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[Constipation and incontinence: significance of colonic transit time, anorectal manometry and defecography].
Schweiz Med Wochenschr 1991; 121(5):150-5SM

Abstract

Constipation and fecal incontinence are frequent motives of gastroenterological consultation. An etiological diagnosis can often be suspected from the history and can be confirmed by functional testing. We here report our experience with the measurement of colonic transit time (TTC), anorectal manometry (MAR) and defecography (D). Whilst TTC was unhelpful, MAR revealed abdomino-pelvic asynchrony (anismus) in 60 constipated patients and 7 (47%) of 15 incontinent patients. Perineal descent was suspected in 25 constipated patients and confirmed by defecography, which also revealed associated static pelvic disorders. Our experience confirms the role of functional exploration in the investigation of constipation and fecal incontinence and permits a more precise therapeutic approach.

Authors+Show Affiliations

Division de gastroentérologie et nutrition, Hôpital cantonal universitaire, Genève.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

2003211

Citation

Dederding, J P., et al. "[Constipation and Incontinence: Significance of Colonic Transit Time, Anorectal Manometry and Defecography]." Schweizerische Medizinische Wochenschrift, vol. 121, no. 5, 1991, pp. 150-5.
Dederding JP, Fouillet P, Berclaz R, et al. [Constipation and incontinence: significance of colonic transit time, anorectal manometry and defecography]. Schweiz Med Wochenschr. 1991;121(5):150-5.
Dederding, J. P., Fouillet, P., Berclaz, R., Miazza, B., Cunningham, M., Mirescu, D., ... Loizeau, E. (1991). [Constipation and incontinence: significance of colonic transit time, anorectal manometry and defecography]. Schweizerische Medizinische Wochenschrift, 121(5), pp. 150-5.
Dederding JP, et al. [Constipation and Incontinence: Significance of Colonic Transit Time, Anorectal Manometry and Defecography]. Schweiz Med Wochenschr. 1991 Feb 2;121(5):150-5. PubMed PMID: 2003211.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Constipation and incontinence: significance of colonic transit time, anorectal manometry and defecography]. AU - Dederding,J P, AU - Fouillet,P, AU - Berclaz,R, AU - Miazza,B, AU - Cunningham,M, AU - Mirescu,D, AU - de Peyer,R, AU - Loizeau,E, PY - 1991/2/2/pubmed PY - 1991/2/2/medline PY - 1991/2/2/entrez SP - 150 EP - 5 JF - Schweizerische medizinische Wochenschrift JO - Schweiz Med Wochenschr VL - 121 IS - 5 N2 - Constipation and fecal incontinence are frequent motives of gastroenterological consultation. An etiological diagnosis can often be suspected from the history and can be confirmed by functional testing. We here report our experience with the measurement of colonic transit time (TTC), anorectal manometry (MAR) and defecography (D). Whilst TTC was unhelpful, MAR revealed abdomino-pelvic asynchrony (anismus) in 60 constipated patients and 7 (47%) of 15 incontinent patients. Perineal descent was suspected in 25 constipated patients and confirmed by defecography, which also revealed associated static pelvic disorders. Our experience confirms the role of functional exploration in the investigation of constipation and fecal incontinence and permits a more precise therapeutic approach. SN - 0036-7672 UR - https://www.unboundmedicine.com/medline/citation/2003211/[Constipation_and_incontinence:_significance_of_colonic_transit_time_anorectal_manometry_and_defecography]_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -