Diagnosis and Treatment of Dyssynergic Defecation
Journal of Neurogastroenterology and Motility
; : 423-435, 2016.
Article
em En
| WPRIM
| ID: wpr-78153
Biblioteca responsável:
WPRO
ABSTRACT
Dyssynergic defecation is common and affects up to one half of patients with chronic constipation. This acquired behavioral problem is due to the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. A detailed history, prospective stool diaries, and a careful digital rectal examination will not only identify the nature of bowel dysfunction, but also raise the index of suspicion for this evacuation disorder. Anorectal physiology tests and balloon expulsion test are essential for a diagnosis. Newer techniques such as high-resolution manometry and magnetic resonance defecography can provide mechanistic insights. Recently, randomized controlled trials have shown that biofeedback therapy is more effective than laxatives and other modalities, both in the short term and long term, without side effects. Also, symptom improvements correlated with changes in underlying pathophysiology. Biofeedback therapy has been recommended as the first-line of treatment for dyssynergic defecation. Here, we provide an overview of the burden of illness and pathophysiology of dyssynergic defecation, and how to diagnose and treat this condition with biofeedback therapy.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Métodos Terapêuticos e Terapias MTCI:
Terapias_mente_y_cuerpo
/
Biofeedback
Assunto principal:
Fisiologia
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Biorretroalimentação Psicológica
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Estudos Prospectivos
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Efeitos Psicossociais da Doença
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Diafragma da Pelve
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Constipação Intestinal
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Defecografia
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Defecação
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Diagnóstico
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Exame Retal Digital
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Observational_studies
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Prognostic_studies
Idioma:
En
Revista:
Journal of Neurogastroenterology and Motility
Ano de publicação:
2016
Tipo de documento:
Article