Normative values for region-specific colonic and gastrointestinal transit times in 111 healthy volunteers using the 3D-Transit electromagnet tracking system: Influence of age, gender, and body mass index

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  • Gursharan Kaur Nandhra, Clinical Physics, Barts Health NHS Trust, The Royal London Hospital, London, UK.
  • ,
  • Esben Bolvig Mark, Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Aalborg, Denmark Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark Department of Anaesthesia and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark Aalborg Atrial Fibrillation Study Group, Aalborg, Denmark.
  • ,
  • Gian Luca Di Tanna, Statistics Division, The George Institute for Global Health, Sydney, NSW, Australia.
  • ,
  • Anne-Mette Haase
  • Jakob Poulsen, Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
  • ,
  • Stephanos Christodoulides, GI Physiology Unit, Barts and the London School of Medicine and Dentistry, The Blizard Institute, Queen Mary University of London, London, UK.
  • ,
  • Victor Kung, GI Physiology Unit, Barts and the London School of Medicine and Dentistry, The Blizard Institute, Queen Mary University of London, London, UK.
  • ,
  • Mette W Klinge
  • Karoline Knudsen
  • Per Borghammer
  • Katrine O Andersen
  • ,
  • Lotte Fynne
  • Nanna Sutter, Neurogastroenterology Unit, Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark. caroline.hedsund@studmed.au.dk
  • ,
  • Vincent Schlageter, Motilis Medica SA, Lausanne, Switzerland.
  • ,
  • Klaus Krogh
  • Asbjørn Mohr Drewes
  • Malcolm Birch, Clinical Physics, Barts Health NHS Trust, The Royal London Hospital, London, UK.
  • ,
  • S Mark Scott, GI Physiology Unit, Barts and the London School of Medicine and Dentistry, The Blizard Institute, Queen Mary University of London, London, UK.

BACKGROUND: The 3D-Transit electromagnet tracking system (Motilis Medica, SA, Lausanne, Switzerland) is an emerging tool for the ambulatory assessment of gastrointestinal (GI) transit and motility. Using this tool, we aimed to derive normative values for region-specific colonic and GI transit times and to assess the influence of age, gender, and body mass index (BMI).

METHODS: Regional and total colonic transit times (CTT), gastric emptying (GET), small intestinal (SITT), and whole gut (WGTT) transit times were extracted from 111 healthy volunteers from the United Kingdom and Denmark (58 female; median age: 40 years [range: 21-88]). The effects of age, gender, and BMI were assessed using standard statistical methods.

KEY RESULTS: The ascending, transverse, descending, and rectosigmoid colon transit times accounted for 32%, 34%, 17%, and 17% of total CTT in females, and 33%, 25%, 14%, and 28% of total CTT in males. CTT and WGTT were seen to cluster at intervals separated by approximately 24 hours, providing further evidence of the non-continuous nature of these measurements. Increasing age was associated with longer CTT (P = .021), WGTT (P < .001) ascending (P = .004), transverse (P < .001), and total right (P < .001) colon transit times, but shorter rectosigmoid (P = .004) transit time. Female gender was significantly associated with longer transverse (P = .049) and descending (P < .001) colon transit times, but shorter rectosigmoid (P < .001) transit time. Increasing BMI was significantly associated with shorter WGTT (P = .012).

CONCLUSIONS AND INFERENCES: For the first time, normative reference values for region-specific colonic transit have been presented. Age, gender, and BMI were seen to have an effect on transit times.

OriginalsprogEngelsk
Artikelnummere13734
TidsskriftNeurogastroenterology and Motility
Sider (fra-til)e13734
Antal sider14
ISSN1350-1925
DOI
StatusE-pub ahead of print - 29 sep. 2019

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