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World J Gastroenterol. Jul 7, 2013; 19(25): 3990-3995
Published online Jul 7, 2013. doi: 10.3748/wjg.v19.i25.3990
Published online Jul 7, 2013. doi: 10.3748/wjg.v19.i25.3990
A prospective study evaluating emotional disturbance in subjects undergoing defecating proctography
Amit S Kashyap, Divyanshoo R Kohli, Department of Medicine, Washington Hospital Center, Washington, DC 20010, United States
Arnold Raizon, Department of Radiology, Washington Hospital Center, Washington, DC 2002, United States
Kevin W Olden, Division of Gastroenterology, Washington Hospital Center, Washington, DC 2002, United States
Kevin W Olden, Department of Internal Medicine, St. Josephs Medical Center Phoenix, Phoenix, AZ 85013, United States
Author contributions: Kashyap AS contributed to the data acquisition; Kohli DR contributed to the statistical analysis, manuscript preparation; Raizon A performed single contrast defecating proctography and interpreted images; Olden KW contributed to the study concept and design, supervision of project, critical revision of manuscript; Kashyap AS and Kohli DR contributed equally to the study.
Correspondence to: Divyanshoo R Kohli, MD, Department of Medicine, Washington Hospital Center, 110 Irving St NW, Room 2A-50, Washington, DC 20010, United States. kohli015@gmail.com
Telephone: +1-202-8772835 Fax: +1-202-8778288
Received: January 26, 2013
Revised: April 20, 2013
Accepted: May 8, 2013
Published online: July 7, 2013
Revised: April 20, 2013
Accepted: May 8, 2013
Published online: July 7, 2013
Core Tip
Core tip: In this study, we used validated questionnaires in consort with defecating proctography and demonstrated that subjects undergoing defecating proctography who met ROME III criteria for functional constipation have a high prevalence of psychiatric disorders and a significant history of sexual abuse. We also found an association between post-traumatic stress disorder questionnaire, anxiety, history of sexual abuse and functional constipation. Taken together, these findings suggest that a very detailed history about psychiatric co-morbidities and traumatic experiences must be taken in selected patients complaining of constipation.