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Colorectal/Anorectal Posters
191. NON-STARCH POLYSACCHARIDE INTAKE AND THE PREVALENCE OF CONSTIPATION IN FREE-LIVING AND INSTITUTIONALISED OLDER PEOPLE
  1. C. Eastwood,
  2. G.J. Davies,
  3. F.K. Gardiner1,
  4. P.W. Dettmar2
  1. Nutrition Research Centre, South Bank University, London, UK; 1Novartis Consumer Healthcare SA, Nyon, Switzerland; 2Reckitt Benckiser Healthcare (UK) Limited, Hull, UK
  1. R.P. Baker,
  2. P. Neary,
  3. M.A. Ismail,
  4. A. Gardiner,
  5. G.S. Duthie
  1. Castle Hill Hospital, Hull, UK

https://doi.org/10.1136/gut.48.suppl_1.A51

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    Background: Diagnosis of functional constipation using Rome II criteria includes an assessment of stool frequency, straining and sensation of incomplete evacuation. Few studies have compared the prevalence of these bowel function measurements in free-living (FL) and institutionalised (INS) elderly people.

    Aim: To compare non-starch polysaccharide (NSP) intake and the prevalence of functional constipation according to three of the Rome II diagnostic criteria between FL and INS elderly people.

    Methods/Results: 23 FL volunteers (48% male, mean age 75 years) and 13 INS volunteers (20% male, mean age 88 years) were recruited. NSP intake was measured using the 4-day weighed inventory method. Bowel habit was recorded by volunteers in a 7-day bowel habit diary. Results are shown in the table.

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    Abstract 191, Table 1

    Conclusions: This study suggests that the prevalence of functional constipation is higher in INS than in FL subjects. The higher prevalence of constipation in the INS may be due to the low intake of NSP.

    This research was fully sponsored by Reckitt Benckiser Healthcare.

    192. THE ANTEGRADE CONTINENCE ENEMA (ACE) PROCEDURE IMPROVES QUALITY OF LIFE IN CHRONIC CONSTIPATION AND FAECAL LEAKAGE

    Introduction: The Malone reversed appendicocaecostomy was first introduced in 1993 for the treatment of faecal leakage in children and is well established in paediatric surgery. We describe our experience of 10 adults who have undergone an appendicocaecostomy to facilitate ACE for chronic constipation and faecal leakage.

    Methods: 10 adults underwent appendicocaecostomy. They were retrospectively reviewed from case notes and stoma nurse records. Quality of life (QOL) was assessed in postoperative patients and compared with the cohort of patients awaiting the surgery using the validated SF-36 QOL survey.

    Results: 10 patients (8 female) mean age 29 have undergone the procedure. 7 laparoscopically. 6 had a history of lifelong chronic constipation, 3 faecal leakage and 1 a mixed picture. Post operatively all recovered well from the initial procedure. All feel their presenting symptoms have improved but …

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