Anorectal manovolumetry in the decision making before surgery for slow transit constipation

Lundin, Erik; Graf, Wilhelm; Karlbom, Urban

doi:10.1007/s10151-007-0361-y

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…This may influence the risk of potential incontinence after subtotal colectomy with ileorectal anastomosis. 14 In constipated patients, it is useful to also measure pressure during straining. Paradoxical sphincter contraction with straining may be found in some normal patients, but is also found in patients with anismus or obstructed defecation.…”

Section: Anorectal Manometrymentioning

confidence: 99%

Anorectal Physiologic Evaluation of Constipation

Denoya

Sands²

2008

Clinics in Colon and Rectal Surgery

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Chronic constipation is a widespread problem which affects 63 million people in North America alone. Although the majority of patients respond to changes in dietary fiber and water intake, as well as the judicious use of laxatives, a small portion will not and as a result, will be evaluated by gastroenterologists and colorectal surgeons. These patients most frequently have slow transit constipation, pelvic floor dysfunction, or some combination of the two. The physiologic evaluation of these patients comprises colonic transit studies, anorectal manometry, cinedefecography, electromyography, and pudendal nerve terminal motor latency testing. In this article, the authors describe the physiologic basis for these studies and review the techniques used in diagnosing these conditions.

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Section: Anorectal Manometrymentioning

confidence: 99%

Anorectal Physiologic Evaluation of Constipation

Denoya

Sands²

2008

Clinics in Colon and Rectal Surgery

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“…Abnormal anorectal motility and psychological condition were reported in some researches (Wang et al. 2004, Lundin et al. 2007), which demonstrated a possible relationship between abnormal anorectal motility and psychological conditions (a mental condition in which the qualities of a state are relatively constant even though the state itself may be dynamic).…”

Section: Introductionmentioning

confidence: 97%

“…However, the pathophysiological mechanism of FC is not completely understood (Michael et al 2007). Abnormal anorectal motility and psychological condition were reported in some researches (Wang et al 2004, Lundin et al 2007, which demonstrated a possible relationship between abnormal anorectal motility and psychological conditions (a mental condition in which the qualities of a state are relatively constant even though the state itself may be dynamic). The aim of this study was to assess the relationship between anorectal motility and psychological conditions of anxiety and depression, evaluate whether anxiety or depression may cause FC and develop appropriate interventions to advance nursing care within the scope of this disease process.…”

Section: Introductionmentioning

confidence: 98%

Functional constipation: implications for nursing interventions

Zhou

Zheng

Lin

et al. 2010

Journal of Clinical Nursing

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“…In patients with isolated segmental slow transit constipation a segmental colectomy can be performed, resulting in the same results with less side-effects like faecal incontinence. 123 To decrease the risk of acquired faecal incontinence, a segmental colectomy should be considered in patients with an abnormal sphincter function, 143 to prevent intractable diarrhoea. Finally, in some patients an end-colostomy can give good results, and is sometimes preferred above colectomy, 95 especially in wheelchair bound patients.…”

Section: Surgerymentioning

confidence: 99%

The treatment of defaecation disorders

Lansen-Koch¹

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Anorectal manovolumetry in the decision making before surgery for slow transit constipation

Abstract: More than half of the patients with STC deviated in some parameter. An impaired internal sphincter function and increased rectal compliance were seen. One fifth of the patients had impaired rectal sensation.

Cited by 5 publications

References 37 publications

Anorectal Physiologic Evaluation of Constipation

Anorectal Physiologic Evaluation of Constipation

Functional constipation: implications for nursing interventions

The treatment of defaecation disorders

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