Rectal prolapse associated with traumatic fecal incontinence is a rare clinical combination. This study was designed to assess Delorme's operation with sphincteroplasty as a surgical management of this combination in terms of recurrence and improvement of fecal incontinence. In this prospective study, we enrolled patients suffering from short, full-thickness rectal prolapse associated with trau...

fecal incontinence is a challenging condition in that it exerts various psychosocial impacts on daily life. different treatment modalities have been suggested for fecal incontinence. the present study aimed to evaluate the efficacy of biofeedback therapy in combination with surgery in the management of fecal incontinence. the present randomized controlled trial was performed on 27 women with a ...

HYPOTHESIS Pancreaticobiliary sphincter disease is reliably diagnosed by endoscopic and intraoperative manometry. DESIGN Retrospective review of prospectively collected data. SETTING A 400-bed urban university hospital. PATIENTS Between May 1, 1978, and March 27, 2002, 446 patients were treated surgically for dysfunction of the pancreaticobiliary sphincters. There were 376 females and 70 ...

Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987 and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7 patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatiti...

manifests as bilioptysis (the presence of bile in sputum), and this is an unusual and serious complication of liver and biliary diseases. There are many conditions can give rise to the development of such a communication (1-4). Biliary lithiasis is one of these, and it is perhaps the one most amenable to percutaneous management. Endoscopic or percutaneous procedures have been used successfully ...

Fecal incontinence is a debilitating and common problem with a profound effect on a patient's well being medically, socially, and economically. Non-operative management of this condition includes dietary modification, antidiarrheal medications, and biofeedback. Patients with severe incontinence can be divided into 2 categories. The first group includes patients with an identifiable and isolated...

Sphincteroplasty (SP) is the operation most frequently performed in patients suffering from moderate-to-severe anal incontinence (AI) who do not respond to conservative treatment. Other costly surgeries, such as artificial bowel sphincter (ABS) and electro-stimulated graciloplasty, have been more or less abandoned due to their high morbidity rate. Minimally invasive procedures are widely used, ...