Melissa L Times,Craig A Reickert
Melissa L Times
Functional anorectal disorders include solitary rectal ulcer syndrome, rectocele, nonrelaxing puborectalis syndrome, and descending perineal syndrome. Patients usually present with "constipation," but the clinical picture of these disorders...
Jason Reina,James W Smith
Jason Reina
The identification, diagnosis, and treatment of irritable bowel syndrome (IBS) have a tremendous impact on the large number of patients with this syndrome and on physicians representing a wide variety of general and specialty practices. The...
Nell Maloney,H David Vargas
Nell Maloney
Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, is a condition characterized by massive colonic distension in the absence of mechanical obstruction. Patients presenting with Ogilvie's syndrome have underlying medi...
C Neal Ellis
C Neal Ellis
Obstructed defecation is a common problem that adversely affects the quality of life for many patients. Known causes of obstructed defecation include pelvic dyssynergy, rectocele, rectal intussusception, enterocele, pelvic organ prolapse, a...
David E Beck
David E Beck
For the select small number of constipated patients who cannot be managed medically, surgical options should be considered. Increases in our knowledge of colorectal physiology and experience have fostered improvements in evaluation and surg...
Jonathan D Siegel,Jack A Di Palma
Jonathan D Siegel
Various agents are used for the medical management of chronic constipation, but few of these have been adequately studied. This article specifically examines the medical treatment of chronic constipation and the available data concerning bu...
The evaluation of constipation [0.03%]
便秘的评估
Matthew D Vrees,Eric G Weiss
Matthew D Vrees
Constipation is a major medical problem in the United States, affecting 2% to 28% of the population. Individual patients may have different conceptions of what constipation is, and the findings overlap with those in other functional gastroi...
Patrick Y H Lee,Scott R Steele
Patrick Y H Lee
Fecal incontinence is associated with 20 to 40% of the patients with pelvic floor prolapse. Successful management of fecal incontinence requires not only an understanding of anorectal function but also a thorough understanding of pelvic flo...
Susan M Cera,Steven D Wexner
Susan M Cera
Since the early 1900s, skeletal muscle transpositions have been employed for complicated cases of fecal incontinence to augment or replace the anal sphincter. Multiple techniques have evolved that vary with the type and configuration of mus...
The Secca procedure for the treatment of fecal incontinence: definitive therapy or short-term solution [0.03%]
治疗大便失禁的塞卡手术：确定性疗法还是短期解决方案？
Christine J Parisien,Marvin L Corman
Christine J Parisien
The treatment of fecal incontinence by means of radiofrequency energy is based on the concept that collagen deposition and subsequent scarring may increase one's ability to recognize and retain stool and permit improved continence. The proc...