{"id":15058,"date":"2019-08-08T10:10:29","date_gmt":"2019-08-08T08:10:29","guid":{"rendered":"https:\/\/medifactia.com\/pl\/reading-the-results\/"},"modified":"2023-12-04T09:28:48","modified_gmt":"2023-12-04T08:28:48","slug":"reading-the-results","status":"publish","type":"page","link":"https:\/\/medifactia.com\/pl\/reading-the-results\/","title":{"rendered":"Reading the results"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9tsvk9-9ad5f3f61b54bb06d5f066d4a6a2c938\">\n.flex_column.av-9tsvk9-9ad5f3f61b54bb06d5f066d4a6a2c938{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-9tsvk9-9ad5f3f61b54bb06d5f066d4a6a2c938 av_one_full  avia-builder-el-0  el_before_av_one_full  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4vuk6t-bf99041ef4bc53a89e8d984d6104d1e9\">\n#top .av-special-heading.av-4vuk6t-bf99041ef4bc53a89e8d984d6104d1e9{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-4vuk6t-bf99041ef4bc53a89e8d984d6104d1e9 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-4vuk6t-bf99041ef4bc53a89e8d984d6104d1e9 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-4vuk6t-bf99041ef4bc53a89e8d984d6104d1e9 av-special-heading-h1 blockquote modern-quote  avia-builder-el-1  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Analysis of the Abdominal Radiograph<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jz8mmr2i-a7933f16e8b3213b94eb68aae422d03e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The analysis of the abdominal radiograph taken on the seventh day involves the visual inspection of the X-ray to count the remaining Transit-Pellets radiopaque markers in the colon, as well as the identification of their distribution across the different segments of the colon. By using multiple markers over a period of six days, it eliminates the need to track specific markers from day to day and provides a more comprehensive and accurate measurement of colonic transit.<sup>1, 2<\/sup><\/p>\n<p>It is routine to initially evaluate the overall colonic transit, which is deemed the primary indicator. If the overall transit is abnormal, it is then essential to further assess individual segments to identify the location of any delays within the colon.<sup>1<\/sup><\/p>\n<p>For calculation of segmental transit, four segments are used: caecum-ascending colon, transverse colon, descending colon and sigmoid colon-rectum.<sup>1, 2<\/sup><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldk2uj9r-2abf69d3e250ca61acc1bb7a3a251345\">\n.avia-image-container.av-ldk2uj9r-2abf69d3e250ca61acc1bb7a3a251345 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ldk2uj9r-2abf69d3e250ca61acc1bb7a3a251345 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ldk2uj9r-2abf69d3e250ca61acc1bb7a3a251345 av-styling- avia-align-center  avia-builder-el-3  el_after_av_textblock  el_before_av_textblock '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/medifactia.com\/wp-content\/uploads\/2023\/02\/Tarm-hemsida-EU.png\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-ldd5kj5s-3be554ad90d147be182bed60c154cee7 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Some clinicians divide the colon into three regions based on bony landmarks<sup>3<\/sup>: the right colon, left colon, and sigmoid colon-rectum. Both approaches are medically equivalent and it\u00b4s up to the individual clinic to choose the principle they are most comfortable with.<\/p>\n<\/div><\/section><\/p><\/div>\n<div  class='flex_column av-a8q5bp-fa278f4843595b63669c82afe317835e av_one_full  avia-builder-el-5  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-30o805-6fa99261845c6a816ed8821281cdf8d7\">\n#top .av-special-heading.av-30o805-6fa99261845c6a816ed8821281cdf8d7{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-30o805-6fa99261845c6a816ed8821281cdf8d7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-30o805-6fa99261845c6a816ed8821281cdf8d7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-30o805-6fa99261845c6a816ed8821281cdf8d7 av-special-heading-h2 blockquote modern-quote  avia-builder-el-6  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Calculation of Total and Segmental Transit Time<sup>1<\/sup><\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jz8mmr2i-10-ff060abf8d1848e6b3d75a3bff3459af '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Colonic transit is calculated as the mean oro-anal transit time (OATT, mouth-to-anus) for the daily marker doses swallowed. Because the colonic transit constitutes the main part of the mouth-to-anus transit time, OATT is used as a measure of colonic transit. The transit time is equivalent to the number of daily marker doses retained.<\/p>\n<p>When conducting a Transit-Pellets test, it is typically not necessary to differentiate between ring-formed and tube-formed markers. Each marker should be considered as one unit, regardless of its shape. With ten markers per day, each marker is equivalent to 0.1 days (or 2.4 hours).<\/p>\n<p>The formula is straightforward, it involves dividing the number of remaining markers by the daily dose, which in this case is 10 markers. Clinics can use the formula M\/10 to determine both total and segmental transit time in days. Some clinics may prefer to present the results in hours, in which case the formula Mx2.4 can be used.<\/p>\n<p>If for example a total of 35 markers are retained, the OATT is determined as 3.5 days (or 84 hours).<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld4h4n20-92adea03643d2622f167ccae36c1f38a\">\n#top .hr.hr-invisible.av-ld4h4n20-92adea03643d2622f167ccae36c1f38a{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-ld4h4n20-92adea03643d2622f167ccae36c1f38a hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_image '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ra1w5-00b1a076c2c9fd7a9ccf41b7ecc0c54e\">\n.avia-image-container.av-ra1w5-00b1a076c2c9fd7a9ccf41b7ecc0c54e img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ra1w5-00b1a076c2c9fd7a9ccf41b7ecc0c54e .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ra1w5-00b1a076c2c9fd7a9ccf41b7ecc0c54e av-styling- avia-align-center  avia-builder-el-9  el_after_av_hr  el_before_av_textblock '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-14215 avia-img-lazy-loading-not-14215 avia_image ' src=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia.jpeg\" alt='' title='Xray-Medifactia'  height=\"1136\" width=\"1598\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia.jpeg 1598w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-300x213.jpeg 300w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-1030x732.jpeg 1030w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-768x546.jpeg 768w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-1536x1092.jpeg 1536w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-1500x1066.jpeg 1500w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-260x185.jpeg 260w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Xray-Medifactia-705x501.jpeg 705w\" sizes=\"(max-width: 1598px) 100vw, 1598px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldiv1l29-a1bef26573c543a52fdd60bbc8449250\">\n#top .av_textblock_section.av-ldiv1l29-a1bef26573c543a52fdd60bbc8449250 .avia_textblock{\nfont-size:12px;\n}\n<\/style>\n<section  class='av_textblock_section av-ldiv1l29-a1bef26573c543a52fdd60bbc8449250 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><em>Measurement of colonic transit time with radiopaque markers. A Transit-Pellet test in a female patient who ingested 10 markers daily for 6 days. The plain abdominal radiograph taken on day 7 demonstrates that 55 markers are retained. Thus, colonic transit time is 5.5 days. The markers are evenly distributed throughout the colon; the results indicate slow-transit constipation. Upper reference value is 4.0 days for women and 2.2 days for men. (Source: Medifactia).<\/em><\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-oiaaop-d1f48afcaedc19b39ac495c94b76dc6e\">\n.flex_column.av-oiaaop-d1f48afcaedc19b39ac495c94b76dc6e{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-oiaaop-d1f48afcaedc19b39ac495c94b76dc6e av_one_full  avia-builder-el-11  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-em4xyd-a8808963177fe7d3509342efceee6cdb\">\n#top .av-special-heading.av-em4xyd-a8808963177fe7d3509342efceee6cdb{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-em4xyd-a8808963177fe7d3509342efceee6cdb .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-em4xyd-a8808963177fe7d3509342efceee6cdb .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-em4xyd-a8808963177fe7d3509342efceee6cdb av-special-heading-h2 blockquote modern-quote  avia-builder-el-12  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >The Importance of Segmental Transit Time Measurement<sup>1<\/sup><\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jz8mmr2i-9-73e3047b846ec27052db63f7a38e0bf8 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In a clinical practice, it is standard practice to initially assess the overall value, which is considered the most important parameter. Should the overall value be elevated, it is imperative to evaluate individual segments to ascertain the location of any delays within the colon. For example, it can indicate if the dysfunction is localized in the recto-sigmoid area, or if it is more widespread and affects the left colon or even the entire colon, as seen in cases of colonic inertia.<\/p>\n<p>It is also recommended that the segmental transit time be calculated in patients with both rapid transit and diarrhoea. For example, if a patient with diarrhoea has a recto-sigmoid segmental transit time that falls within the upper range of normal transit, it can effectively rule out the possibility of bile acid diarrhoea.<sup>4<\/sup><\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8vgbat-a39868a88f9d4ba7abe3ee20a73672a5\">\n.flex_column.av-8vgbat-a39868a88f9d4ba7abe3ee20a73672a5{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8vgbat-a39868a88f9d4ba7abe3ee20a73672a5 av_one_full  avia-builder-el-14  el_after_av_one_full  el_before_av_hr  first flex_column_div av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld4gyrdj-02323dd763f8c8dce46f1764c6b03013\">\n#top .av-special-heading.av-ld4gyrdj-02323dd763f8c8dce46f1764c6b03013{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ld4gyrdj-02323dd763f8c8dce46f1764c6b03013 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ld4gyrdj-02323dd763f8c8dce46f1764c6b03013 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ld4gyrdj-02323dd763f8c8dce46f1764c6b03013 av-special-heading-h2 blockquote modern-quote  avia-builder-el-15  avia-builder-el-no-sibling '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Why Tube-Formed Markers on Day Six?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldlqrl8a-6077cb9028ee8cd1abb7437e1c6a719f\">\n#top .hr.hr-invisible.av-ldlqrl8a-6077cb9028ee8cd1abb7437e1c6a719f{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-ldlqrl8a-6077cb9028ee8cd1abb7437e1c6a719f hr-invisible  avia-builder-el-16  el_after_av_one_full  el_before_av_three_fifth '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-neiqt-62b494ea661d9b9e38a4192cec79b063\">\n.flex_column.av-neiqt-62b494ea661d9b9e38a4192cec79b063{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-neiqt-62b494ea661d9b9e38a4192cec79b063 av_three_fifth  avia-builder-el-17  el_after_av_hr  el_before_av_two_fifth  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-4fgpmd-540aeb590fb1c76dea810e720280193f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The use of tube-form markers on the sixth day serves a specific purpose in certain cases. In patients with slow transit, it may be difficult to accurately locate the caecum. As the tube-formed markers are the last markers to be ingested, their presence in the colon can indicate the location of the caecum. Additionally, a redundant sigmoid colon may overlap with the right colon, while a large caecum can crossover to the rectosigmoid area, the use of tube-formed markers can assist radiologist in identifying the localization of the markers in the correct colonic segment.<\/p>\n<p>The tube-formed markers ingested on day six, approximately 12 hours prior to the X-ray on day seven, can also provide valuable information in cases of rapid transit which is of significance in certain populations experiencing chronic diarrhoea.<sup>5<\/sup><\/p>\n<p>It is also worth noting that if at least six tube-formed markers from the sixth day have not reached the colon by the seventh day, it may be an indication of slow transit in the small intestine, which is a common occurrence in patients with constipation.<\/p>\n<\/div><\/section><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2daqsl-6df51b16e6a9d0cacc7c331f3da6ea45\">\n.flex_column.av-2daqsl-6df51b16e6a9d0cacc7c331f3da6ea45{\nborder-radius:0px 0px 0px 0px;\npadding:10px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-2daqsl-6df51b16e6a9d0cacc7c331f3da6ea45 av_two_fifth  avia-builder-el-19  el_after_av_three_fifth  el_before_av_hr  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k60kdli9-8-084828b7e69aeacb01c4f72a7a2888e7\">\n.avia-image-container.av-k60kdli9-8-084828b7e69aeacb01c4f72a7a2888e7 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k60kdli9-8-084828b7e69aeacb01c4f72a7a2888e7 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k60kdli9-8-084828b7e69aeacb01c4f72a7a2888e7 av-styling- avia-align-center  avia-builder-el-20  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/medifactia.com\/us\/wp-content\/uploads\/sites\/2\/2023\/02\/kapslar-1.jpg\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldlqrqzq-6449317e8f674b1ec82c46aad4e1685f\">\n#top .hr.hr-invisible.av-ldlqrqzq-6449317e8f674b1ec82c46aad4e1685f{\nheight:50px;\n}\n<\/style>\n<div  class='hr av-ldlqrqzq-6449317e8f674b1ec82c46aad4e1685f hr-invisible  avia-builder-el-21  el_after_av_two_fifth  el_before_av_one_full '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5v7ht1-7a086faaca4eeea7ecfbaa9a49acec5f\">\n.flex_column.av-5v7ht1-7a086faaca4eeea7ecfbaa9a49acec5f{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-5v7ht1-7a086faaca4eeea7ecfbaa9a49acec5f av_one_full  avia-builder-el-22  el_after_av_hr  el_before_av_one_full  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld4h0xin-ef41de7680820b86e7862fef9c2e9fdc\">\n#top .av-special-heading.av-ld4h0xin-ef41de7680820b86e7862fef9c2e9fdc{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ld4h0xin-ef41de7680820b86e7862fef9c2e9fdc .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ld4h0xin-ef41de7680820b86e7862fef9c2e9fdc .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ld4h0xin-ef41de7680820b86e7862fef9c2e9fdc av-special-heading-h2 blockquote modern-quote  avia-builder-el-23  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Interpretation<sup>1<\/sup><\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-ld4h2k32-4aa985ca9282962e5b8f890a1a72c10a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The total number of remaining markers in the colon determines if the colonic transit is delayed or not. A value above the upper reference value (95<sup>th<\/sup> percentile) indicates a delay in transit, whereas a value below the lower reference value (5<sup>th<\/sup> percentile) indicates an abnormally rapid transit.<\/p>\n<p>For healthy women, the upper reference value for colonic transit time is 4.0 days (40 markers), and a value between 4.1 and 5.0 days is considered moderately delayed transit, while a value greater than 5.0 days is considered clearly delayed transit. On the other hand, healthy men have a more rapid mean transit time than healthy women. The upper reference value for men is 2.2 days (22 markers). Please refer to the tables below for additional guidance.<\/p>\n<p>If a patient has a value below the lower reference value (0.6 days or 6 markers for women and 0.5 days or 5 markers for men), this is considered to be an abnormally rapid colonic transit. Additionally, the distribution of markers in the various colonic segments can provide information about the type of delay. It is, however, important to note that healthy individuals may have a transit value in a few segments that approaches the upper reference value, but not in all segments at the same time, as indicated by the reference value for the total transit time.<\/p>\n<p>A numerical transit time value can be given if the number of retained markers is in the range 3\u201355 markers. Thus, at least half a daily dose should be excreted and at least half of the evening dose on day six must be retained. If the number of retained markers is only 0\u20132, the transit time is less than 0.3 days. If 56\u201360 markers are retained, the transit time is more than 5.5 days. This is an indication that equilibrium has not been reached yet.<\/p>\n<p>The tables below provide a reference for the evaluation of total and segmental colonic transit. These values may be used as a guide for interpretation of the results.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bur9np-1483f07ba27e02ae532261a71929d5c3\">\n.flex_column.av-bur9np-1483f07ba27e02ae532261a71929d5c3{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-bur9np-1483f07ba27e02ae532261a71929d5c3 av_one_full  avia-builder-el-25  el_after_av_one_full  el_before_av_hr  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ld8nxr9e-154c19b69c3d81ff5193c2da39bb7773\">\n#top .av-special-heading.av-ld8nxr9e-154c19b69c3d81ff5193c2da39bb7773{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ld8nxr9e-154c19b69c3d81ff5193c2da39bb7773 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ld8nxr9e-154c19b69c3d81ff5193c2da39bb7773 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ld8nxr9e-154c19b69c3d81ff5193c2da39bb7773 av-special-heading-h3 blockquote modern-quote  avia-builder-el-26  el_before_av_hr  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Result in Days<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bfw2ol-a058fa14df6ea4bf1d3a7d92d8bbe87e\">\n#top .hr.hr-invisible.av-bfw2ol-a058fa14df6ea4bf1d3a7d92d8bbe87e{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-bfw2ol-a058fa14df6ea4bf1d3a7d92d8bbe87e hr-invisible  avia-builder-el-27  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ld8nyq8o-2e79a4491eb6edf052dd2983e66e9dc3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Colonic Transit Time (OATT); Reference Values <sup>2, 5, 6<\/sup><\/strong><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-676qhx-44c88f5ea94ff5d620f2df4864c9adb2\">\n.avia-image-container.av-676qhx-44c88f5ea94ff5d620f2df4864c9adb2 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-676qhx-44c88f5ea94ff5d620f2df4864c9adb2 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-676qhx-44c88f5ea94ff5d620f2df4864c9adb2 av-styling- av-img-linked avia-align-left  avia-builder-el-29  el_after_av_textblock  el_before_av_hr '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><a href=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1030x312.png\" data-srcset=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1030x312.png 1030w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-300x91.png 300w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-768x233.png 768w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1536x465.png 1536w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-2048x620.png 2048w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1500x454.png 1500w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-705x213.png 705w\" data-sizes=\"(max-width: 1030px) 100vw, 1030px\" class='avia_image '  aria-label='Colonic-transit-time-Days'><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-14216 avia-img-lazy-loading-not-14216 avia_image ' src=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days.png\" alt='' title='Colonic-transit-time-Days'  height=\"721\" width=\"2381\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days.png 2381w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-300x91.png 300w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1030x312.png 1030w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-768x233.png 768w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1536x465.png 1536w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-2048x620.png 2048w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-1500x454.png 1500w, https:\/\/medifactia.com\/pl\/wp-content\/uploads\/sites\/12\/2021\/04\/Colonic-transit-time-Days-705x213.png 705w\" sizes=\"(max-width: 2381px) 100vw, 2381px\" \/><\/a><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldk33pho-57d358a1b19757d707e0409ea215a17f\">\n#top .hr.hr-invisible.av-ldk33pho-57d358a1b19757d707e0409ea215a17f{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-ldk33pho-57d358a1b19757d707e0409ea215a17f hr-invisible  avia-builder-el-30  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldk2zxnp-44f57f0821238f194c2bd53dae560eea\">\n#top .av_textblock_section.av-ldk2zxnp-44f57f0821238f194c2bd53dae560eea .avia_textblock{\nfont-size:13px;\n}\n<\/style>\n<section  class='av_textblock_section av-ldk2zxnp-44f57f0821238f194c2bd53dae560eea '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Normal transit time corresponds to the range from percentile 5 to percentile 95 in the control material. Reference values based on 199 subjects.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7frgk5-69760f53f785ebc7233b38d1db989df9\">\n#top .hr.hr-invisible.av-7frgk5-69760f53f785ebc7233b38d1db989df9{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-7frgk5-69760f53f785ebc7233b38d1db989df9 hr-invisible  avia-builder-el-32  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-ldk30rz7-f11804534e039b2d14c9b409646ff493 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Segmental Transit Time; Upper Reference Values <sup>2<\/sup><\/strong><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9x5p1h-e55f40d8bb8d89b865c97869cff57cfc\">\n.avia-image-container.av-9x5p1h-e55f40d8bb8d89b865c97869cff57cfc img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-9x5p1h-e55f40d8bb8d89b865c97869cff57cfc .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-9x5p1h-e55f40d8bb8d89b865c97869cff57cfc av-styling- av-img-linked avia-align-left  avia-builder-el-34  el_after_av_textblock  el_before_av_hr '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/medifactia.com\/wp-content\/uploads\/2021\/11\/ENGELSKA-Liten-Tabell.png\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3afy1h-0589cc5b528fcb8af656e2e8d5226311\">\n#top .hr.hr-invisible.av-3afy1h-0589cc5b528fcb8af656e2e8d5226311{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-3afy1h-0589cc5b528fcb8af656e2e8d5226311 hr-invisible  avia-builder-el-35  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldk31mfu-8e8c40c843d7808d19b62bfd8e63e48f\">\n#top .av_textblock_section.av-ldk31mfu-8e8c40c843d7808d19b62bfd8e63e48f .avia_textblock{\nfont-size:13px;\n}\n<\/style>\n<section  class='av_textblock_section av-ldk31mfu-8e8c40c843d7808d19b62bfd8e63e48f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Percentile 95 calculated <em>per segment<\/em> in healthy subjects.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4p8v39-bbb6eda5564529d0d3974c15830ca655\">\n#top .hr.hr-invisible.av-4p8v39-bbb6eda5564529d0d3974c15830ca655{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-4p8v39-bbb6eda5564529d0d3974c15830ca655 hr-invisible  avia-builder-el-37  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-354bw5-4fdb5dc1755fc72e74506319b79af483 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>For clinics that prefer to obtain results in hours, please click <a class=\"popmake-15131\" href=\"#\">HERE<\/a>.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-ldijdj3b-1bf5380327c65699fb24f783f67d4edc '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Guidance on reference values for colonic transit time in children and adolescents, please click <a class=\"popmake-15137\" href=\"#\">HERE<\/a>.<\/p>\n<\/div><\/section><\/p><\/div>\n<div  class='hr av-4ix0xh-836ab5f549c3f67ab2236521a5348501 hr-default  avia-builder-el-40  el_after_av_one_full  el_before_av_one_full '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<div  class='flex_column av-32ovqt-5c5810dab973becedc2ff997155e1869 av_one_full  avia-builder-el-41  el_after_av_hr  avia-builder-el-last  sources first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ldd5porc-2544a989ed1d125aee30c532dd05bb7a\">\n#top .av_textblock_section.av-ldd5porc-2544a989ed1d125aee30c532dd05bb7a .avia_textblock{\nfont-size:12px;\ncolor:#707070;\n}\n<\/style>\n<section  class='av_textblock_section av-ldd5porc-2544a989ed1d125aee30c532dd05bb7a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><ol>\n<li>0020 Clinical Evaluation Report &#8211; Transit-Pellets ver08 (Internal Document). November 2023.<\/li>\n<li>Abrahamsson, H., Antov, S. &amp; Bosaeus, I. (1988). Gastrointestinal and colonic segmental transit time evaluated by a single abdominal X-ray in healthy subjects and constipated patients. Scand J Gastroenterol. Vol. 23 (suppl 152), 72-80.<\/li>\n<li>Arhan P., Devrode G., Jehannin B., et al (1981). Segmental colonic transit time. Dis Colon Rectum, Vol. 24(8), 625-629.<\/li>\n<li>Sadik, R., Abrahamsson, H., Ung, K.A., et al. (2004). Accelerating regional bowel transit and overweight shown in idiopathic bile acid malabsorption. Am. J. Gastroenterol., Vol. 99, 711-718.<\/li>\n<li>Sadik, R., Abrahamsson, H., Stotzer, P.O. (2003). Gender differences in gut transit shown with a newly developed radiological procedure. Scand. J. Gastroenterol., Vol. 38, 36-42.<\/li>\n<li>T\u00f6rnblom, H., et al. Data on File, Gastrointest Lab, Sahlgrenska University Hospital.<\/li>\n<\/ol>\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15058","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/pages\/15058","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/comments?post=15058"}],"version-history":[{"count":3,"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/pages\/15058\/revisions"}],"predecessor-version":[{"id":15135,"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/pages\/15058\/revisions\/15135"}],"wp:attachment":[{"href":"https:\/\/medifactia.com\/pl\/wp-json\/wp\/v2\/media?parent=15058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}