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Constipation and Ano-Rectal Insufficiency

Constipation and Ano-Rectal Insufficiency
Author: Klaus Ewe
Publisher: Springer Science & Business Media
Total Pages: 268
Release: 1997-07-31
Genre: Medical
ISBN: 9780792387275
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Constipation and incontinence are of considerable importance to a great number of patients but many put it under taboo. Both functional disturbances comprise a wide spectrum of pathophysiological findings of neuro-muscular changes of the colon or the pelvic floor, but psychological factors may play an important role as well. In recent years much progress has been made in several disciplines which are important for the understanding and handling of constipation and incontinence. This volume, the proceedings of Falk Symposium No. 95 held in Freiburg, Germany, October 28-30, 1996, concentrates on clinically relevant and open questions rather than trying to cover the whole field in all details.

Constipation

Constipation
Author: Suzanne Rose, MD, MSEd
Publisher: Springer Science & Business
Total Pages: 192
Release: 2014-04-22
Genre: Medical
ISBN: 1493903322
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Constipation: A Practical Approach to Diagnosis and Treatment serves as an unmet resource for physicians and other health care providers, including trainees and students, who see patients with constipation. The text reviews pathophysiologic mechanisms and details evaluation and management strategies. The volume also enables the reader to identify epidemiologic factors and quality of life parameters for patients with constipation, discuss differences in pathophysiologic mechanisms for different etiologies of constipation, recognize primary causes of constipation, and assess special considerations related to the symptom of constipation including presentations in the elderly, in pregnant women, in patients with systemic diseases, and patients with a history of abuse. Written by thought leaders and recognized experts in gastrointestinal motility and medical education, Constipation: A Practical Approach to Diagnosis and Treatment is of great value and utility for gastroenterologists, primary care physicians, gynecologists, nurse practitioners, physician’s assistants, as well as fellows and residents.

Constipation and Fecal Incontinence and Motility Disturbances of the Gut

Constipation and Fecal Incontinence and Motility Disturbances of the Gut
Author: Jotaro Yokoyama
Publisher: Springer Science & Business Media
Total Pages: 259
Release: 2012-12-06
Genre: Medical
ISBN: 3642744931
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This volume has been authored by internationally reputed experts from Japan and Europe and reflects the state of the art in the field of pediatric surgery. The first section on constipation and incontinence shows the fast pace of research in Japan on the subject. In particular, pathophysiological studies have led to improved diagnostic techniques and the clinical application of anorectal manometry. The second section discusses a topic that has long been of great interest: motility disturbances of the gut. New insights from improved diagnostic methods, pathophysiology and histology have induced new therapeutic trials and a better understanding of diseases such as Hirschsprung's disease and neuronal intestinal dysplasia. Despite the many recent improvements, much clinical and experimental work remains to be done to resolve these problems.

Anorectal Disorders

Anorectal Disorders
Author: Enrique Coss-Adame
Publisher: Academic Press
Total Pages: 294
Release: 2019-03-06
Genre: Science
ISBN: 0128153474
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Anorectal Disorders: Diagnosis and Nonsurgical Treatments incorporates the most recent major advances in the understanding of anal and rectal anatomy to provide clinical evidence of care for those suffering from anorectal disorders. By condensing basic and practical aspects in the knowledge of anorectal disorders, this book provides a comprehensive review of the anatomy and physiology of the anorectal region. It includes new technology that expands and modifies current perceptions about the functional anatomy of the anorectal region and ultimately impacts how we conceive muscle and nerve structures functioning together to maintain fecal continence and properly execute the process of defecation. Perfect for medical researchers, gastroenterologists, general practitioners, internal medicine doctors and general surgeons, this title will provide diagnosis and treatment options for all patients suffering from anorectal disorders. Identifies frequent, but not well understood, anorectal disorders, including ulcers, constipation, dyssynergic defecation, tumors and malformations Condenses the basic and practical aspects of anorectal disorders for better treatment of patients Includes clinical cases that summarize chapter content in a clinical context

Bowel Dysfunction

Bowel Dysfunction
Author: Brigitte Collins
Publisher: Springer
Total Pages: 270
Release: 2017-04-29
Genre: Medical
ISBN: 3319432141
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The editors aim to provide the definitive guide for healthcare professionals on functional disorders of the gastrointestinal tract and pelvic floor, and the treatments used within the current healthcare context. This book will help the reader to access and understand relevant information within a variety of clinical settings and scenarios. It will be relevant and useful to a variety of disciplines (e.g. Physicians, Nurses, Physiotherapists) who work within the field of gastrointestinal care. This book will be written by a team from the worlds’ most well established colorectal specialist hospital, presenting a definitive guide to care of the patient group.

Constipation

Constipation
Author: Steven D. Wexner
Publisher: Springer Science & Business Media
Total Pages: 265
Release: 2007-08-08
Genre: Medical
ISBN: 1846282756
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The only book to deal specifically with constipation for specialists has been updated to include all the new advances since the first edition (1995). These advances include biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations also include Professor Norman Williams’ Malone Procedure and the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections.

Colonic Motility

Colonic Motility
Author: Sushil K. Sarna
Publisher: Biota Publishing
Total Pages: 159
Release: 2010-11-01
Genre: Medical
ISBN: 1615041516
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Three distinct types of contractions perform colonic motility functions. Rhythmic phasic contractions (RPCs) cause slow net distal propulsion with extensive mixing/turning over. Infrequently occurring giant migrating contractions (GMCs) produce mass movements. Tonic contractions aid RPCs in their motor function. The spatiotemporal patterns of these contractions differ markedly. The amplitude and distance of propagation of a GMC are several-fold larger than those of an RPC. The enteric neurons and smooth muscle cells are the core regulators of all three types of contractions. The regulation of contractions by these mechanisms is modifiable by extrinsic factors: CNS, autonomic neurons, hormones, inflammatory mediators, and stress mediators. Only the GMCs produce descending inhibition, which accommodates the large bolus being propelled without increasing muscle tone. The strong compression of the colon wall generates afferent signals that are below nociceptive threshold in healthy subjects. However, these signals become nociceptive; if the amplitudes of GMCs increase, afferent nerves become hypersensitive, or descending inhibition is impaired. The GMCs also provide the force for rapid propulsion of feces and descending inhibition to relax the internal anal sphincter during defecation. The dysregulation of GMCs is a major factor in colonic motility disorders: irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and diverticular disease (DD). Frequent mass movements by GMCs cause diarrhea in diarrhea predominant IBS, IBD, and DD, while a decrease in the frequency of GMCs causes constipation. The GMCs generate the afferent signals for intermittent short-lived episodes of abdominal cramping in these disorders. Epigenetic dysregulation due to adverse events in early life is one of the major factors in generating the symptoms of IBS in adulthood.

Geriatric Gastroenterology

Geriatric Gastroenterology
Author: C. S. Pitchumoni
Publisher: Springer Science & Business Media
Total Pages: 660
Release: 2012-07-26
Genre: Medical
ISBN: 1441916237
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As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.

Fecal Incontinence

Fecal Incontinence
Author: Carlo Ratto
Publisher: Springer Science & Business Media
Total Pages: 353
Release: 2007-06-08
Genre: Medical
ISBN: 8847006376
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Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.