6. Intractable Chronic Constipation

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Sacral nerve stimulation for intractable constipation.

OBJECTIVE Traditional surgical procedures for intractable idiopathic constipation are associated with a variable outcome and substantial morbidity. The symptomatic response, physiological effect and effect on quality of life of sacral nerve stimulation (SNS) were evaluated in patients with constipation (slow transit and normal transit with impaired evacuation). METHODS In a prospective study ...

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BACKGROUND Celiac disease is a glutten induced enteropathy. Some authors recommended screening celiac in children with constipation. There are studies to evaluate celiac disease in children with constipation. But most of them included children regardless to treatment failure. OBJECTIVE The aim of this study was to evaluate frequency of elevated anti TTG in children with constipation after fai...

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Characterizing colonic motility in children with chronic intractable constipation: a look beyond high-amplitude propagating sequences.

BACKGROUND Children with chronic intractable constipation experience severe and long-lasting symptoms, which respond poorly to conventional therapeutic strategies. Detailed characterization of colonic motor patterns in such children has not yet been obtained. METHODS In 18 children with chronic intractable constipation, a high-resolution water-perfused manometry catheter (36 sensors at 1.5-cm...

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Neurophysiological dysfunction in young women with intractable constipation.

Fifteen women with intractable chronic idiopathic constipation dating from adolescence were investigated by anorectal manometry, neurophysiological evaluation of the conus medullaris and external anal sphincter. Comparison was made with 25 asymptomatic female control subjects. Urological disturbances were common amongst the constipated, in five of whom incidental lumbosacral spinal dysraphism w...

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Colonic propulsive impairment in intractable slow-transit constipation.

HYPOTHESIS Intractable constipation, especially of the slow-transit subtype, may represent several pathophysiologic entities with a common final symptomatic appearance. An overall impairment of colonic propulsive activity may represent a major disease mechanism. DESIGN Case series. SETTING Tertiary university hospital. SUBJECTS Twenty-nine severely constipated patients with clinical and h...

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ژورنال

عنوان ژورنال: Nihon Naika Gakkai Zasshi

سال: 2013

ISSN: 0021-5384,1883-2083

DOI: 10.2169/naika.102.83