TO THE EDITOR: I would like to thank Dr. Lee for his thoughtful comments on the impact of constipation on fecal incontinence. The coexistence of fecal incontinence and constipation has been well characterized in children and the geriatric population. Fecal incontinence in children is secondary to ‘overflow’ which results from the presence of constipation. Also fecal incontinence occurs in a var...

The aim of this study was to assess the influence of the severity of coronary artery stenosis and the grade of collateral circulation on myocardial viability in patients with chronic left ventricular (LV) dysfunction undergoing coronary artery bypass grafting. Forty patients (age 59 +/- 8 years) with old myocardial infarction were studied by dobutamine stress echocardiography (DSE) before coron...

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...

i T his report defines criteria for diagnosing functional anoectal disorders (ie, fecal incontinence, anorectal pain, nd disorders of defecation). Functional fecal incontience is defined as the uncontrolled passage of fecal aterial recurring for >3 months in an individual with a evelopmental age of >4 years that is associated with: 1) abnormal functioning of normally innervated and tructurally ...

PWE-005 Table 1 Anal sphincter Range Median Resting pressure 30e163 cm H2O 109 cm H2O Cough pressure increase 39e305 cm H2O 143 cm H2O Voluntary squeeze pressure 50e922 cm H2O 275 cm H2O Endurance squeeze time 18e125 s 52 s % of relaxation during pushdown 0e42% (17/20 relaxed) 14% Competing interests None declared. REFERENCES1. Jones MP, Post J, Crowell MD. High-resolution manometry in the ...

Figure. Asscoiation with psychosocial factors. There is a significant difference in the mean value for global scale index between rectal hyposensitivity and normosensitive group. GSI, global scale index; PSDI, positive symptom distress index; PST, positive symptom total. TO THE EDITOR: We read with interest the review article by Burgell and Scott regarding rectal hyposensitivity (RH). RH is cli...

A randomized controlled trial was carried out with the purpose to determine the effectiveness of EMG-biofeedback in the treatment of chronically constipated elderly patients with dyssynergic defecation as compared to a control condition characterized by information about the bowel functioning and counseling focused on the behavioural mechanisms involved in the defecation. With this purpose, aft...

background: treatment of chronic constipation is creating one of the major problems for doctors and patients. pyridostigmine increases the gastrointestinal motility through the effects on cholinesterase. it seems that this mechanism can reduce chronic constipation. the aim of this study was to compare the effects of pyridostigmine and bisacodyl on chronic constipation. methods: this study was c...