No abstract

The sitz or plastic marker study for colonic transit has been around for many years. It is applicable where an X-ray machine exists, is widely used and is accepted as the gold standard for diagnosing constipation. Recently, radiopharmaceutical methods have been developed. The theme of this review is their possible roles in the assessment of paediatric bowel motility disorders in patients presenting to paediatric surgeons. This review presents data on total and segmental transit in normal adults and children and comparing the two techniques in adults. Reliability and reproducibility are presented. Normative data for colonic transit in adults and children are discussed and parameters for assessing abnormal transit are reviewed. Normal colonic transit takes 20-56 h. Plastic marker studies are more readily accessible, but the assessment may be misleading with current methods. Plastic markers show faster transit than scintigraphy. It is difficult to compare the two techniques because methods of reporting are different. Using scintigraphy, repeatability is good. Separation of normal from slow transit in the ascending colon is apparent at 24 and 48 h, but the determination of transit through the distal colon/rectum in adults may require studies of more than 7 days. In conclusion, plastic marker studies and scintigraphy show similar transit rates in young adults and children. However, scintigraphy has advantages of allowing transit through the stomach and small intestine to be measured and has proved useful in the diagnostic workup of children with intractable constipation.

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The molecular organization inside myelin figures of various surfactants are studied by laser scanning coherent anti-Stokes Raman scattering (CARS) microscopy that permits three-dimension vibrational imaging. The resonant CARS signals from CH2 and H2O stretch vibrations are used to probe the surfactant and water molecules inside the myelin figures formed of C12E3, lecithin, and Aerosol OT. The polarization sensitivity of CARS is used to analyze the orientation of the CH2 groups and the H2O molecules. The CARS images suggest that the myelin figure is a concentric lamellar structure with alternating surfactant bilayers and partially ordered water layers. No sizable water core is observed in the CARS images at the lateral resolution of 0.3 microm and the axial resolution of 0.75 microm. The CARS data are verified by confocal fluorescence microscopy with FITC and DOPE-rhodamine labeling the water and bilayers, respectively. The relationship between the molecular composition and ordering inside the myelin figures and the surfactant structure has been investigated.