Su1360 Different Perception of Constipation Between Patients and Gastroenterologists: Rome III Criteria, Disease Severity and Quality of Life

Abstract

three groups was made: 40 (74%) constipation, 7 (13%) incontinence and 7 (13%) both constipation and incontinence. Underlying disorders were characterized in neurological problems (24), previous gynaecological (12), anal (7), colorectal (5), urological (4) and other bowel surgery (3). Colon-transit time studies were performed in 29 (54%) and anorectal function in 18 (33%) of patients. Thirtytwo (59%) patients stopped RC after a median time of 6 months, because of ineffectiveness and side-effects. Twenty-two (41%) continued with a median time of 12 months. No significant difference was found between patients who stopped and continued RC concerning age, sex, constipation, incontinence and both constipation and incontinence, underlying disorders, anorectal function, colon-transit time or Beck Depression Score. SF-36 showed that patients still using rectal cleansing have more energy and are less fatigued, other areas showed no difference. Conclusion: Retrograde colon cleansing is an effective alternative in 41% of patients with chronic constipation or fecal incontinence who are not responding to medical therapy and biofeedback exercises. In this study, no significant difference in demography or medical history was found between patients who stopped and continued.