Sa1664 – Are Dyssynergic Defecation and Altered Rectal Sensation Under-Recognized Cause of Chronic Constipation in Patients Taking Opioids?
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چکیده
منابع مشابه
Surgical Correction Is Ineffective for Improvement of Dyssynergic Defecation in Patients With Rectal Prolapse
BACKGROUND/AIMS The patients with rectal prolapse suffer from not only a prolapse rectum but also associated dysfunction. However, most surgical techniques are successful regarding the prolapse, but either do not solve or even worsen defecation dysfunction. The purpose of this study was to investigate the functional and physiological results after surgical correction in patients with rectal pro...
متن کاملDiagnosis and Treatment of Dyssynergic Defecation
Dyssynergic defecation is common and affects up to one half of patients with chronic constipation. This acquired behavioral problem is due to the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. A detailed history, prospective stool diaries, and a careful digital rectal examination will not only identify the nature of bowel dysfunction, but also raise the index...
متن کاملEffect of Biofeedback Therapy in Constipation According to Rectal Sensation
BACKGROUND/AIMS The pathophysiologic mechanism of rectal hyposensitivity (RH) is not well documented, and the significance of RH in biofeedback therapy (BFT) has not been evaluated. Thus, we aimed to assess the effect of BFT in constipated patients according to the presence of RH. METHODS Five hundred and ninety constipated patients (238 males and 352 females) underwent anorectal physiologic ...
متن کاملOutcome of biofeedback therapy in dyssynergic defecation patients with and without irritable bowel syndrome.
AIM The Rome II and III diagnostic criteria for dyssynergic defecation require the exclusion of irritable bowel syndrome (IBS). To prospectively study whether the presence of IBS affects the outcome of biofeedback therapy in dyssynergic defecation patients. METHODS Consecutive patients with dyssynergic defecation underwent biofeedback therapy. Dyssynergic defecation was diagnosed based on sym...
متن کاملEfficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation
AIM To evaluate the short-term efficacy of biofeedback therapy (BFT) for dyssynergic defecation (DD) and to explore the predictors of the efficacy of BFT. METHODS Clinical symptoms, psychological state, and quality of life of patients before and after BFT were investigated. All patients underwent lifestyle survey and anorectal physiology tests before BFT. Improvement in symptom scores was con...
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ژورنال
عنوان ژورنال: Gastroenterology
سال: 2019
ISSN: 0016-5085
DOI: 10.1016/s0016-5085(19)37731-5