Radiographic Estimation of Colonic Transit Time with $Kolomark^{TM}$ in Normal Dogs

개에서 콜로마크를 이용한 대장통과시간의 방사선학적 평가

  • Cho, Young-Kwon (Department of Radiological Technology, Daegu Health college) ;
  • Kim, Sun-Chil (Department of Radiological Technology, Daegu Health college) ;
  • Lee, Ki-Chang (College of Veterinary Medicine, Chonbuk National University)
  • 조영권 (대구보건대학교 방사선과) ;
  • 김선칠 (대구보건대학교 방사선과) ;
  • 이기창 (전북대학교 수의과대학)
  • Accepted : 2012.06.14
  • Published : 2012.06.30

Abstract

Colonic transit time plays an important role in creating a disease category and treatment plan in patients with chronic constipation or bowel movement problem. The aim of this study is to establish normal colon transit time using Kolomark, a radiopaque marker in dogs. The transit time of Kolomark in colon was measured every 2, 4, 8, 12, 24, 48 hours in 11 healthy Beagle dogs with oral administration of the marker. Kolomark began to appear in colon after 4 hours from administration and the largest number of Kolomark in colon was observed after 12 hours. Then, after 24 hours, some quantity of Kolomark was found but Kolomarks were all eliminated from the colon after 48 hours. The mean emptying time of Kolomark was 28.36 hours. Based on this study, the normal range of colon transit time in dogs was established by using the Kolomark, and it could be used as reference data for objective evaluation of constipation in canine patients.

대장통과시간은 소화기관 질환의 병태생리에 따른 유형분류와 치료계획을 설정하는데 매우 중요한 역할을 수행한다. 사람에게는 만성변비환자나 장운동에 문제가 있는 환자를 분류하기도 한다. 본 연구는 국내에서 개발된 비투과 표지자 Kolomark를 이용한 개에서 대장의 통과시간을 측정하여 정상범위에 대한 기준을 제시하고자 한다. 건강한 Beagle 11마리(암컷 10마리, 수컷 1마리)를 대상으로 콜로마크를 이용하여 2, 4, 8, 12, 24, 48시간마다 대장에 대한 잔류 개수와 통과 개수를 측정하였다. 대장에서 시간에 따른 콜로마크의 잔류량은 유의하였다. 콜로마크는 투여 후 4시간 후에 대장에 나타나기 시작하였고 8시간 후부터 잔류량의 유의한 차이가 확인되었다. 12시간 경과 후 대장내 콜로마크가 평균적으로 가장 많이 관찰되었다. 투여 후 24시간 후에는 약간의 잔류량이 확인 되었지만 48시간이 지난 후에는 대장 밖으로 모두 배출되었다. 콜로마크를 섭취후 배출까지 평균배출시간은 28.36시간이었다. 이번 연구를 통하여 콜로마크를 통한 개에서 대장통과시간의 정상 값을 확립하였으며 이러한 결과를 바탕으로 향후 변비환자의 치료 및 생리학적 검사를 보다 적극적으로 이용하는데 기초자료가 되리라 판단된다.

Keywords

References

  1. Ashraf W, Park F, Lof J, Quigley EM. An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation. Am J Gastroenterol 1996; 91: 26-32.
  2. Becker U, Elsborg L. A new method for the determination of gastrointestinal transit times. Scand J Gastroenterol 1979; 14: 355-359. https://doi.org/10.3109/00365527909179896
  3. Bruce SJ, Guiford WG, Hedderley DI, McGauley M. Development of reference intervals for the large intestinal transit of radiopaque markers in dogs. Vet Radiol Ultrasound 1999; 40: 472-476. https://doi.org/10.1111/j.1740-8261.1999.tb00377.x
  4. Charles F, Camillei M, Phillips SF, Thomforde GM, Forstrom LA. Scintigraphy of the whole gut: clinical evaluation of transit disorders. Mayo Clin Proc 1995; 70: 113-118. https://doi.org/10.4065/70.2.113
  5. Choi H, Choi MG, Kim BW, Kim JK, Han SW, Choi KY, Chung KW, Sun HS, Par, DH, Son HS. Segmental Colon Transit Time with Radiopaque Makers in a Delayed-release Capsule. Kor J Neurogastroenterol Motil 1999; 5: 198-206.
  6. Choi SC, Kim JH, Hwang HG, Yang SH, Kim JA, Nah YH, Lee CH, Kim CG. Scintigraphic Measurement of Regional Colonic Transit Time in Healthy Controls. Korean J Gastroenterol 1997; 29: 1-8.
  7. Chung MG, Song CW, Moon JS, Jeen YT, Um SH, Kim CD, Ryu HS, Hyun JH. Effects of psyllium husk on slow transit constipation. Korean J Gastroenterol 1996; 28: 513-519.
  8. Cummings JH, Jenkins DJ, Wiggins HS. Measurement of the mean transit time of dietary residue through the human 9ut. Gut 1976; 17: 210-218. https://doi.org/10.1136/gut.17.3.210
  9. Cummings JH, Wiggins HS. Transit through the gut measured by analysis of a single stool. Gut 1976; 17: 219-223. https://doi.org/10.1136/gut.17.3.219
  10. Degen LP, Phillips SF. How well does stoolform reflect colonic transit? Gut 1996; 39: 109-113. https://doi.org/10.1136/gut.39.1.109
  11. Degen LP, Phillips SF. Variability of gastrointestinaltransit in healthy women and men. Gut 1996; 39: 299-305. https://doi.org/10.1136/gut.39.2.299
  12. Halls J. Bowel content shift during normal defaecation [summary]. Proc R Soc Med 1965; 58: 895-60.
  13. Hammer J, Phillips SF. Fluid loading of the human colon: effects on segmental transit and stool composition. Gastroenterology 1993; 105: 988-998. https://doi.org/10.1016/0016-5085(93)90941-5
  14. Hansky J, Connell AM. Measurement of gastrointestinal transit using radioactive chromium. Gut 1962; 3: 187-188. https://doi.org/10.1136/gut.3.2.187
  15. Hinds JP, Stoney B, Wald A. Does gender or the menstrual cycle affect colonic transit? Am J Gastroenterol 1989; 84: 123-126.
  16. Hinton JM, Lennard-Jones JE, Young AC. A new method for studying gut transit times using radiopaque markers. Gut 1969; 10: 842-847. https://doi.org/10.1136/gut.10.10.842
  17. Kim JE, Rhee PL, Kim YH, Sung IK, Shim SG, Son HJ, Kim JJ, Koh KC, Paik SW, Rhee JC, Choi KW, Lim HK, Suh SW. The development of kolomarkTM, a Korean radioopaque marker for measuring colon transit time. Kor J Neurogastroenterol Motil 1999 Dec; 5: 151-155.
  18. Kim JW, Chung KS. Colonic Transit Time in Children with Recurrent Abdominal Pain. Korean J Pediatr 1997; 40: 1544-1551.
  19. Madsen JL. Effects of gender, age, and bodymass index on gastrointestinal transit times. Dig Dis Sci 1992; 37: 1548-1553. https://doi.org/10.1007/BF01296501
  20. Martelli H, Devroede G, Arhan P, Duguay C, Faverdin C. Some parameters of large bowel motility in normal man. Gastroenterology 1978; 75: 612-618.
  21. Metcalf AM, Phillips SF, Zinsmeister AR, MacCarty RL, Beart RW, Wolff BG. Simplified assessment of segmental colon transit. Gastroenterology 1987; 92: 40-47. https://doi.org/10.1016/0016-5085(87)90837-7
  22. Park IS, Lee HR, Lee SI, Kim KW, Lee SM, Cho JS, Pack HJ, Choi JY, Cho HS. Contributing factors of colonic transit time in normal adults. Korean J Gastroenterol 1999; 34: 330-337.
  23. Roe IH, Jung HC, Kim SY, Lee HS, Yoon YB, Song IS, Choi KW, Kim CY. Colonic transit time in chronic idiopathic constipation and diabetic congestipation. Kor J Med 1990; 39: 620-629.
  24. Sung IK, Rhee PL, Jeon SK, Shim SG, Son HJ, Kim JJ, Koh KC, Paik SW, Rhee JC, Choi KW, Lim HK. Effect of Total Dietary Fiber on Bowel Habit and Bowel Transit in Healthy Subjects. Korean J Gastroenterol 2000; 35: 39-45. https://doi.org/10.1007/PL00009974
  25. Tuleu C, Andrieux C, Boy P, Chaumeil JC. Gastrointestinal transit of pellets in rats: effect of size and density. Int J Pharm 1999; 180: 123-131. https://doi.org/10.1016/S0378-5173(98)00400-1
  26. Zaslavsky C, da Silveira TR, Maguilnik I. Totaland segmental colonic transit time with radio-opaque markers in adolescents with functional constipation. J Pediatr Gastroenterol Nutr 1998; 27: 138-142. https://doi.org/10.1097/00005176-199808000-00002