Ir. J. Med. Sc. Vol. 167, Supplement No. 8 2 Irish Society of Gastroenterology July, August, September, 1998 Proceedings of Meeting held Friday 12th and Saturday 13th June, 1998 Oral Presentations deficit (S+OS) and a sensitivity of 77 per cent. Sensation of blockage on attempted defaecation was significantly higher in DETAILED SYMPTOM EVALUATION IN PATIENTS those with obstructed defecation (O+OS) v those with no WITH CHRONIC IDIOPATHIC CONSTIPATION CAN obstruction (N+S) (93 per cent v 22 per cent, p<0.01). The DISCRIMINATE BETWEEN PATIENTS WITH DIFFERENT specificity, sensitivity and negative predictive value were 78 PATHOPHYSIOLOGICAL DISORDERS OF per cent, 93 per cent and 93 per cent respectively. DEFAECATION Conclusion: A pronounced prolongation of defaecation time B. M. Ryan*, P. J. Byrne ~, S. McKiernan*, R Quill t, (20 min or more), and less than 1 bowel movement per week P. W. N. Keeling*. are strongly suggestive of a defaecation disorder. The presence Departments of *Gastroenterology and Clinical Medicine, IGI of intermittent diarrhoea or intermittent frequency of bowel Function and tSurgery, St. James's Hospital and Trinity movement is 95 per cent specific for normal investigations, College~ Dublin. suggesting a diagnosis of constipated-type IBS. Absence of urge Chronic constipation is a common
Journal
Irish Journal of Medical Science (1971 -)
– Springer Journals
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