By H.G. Gooszen, H.O. ten Cate Hoedemaker, I.T. Weterman, M.R.B. Keighley
This booklet is a different paintings dedicated to the topic of disordered defaecation. It comprises chapters written by way of specialists within the box of ano-rectal body structure and administration of disordered defaecation. many of the contributions current own perspectives and targeted scientific event of people. There are a few own perspectives which we felt can be commented upon and some parts the place the event of others has been integrated into the textual content. For the sake of completeness of every bankruptcy, a moderate overlap from time to time used to be inevitable. we are hoping the e-book will function an invaluable number of reviews on an issue which till lately has been principally missed through the scientific career. The editors significant participants H. O. ten Cate Hoedemaker division of surgical procedure, college sanatorium, Rijnsburgerweg 10,2333 AA Leiden, The Netherlands G. Coremans division ofInternal medication, college health facility Gasthuisberg, the following straat forty nine, 3000 Leuven, Belgium S. Fasth division of surgical procedure II, Sahlgrenska health center, S-413 forty five G6teborg, Swe den H. G. Gooszen division of surgical procedure, college clinic, Rijnsburgerweg 10, 2333 AA Leiden, The Netherlands J. A. Gruwez division of common surgical procedure, college Hospitals KU, Brusselsestraat 63,3000 Leuven, Belgium M. M. Henry division of Gastroenterology, valuable Middlesex health center, Acton Lane, London NWlO 7NS, uk M. R. B. Keighley division of surgical procedure, the final clinic, Steelhouse Lane, Bir mingham B4 6NH, uk J. H. C. Kuypers division of surgical procedure, collage medical institution St. Radboud, Geert Groote plein Zuid 14,6500 HB Nijmegen, The Netherlands Ph. B.
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Additional resources for Disordered Defaecation: Current opinion on diagnosis and treatment
1985. Damage to the innervation of the pelvic floor musculature in chronic constipation. Gastroenterology 89: 977-981. 9. Preston DM, Lennard-Jones JE. 1985. Anismus in chronic constipation. Dig Dis Sci 30: 413418. 10. Snooks SJ, Swash M. 1986. Slowed motor conduction in the lumbosacral nerve roots in cauda equina lesions. J Neurol Neuro Surg Psych 49: 808-816. 11. Beck A. 1930. Electromyographische Untersuchungen am sphincter ani. Pfugers Arch Ges Physiol 224: 278. 12. Floyd WD, Walls EW. 1953.
1963. The relation of sensation in the anal canal to the functional anal sphincter: a possible factor in anal continence. Gut 4: 179-182. 9. Goligher Je. 1951. The functional results after sphincter saving resections of the rectum. Ann Roy Coli Surg Engl 8: 421-439. 10. Read MG, Read NW. 1982. The role of ano-rectal sensation in preserving continence. Gut 23: 345-347. 11. Read NW, Abouzekry L. 1986. Why do patients with faecal impaction have faecal incontinence? Gut 27: 283-287. 12. Gunterberg B, Kewenter J, Petersen I, Stener B.
_ ......... ~" \ I .. t lINe 5 MCOnda - Figure 4. Intra-rectal pressure and sphincter EMG activity from a patient with constipation. Straining results in recruitment of sphincter EMG activity (Same key as in Figure 2). floor musculature may be the underlying cause in most cases of idiopathic constipation. Incontinence In patients with idiopathic faecal incontinence there is perineal descent at rest with widening of the ano-rectal angle to 130° ± 3 (mean ± SEM ct. 5 . These changes are thought to result from neurogenic weakness of the pelvic floor and external anal sphincter muscles which may in turn result from excessive straining during defaecation.
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