ANISMUS - THE CAUSE OF CONSTIPATION - RESULTS OF INVESTIGATION AND TREATMENT

被引:88
作者
DUTHIE, GS [1 ]
BARTOLO, DCC [1 ]
机构
[1] ROYAL INFIRM,DEPT SURG,1 LAURISTON PL,EDINBURGH EH3,SCOTLAND
关键词
D O I
10.1007/BF02066978
中图分类号
R61 [外科手术学];
学科分类号
摘要
Anismus, or failure of the somatic sphincter apparatus to relax at defecation, has been implicated as a major contributor to the problem of obstructed defecation. Current diagnostic methods depend on laboratory measurements of attempted defecation and the most complex, dynamic proctography has been the mainstay of diagnosis. Using a new computerized ambulatory method of recording sphincter function in these patients at home, we report as 80 % reduction in our diagnostic rate suggesting that conventional tests fail to accurately diagnose this condition, probably because they poorly represent the natural physiology of defecation. Treatment of this distressing condition is more complex and a variety of surgical and pharmacological measures have failed. Biofeed-back retraining of anorectal function of these patients has been very successful and represents the management of choice.
引用
收藏
页码:831 / 835
页数:5
相关论文
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