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Disorders of the Anorectum and Pelvic Floor, An Issue of Gastroenterology Clinics

Disorders of the Anorectum and Pelvic Floor, An Issue of Gastroenterology Clinics
Author: David J. Maron
Publisher: Elsevier Health Sciences
Total Pages: 265
Release: 2013-12-28
Genre: Medical
ISBN: 0323260993

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This issue provides important updates on the management of disorders of the anorectum and pelvic floor. Expert authors provide information on hemorrhoidal issues, anorectal anatomy and imaging techniques, fissure and anal stenosis, rectal prolapse, and anal abscess and fistula. Other articles are devoted to sexually transmitted and infectious diseases, treatment of radiation proctitis, and pruiritis ani. Readers will come away with a full understanding of the current strategies for diagnosis and management of these disorders.


Disorders of the Pelvic Floor and Anorectum

Disorders of the Pelvic Floor and Anorectum
Author: Satish S. C. Rao
Publisher:
Total Pages: 0
Release: 2008
Genre: Encopresis
ISBN: 9781416062974

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Dr. Rao's issue provides a timely overview of the current diagnostic modalities for diagnosing disorders of the anorectum and pelvic floor. Detailed discussions are found on manometric, sensorimotor, and neurophysiological evaluations; radiological evaluations; and biofeedback therapy. Clinical presentation and management is discussed for functional fecal incontinence, urinary and fecal incontinence, hemorrhoids, and ileal pouch function, to name a few.


Diagnosis and Management Guide for Anorectal Disease

Diagnosis and Management Guide for Anorectal Disease
Author: Waqar Qureshi
Publisher: CRC Press
Total Pages: 314
Release: 2024-06-01
Genre: Medical
ISBN: 1040138039

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Many gastroenterologists are presented with patients complaining of one or more of several anorectal symptoms. Patients expect that a gastroenterologist can treat their symptomatic hemorrhoids or anal fissures or diagnose accurately their rectal bleeding. Today the evaluation and treatment of these common ailments is not included within the core curriculum of most gastrointestinal fellowship training programs, and therefore has not been incorporated into a typical GI practice. Diagnosis and Management Guide for Anorectal Disease: A Clinical Reference looks to fill that void. Dr. Waqar Ahmed Qureshi states that most of these perianal and anorectal problems can be successfully treated non-surgically. Diagnosis and Management Guide for Anorectal Disease: A Clinical Reference reviews a number of diseases that gastroenterologists should be able to effectively manage in their office, which eliminates extra cost, inconvenience, and frustration for their patients. A few of the topics that can be found inside: Anatomy and Examination Anatomy and Physiology of the Pelvic Floor Benign Anorectal Conditions Hemorrhoids, Anal Fissures, and Anal Pruritus Benign Soft Tissue, Perianal, Perineal, and Complicated Conditions Pilonidal Disease, Aanorectal IBD Management, and Defecation Disorders Neoplasms Anal Carcinoma and screening high-risk groups The gastroenterologist occupies a unique position between conservative treatment offered by primary care physicians and the more invasive procedures offered by the surgeon. Diagnosis and Management Guide for Anorectal Disease: A Clinical Reference is designed to provide a comprehensive understanding of anorectal diseases that they can manage and, therefore, improve the care of their patients in one comprehensive volume.


Benign Anorectal Diseases

Benign Anorectal Diseases
Author: Giulio Aniello Santoro
Publisher: Springer Science & Business Media
Total Pages: 452
Release: 2006-03-13
Genre: Medical
ISBN: 9788847003361

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Three-dimensional endoanal ultrasonography with emphasis on the anatomy of the pelvic floor and diagnosis of anorectal benign diseases. Numerous schematic representations coupled with ultrasonographic and radiologic images provide a didactic approach. Readers gain a clear understanding of the fundamental principles and techniques of ultrasonography as well as of the normal anatomy of the pelvic floor and its modification in various benign anorectal diseases. Both general and specialist clinical practices will benefit from this book.


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.


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.