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Mobile cecum syndrome: clinical manifestations and radiologic avaliation of the mobility of cecum and ascending colon in patients with chronic constipation

Mobile cecum syndrome is a disease caused by the failure of the right colon fusion with the lateral peritoneum. It might lead to volvulus which could cause micro vascular damages preventing the full action of substances such as the intestinal vasoactive peptide and nitric oxide. These substances are necessary to the correct gastrointestinal function. The objective of this study is to evaluate the relationship between the mobility of cecum and the right colon (diagnosed by radiological examination) and the chronic constipation. Forty constipated patients, from the Clinic of Coloproctologia of the Hospital Regional de Mato Grosso do Sul (HRMS), in accordance with the attached protocol were studied through radiological analysis. It was observed that the majority of the patients (72,50%) presented radiological mobility of the cecum and right colon and that the clinical variable studied according to the protocol are not enough to define these patients as mobile cecum syndrome patients.

constipation; abdominal pain; cecum volvulus; vasoactive intestinal peptide; nitric oxide


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