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Cathartic Colon
Michael P. Federle, MD, FACR; Kathleen E. Jacobs, BA
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Cathartic colon
                • Term referring to radiological findings associated with cathartic abuse
            • Definitions

              • Chronic use of laxatives causing stimulation and irritation of colon

            IMAGING

            • General Features

              • Imaging Recommendations

                • Radiographic Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Shelton JH et al: Factitious diarrhea induced by stimulant laxatives: accuracy of diagnosis by a clinical reference laboratory using thin layer chromatography. Clin Chem. 53(1):85-90, 2007
                                2. Mond JM et al: Correlates of self-induced vomiting and laxative misuse in a community sample of women. J Nerv Ment Dis. 194(1):40-6, 2006
                                3. Tozzi F et al: Features associated with laxative abuse in individuals with eating disorders. Psychosom Med. 68(3):470-7, 2006
                                4. Wald A: Is chronic use of stimulant laxatives harmful to the colon? J Clin Gastroenterol. 36(5):386-9, 2003
                                5. Neitlich JD et al: Drug-induced disorders of the colon. Abdom Imaging. 24(1):23-8, 1999
                                6. Joo JS et al: Alterations in colonic anatomy induced by chronic stimulant laxatives: the cathartic colon revisited. J Clin Gastroenterol. 26(4):283-6, 1998
                                7. Baker EH et al: Complications of laxative abuse. Annu Rev Med. 47:127-34, 1996
                                8. Müller-Lissner S: What has happened to the cathartic colon? Gut. 39(3):486-8, 1996
                                9. Campbell WL: Cathartic colon. Reversibility of roentgen changes. Dis Colon Rectum. 26(7):445-8, 1983
                                10. Kim SK et al: Cathartic colitis. AJR Am J Roentgenol. 131(6):1079-81, 1978
                                11. Cummings JH: Laxative abuse. Gut. 15(9):758-66, 1974
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Cathartic colon
                                              • Term referring to radiological findings associated with cathartic abuse
                                          • Definitions

                                            • Chronic use of laxatives causing stimulation and irritation of colon

                                          IMAGING

                                          • General Features

                                            • Imaging Recommendations

                                              • Radiographic Findings

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    • Microscopic Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Shelton JH et al: Factitious diarrhea induced by stimulant laxatives: accuracy of diagnosis by a clinical reference laboratory using thin layer chromatography. Clin Chem. 53(1):85-90, 2007
                                                              2. Mond JM et al: Correlates of self-induced vomiting and laxative misuse in a community sample of women. J Nerv Ment Dis. 194(1):40-6, 2006
                                                              3. Tozzi F et al: Features associated with laxative abuse in individuals with eating disorders. Psychosom Med. 68(3):470-7, 2006
                                                              4. Wald A: Is chronic use of stimulant laxatives harmful to the colon? J Clin Gastroenterol. 36(5):386-9, 2003
                                                              5. Neitlich JD et al: Drug-induced disorders of the colon. Abdom Imaging. 24(1):23-8, 1999
                                                              6. Joo JS et al: Alterations in colonic anatomy induced by chronic stimulant laxatives: the cathartic colon revisited. J Clin Gastroenterol. 26(4):283-6, 1998
                                                              7. Baker EH et al: Complications of laxative abuse. Annu Rev Med. 47:127-34, 1996
                                                              8. Müller-Lissner S: What has happened to the cathartic colon? Gut. 39(3):486-8, 1996
                                                              9. Campbell WL: Cathartic colon. Reversibility of roentgen changes. Dis Colon Rectum. 26(7):445-8, 1983
                                                              10. Kim SK et al: Cathartic colitis. AJR Am J Roentgenol. 131(6):1079-81, 1978
                                                              11. Cummings JH: Laxative abuse. Gut. 15(9):758-66, 1974