton on Trent, UK 2 Department of Medicine, Aberdeen Royal Infrmary, Aberdeen, UK * Corresponding author: Joshua Agilinko, Department of Surgery, Aberdeen Royal Infrmary, Aberdeen, UK, Tel: 0345 456 6000; E-mail: j.agilinko@nhs.net Received Date: June 26, 2019; Accepted Date: July 01, 2019; Published Date: July 08, 2019 Citaton: Husain N, Agilinko J, Waraich N (2019) CT Colonogram as First Line Investgaton for Chronic Constpaton as a Primary Symptom. Colorec Cancer Vol.5 No.1:01 Copyright: © 2019 Husain N, et al. This is an open-access artcle distributed under the terms of the Creatve Commons Atributon License, which permits unrestricted use, distributon, and reproducton in any medium, provided the original author and source are credited. Abstract Aim: It is a common complaint and challenge for older adults. The aim of this study was to compare and evaluate the feasibility of colonoscopy and CT colonogram in patents with chronic constpaton as a primary symptom. Methods: Data was collected on patents with documented chronic constpaton or altered bowel habits. Colonoscopy was carried out by trained endoscopists. Standards employed were based on the Britsh Society of Gastroenterology guidelines for faecal intubaton, bowel preparaton and level of sedaton. Chi square test was carried out for data comparison and P value<0.05 was considered signifcant. Results: A total of 102 colonoscopies were performed with 41 performed in males and 61 in females. 67 had a normal colonoscopy result, 21 with divertculits, 14 with polyps, 1 with cancer and 1 with colits. Bowel preparaton was adequate in 47 patents, with the rest being satsfactory or poor. Conclusion: CT colonogram can be frst line investgaton for patents with chronic constpaton. There is a higher failure rate associated with colonoscopy with a failed procedure causing extra stress to the patent. Keywords: Colonogram; Chronic constpaton; Gastroenterology; Sedaton Introducton Chronic constpaton is a polysymptomatc heterogeneous disorder afectng more than a quarter of the Western populaton [1]. Usually, it is simple to avoid and easy to treat when it occurs with a high proporton of afected people self-treatng rather than consultng a healthcare professional. However, symptoms of constpaton may be a sign of a more serious problem requiring medical atenton. A detailed history and physical examinaton, including a digital rectal examinaton, are the inital steps in the evaluaton of constpaton. In keeping with the Rome 3 criteria, a diagnosis may be made on the basis of the presence of two of the following symptoms: less than three bowel movements per week; straining more than 25% of the tme; hard stools more than 25% of the tme; incomplete evacuaton more than 25% of the tme. Evidence suggests that for all ages and sexes presentng with constpaton in primary care, the absolute risk of a subsequent diagnosis of colorectal cancer is below 2% [2]. Despite this, there is a growing need of further investgatons to rule out malignancy. The role of colonoscopy, colonic transit study, anorectal manometry and CT colonogram has been suggested, and indeed, employed by many surgeons. We aim to evaluate the diagnostc efectvity of CT colonoogram in patents with a primary symptom. This is based on the quality of bowel preparaton in these patents which is in accordance with the Britsh Society of Gastroenterology (BSG) guidelines. It recommends that colonoscopists aspire achieve a 95% or more caecal intubaton so that bowel preparaton of at least adequate quality can be achieved in 90% of patents. In our hospital, bowel preparaton is as follows: sedaton level for age<70:median total dose ≤ 50mg pethidine or ≤ 5 mg midazolam; and sedaton level for age ≥ 70: median total dose ≤ 25 mg Pethidine or ≤ 2 mg midazolam and Picolax or Moviprep was used. Methods This was a retrospectve study conducted at Queens Hospital Burton between January and June 2018. All patents over the age of 18 years were included in this study. Using an online clinical manager database, patent notes and clinic leters, data was collected of patents with documented chronic constpaton or altered bowel habits as their main symptom. Research iMedPub Journals http://www.imedpub.com/ Colorectal Cancer: Open Access ISSN 2471-9943 Vol.5 No.1:02 2019 © Under License of Creative Commons Attribution 3.0 License | This article is available from: 10.21767/2471-9943.100036 1