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Biofeedback avoids surgery in patients with slow-transit constipation: report of four cases.
Dis Colon Rectum 2001; 44(5):737-9; discussion 739-40DC

Abstract

Biofeedback is established treatment for intractable constipation in patients with an element of pelvic floor dysfunction. In those with intractable slow-transit constipation and normal pelvic floor function, colectomy is usually recommended. We report four patients with isolated slow-transit constipation who benefited from biofeedback and avoided surgery. All four patients were extensively investigated for pelvic floor dysfunction before undergoing a standard biofeedback course of four outpatient sessions. All improved in terms of bowel frequency, laxative use, bloating, straining, and lifestyle. Improvement has been maintained for a median of nine (range, 5-12) months without the requirement for further treatment. Biofeedback represents a safe and inexpensive treatment for these patients and may avoid surgery in a significant proportion.

Authors+Show Affiliations

Department of Colorectal Surgery, Singapore General Hospital, Singapore.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11357038

Citation

Brown, S R., et al. "Biofeedback Avoids Surgery in Patients With Slow-transit Constipation: Report of Four Cases." Diseases of the Colon and Rectum, vol. 44, no. 5, 2001, pp. 737-9; discussion 739-40.
Brown SR, Donati D, Seow-Choen F, et al. Biofeedback avoids surgery in patients with slow-transit constipation: report of four cases. Dis Colon Rectum. 2001;44(5):737-9; discussion 739-40.
Brown, S. R., Donati, D., Seow-Choen, F., & Ho, Y. H. (2001). Biofeedback avoids surgery in patients with slow-transit constipation: report of four cases. Diseases of the Colon and Rectum, 44(5), pp. 737-9; discussion 739-40.
Brown SR, et al. Biofeedback Avoids Surgery in Patients With Slow-transit Constipation: Report of Four Cases. Dis Colon Rectum. 2001;44(5):737-9; discussion 739-40. PubMed PMID: 11357038.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biofeedback avoids surgery in patients with slow-transit constipation: report of four cases. AU - Brown,S R, AU - Donati,D, AU - Seow-Choen,F, AU - Ho,Y H, PY - 2001/5/18/pubmed PY - 2001/6/8/medline PY - 2001/5/18/entrez SP - 737-9; discussion 739-40 JF - Diseases of the colon and rectum JO - Dis. Colon Rectum VL - 44 IS - 5 N2 - Biofeedback is established treatment for intractable constipation in patients with an element of pelvic floor dysfunction. In those with intractable slow-transit constipation and normal pelvic floor function, colectomy is usually recommended. We report four patients with isolated slow-transit constipation who benefited from biofeedback and avoided surgery. All four patients were extensively investigated for pelvic floor dysfunction before undergoing a standard biofeedback course of four outpatient sessions. All improved in terms of bowel frequency, laxative use, bloating, straining, and lifestyle. Improvement has been maintained for a median of nine (range, 5-12) months without the requirement for further treatment. Biofeedback represents a safe and inexpensive treatment for these patients and may avoid surgery in a significant proportion. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/11357038/Biofeedback_avoids_surgery_in_patients_with_slow_transit_constipation:_report_of_four_cases_ L2 - http://link.springer.com/article/10.1007/bf02234576 DB - PRIME DP - Unbound Medicine ER -